Medial Branch Thermal Radiofrequency (Lumbar Spine)

Medial branch thermal radiofrequency is a modern, minimally invasive technique used for the long-term management of chronic pain originating from the facet joints of the spine.

Technical procedure

The method involves the insertion of an extremely thin electrode, under targeted imaging guidance, near the medial branches of the spinal nerves that innervate the facet joints. Using controlled thermal radiofrequency energy, partial interruption of the nerve fibers transmitting pain signals is achieved.

Therapeutic goal

• Reduction or interruption of pain transmission from the facet joints
• Long-term pain relief
• Improvement of spinal mobility
• Enhancement of daily function and quality of life

Indications

• Chronic cervical, thoracic, or lumbar spine-related pain
• Facet joint syndrome
• Cases not responding to conservative treatment or diagnostic blocks

Benefits

• Long-lasting and significant pain relief
• Minimally invasive and safe procedure
• Rapid recovery and return to daily activities
• Mild and transient side effects (e.g. local swelling or temporary numbness)

Clinical approach

Patient selection is based on a thorough clinical evaluation and a positive response to diagnostic blocks. Treatment is tailored to each individual patient, with the goal of achieving the best possible and long-lasting outcome.

This treatment is performed at my clinic in Bochum, in a specially equipped procedure room, according to the highest standards of safety and technology, and without general anesthesia.

The procedure takes approximately 30–50 minutes, is performed percutaneously (minimally invasively), and is carried out exclusively under fluoroscopic (X-ray) guidance, ensuring a high level of precision and safety.

Patients can usually return to their daily activities immediately after the procedure. The procedure is performed exclusively under fluoroscopic guidance.