Specialties
Radiofrequency Neurotomy of the Cervical Facets
Our Goal for You:
- Identify the cause of your pain.
- Minimize your down time with non-surgical or minimally invasive procedures if possible.
- Get back to living the life you want.
Overview
During this minimally-invasive procedure, the physician uses heat from radio waves to treat painful facet joints in your neck. This procedure is also called radiofrequency rhizotomy. It can treat pain that doesn’t respond to medications or to physical therapy.
Preparation
In preparation for the procedure, you lie on your stomach. You are given medicine to make you feel relaxed. The skin and tissue of your neck is numbed.
Inserting the Cannula
The physician inserts a tube called a “cannula.” A video x-ray device called a “fluoroscope” helps guide the cannula to the medial branch nerves in your spine. These tiny nerves carry pain signals from your facet joints to your brain.
Treating the Nerves
The physician inserts an electrode through the cannula. A weak electric jolt is used to test its position. If the jolt recreates the pain but does not cause any other muscular effects, it is positioned correctly. Then the physician uses the electrode to heat the nerve. This disrupts its ability to transmit pain signals. Several nerves may be treated if necessary.
End of Procedure
When the procedure is complete, the electrode and cannula are removed. A small bandage is placed on your skin. You will be monitored for a brief time before you are allowed to go home. Your injection site may feel sore after the procedure, and you may still have neck pain. If the correct nerves were treated, you will gradually experience pain relief as you heal. This may take several weeks. Your relief may last for several months.
Why Choose Advanced Spine Centers
Board Certified & Fellowship Trained.
Voted 2019’s Best Spine Surgeon.
Internationally Recognized Trainer to Spine Surgeons.
Pioneer in Non-Surgical & Micro-Surgical Procedures.
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Common Patient Questions
ExcellentBased on 147 reviewsRobert AliceaThe doctor and his staff were very welcoming and kind ..explained my issues in detail . Will highly recommendGerman CisnerosEvery visit to Dr. Courtney's office is educational and most beneficial. Dr. Courtney and ALL of his staff are the best!Jamey DerryberryMy wife and I both go to Dr Courtney for back issues. Great care. Great staff. Great surgical facility and smooth process. LOVE THEM!!!Mark CotterDr Courtney and his staff truly care about my well being. They are the only ones I have found that have been able to help me with my workman's comp claimJ “JAFO”Does your back hurt? Has your back been hurting, yet no other surgeon can or won't help you; or worse tells you nothing is wrong? You're in the wrong place! I had 4 back operations with no improvement. I had an additional 6 other consultations with "there's nothing wrong with you". The truth was I was probably 2-3 months away from permanent leg and lower back paralysis. He fixed me. I can stand, I can walk. I threw away my crutches of 13 years. If you need back correction - GO SEE THIS DOCTOR! He will fix you, and fix you correctly, if it is humanly possible. Enough said! Go see him. He tells the truth and tells it like it is. 🙂Terri StewmanDr courtney and his staff are great! Dr courtney always takes his time with you and I feel he truly cares about his patients.Ross WigingtonGreat Dr and helped me multiple times over the years Would recommend to anyone that needs helpBridgette e MentesanaDr. Courtney is knowledgeable and takes the time to really explain what’s going on and explain why you’re in pain and the several options to correct the issue. I never felt rushed and he was on time to our appointment which is such a rare thing. The rest of the office staff was absolutely top notch. They were really down to earth and so nice, you could tell they liked their jobs and were treated well. It was a very welcoming atmosphere. I felt very comfortable and I knew I was in capable hands just by the way he treated his staff and listened to his patients. Highly recommend.Marie BentonDr Courtney did my neck surgery and my 360 back surgery. I would not go to another surgeon, he cares about his patients and it shows! His staff is great as well! I trust his opinion and skills 100%