Image-Guided Radiofrequency Ablation for Joint and Back Pain: Rationales, Techniques, and Results

Image-guided minimally invasive radiofrequency ablation (RFA) of sensory nerves has emerged as a treatment option for pain and swelling associated with advanced symptomatic joint and spine degeneration to bridge the gap between optimal medical therapy and surgical treatments. RFA of articular sensory nerves and the basivertebral nerve use image-guided percutaneous approaches resulting in faster recovery time and minimal risks. The current published evidence indicates clinical effectiveness; however, further research must be performed comparing other conservative treatments with RFA to understand further its role in different clinical settings, such as osteonecrosis. This review article discusses and illustrates the applications of RFA for treating symptomatic joint and spine degeneration.

Automated summary

Image-guided minimally invasive radiofrequency ablation (RFA) is a treatment option for pain and swelling associated with joint and spine degeneration. RFA of sensory nerves offers faster recovery time and minimal risks. Further research is needed to compare RFA with other conservative treatments and understand its role in different clinical settings.