Cervical neurotomy, also known as radiofrequency ablation is helpful for patients with neck pain and headaches. This is a minimally invasive procedure performed by pain specialists as an outpatient procedure. This is a newer version of what was called a neurectomy where surgeons had to make an incision and physically scrape or cut the medial branch nerve.

Candidates for cervical neurotomy will have to have diagnostic tests called medial branch blocks which are needle-based procedures where numbing medicine alone is placed on the medial branch nerve. If an individual receives greater than 70% pain relief, then the patient is a candidate for a neurotomy.

Information on Cervical Neurotomy

Candidates for this procedure will have to have diagnostic tests called medial branch blocks which are needle-based procedures where numbing medicine alone is placed on the medial branch nerve. If an individual receives greater than 70% pain relief, then the patient is a candidate for a neurotomy.

The procedure is performed under X-ray guidance. The patient is face down on an X-ray table and lidocaine is usually administered to the patient. The skin is cleaned and the X-ray machine is positioned over the patient. Using a monitor, numbing medicine is placed under the skin using a very small diameter needle. Then under X-ray guidance, the specialized needle is placed near the spine at the location of the medial branch nerve. Once the needle is in the proper position, the numbing medicine is placed through the needle and then a small amount of energy from a radiofrequency generator is released. The needles are heated up for greater than 90 seconds, usually about 3 minutes. Once the heating is completed, the needles are then removed. The external site is usually covered by a bandage, and the patient will go to the recovery room for about 30 minutes to be monitored.

After the patient has completed the monitoring period, they will be released home. The patient must be driven by a responsible adult. It is normal to have pain at the needle insertion site for several hours and the possibility of a sunburn sensation (post-procedural neuritis) for over 2 weeks.

The risks and possible complications of this procedure include but are not limited to:

  • Infection
  • Superficial or deep nerve injury
  • Worsening pain
  • Weakness

If the patient develops severe pain, weakness in an extremity, or fever they must call their doctor immediately.

Pre-treatment instructions: The patient’s medications will be reviewed, and sometimes certain medications will be stopped prior to the procedure. As mentioned above, prior to a neurotomy the patient will have a medial branch work up.

The above information is for general education purposes only. Please ask your doctor specific questions during your visit.

Cervical neurotomy, also known as radiofrequency ablation is helpful for patients with neck pain and headaches. This is a minimally invasive procedure performed by pain specialists as an outpatient procedure. This is a newer version of what was called a neurectomy where surgeons had to make an incision and physically scrape or cut the medial branch nerve.

Candidates for cervical neurotomy will have to have diagnostic tests called medial branch blocks which are needle-based procedures where numbing medicine alone is placed on the medial branch nerve. If an individual receives greater than 70% pain relief, then the patient is a candidate for a neurotomy.

Information on Cervical Neurotomy

Candidates for this procedure will have to have diagnostic tests called medial branch blocks which are needle-based procedures where numbing medicine alone is placed on the medial branch nerve. If an individual receives greater than 70% pain relief, then the patient is a candidate for a neurotomy.

The procedure is performed under X-ray guidance. The patient is face down on an X-ray table and lidocaine is usually administered to the patient. The skin is cleaned and the X-ray machine is positioned over the patient. Using a monitor, numbing medicine is placed under the skin using a very small diameter needle. Then under X-ray guidance, the specialized needle is placed near the spine at the location of the medial branch nerve. Once the needle is in the proper position, the numbing medicine is placed through the needle and then a small amount of energy from a radiofrequency generator is released. The needles are heated up for greater than 90 seconds, usually about 3 minutes. Once the heating is completed, the needles are then removed. The external site is usually covered by a bandage, and the patient will go to the recovery room for about 30 minutes to be monitored.

After the patient has completed the monitoring period, they will be released home. The patient must be driven by a responsible adult. It is normal to have pain at the needle insertion site for several hours and the possibility of a sunburn sensation (post-procedural neuritis) for over 2 weeks.

The risks and possible complications of this procedure include but are not limited to:

  • Infection
  • Superficial or deep nerve injury
  • Worsening pain
  • Weakness

If the patient develops severe pain, weakness in an extremity, or fever they must call their doctor immediately.

Pre-treatment instructions: The patient’s medications will be reviewed, and sometimes certain medications will be stopped prior to the procedure. As mentioned above, prior to a neurotomy the patient will have a medial branch work up.

The above information is for general education purposes only. Please ask your doctor specific questions during your visit.

Expert Physicians

Precision Spine Care combines the expertise of fellowship-trained spine surgeons, non-surgical spine MDs and interventional pain specialists.

Learn More

Find a Location

Precision Spine Care offers appointments in multiple convenient locations across East Texas and North Texas.

View all Locations
Call Us: 903-716-6389

The treatment you need, all in one place.

Conditions

A multidisciplinary care management approach for a wide range of conditions of the neck and back.

Treatments

We provide a comprehensive treatment plan including non-surgical, surgical, and injection options.

Doctors

Our team of expert spine and pain specialists are all conveniently located under one roof.

Your pain doesn’t wait, so why should you?

Precision Spine Care
will see you today!

Precision Spine Care will see you today!

No matter where it hurts or why it hurts, there’s no reason to suffer. All it takes is a phone call to the medical professionals at Precision Spine Care. We will get you in fast!

Make an Appointment
Call Us: 903-716-6389
Make an Appointment
Call Us: 903-716-6389