radiofrequency lesioning knee back pain

Radiofrequency Lesioning to Augment the Treatment of Knee and Back Pain

Scott Brandt, M.D. Stem Cell Therapy, Stem Cells for Back Pain, Stem Cells for Facet Joints, Stem Cells for Knee

At ThriveMD, we actively work with our patients to find the best ways to minimize pain and maximize function allowing them to live active lifestyle at any age. Radiofrequency lesioning (RFL) is yet another service we offer our patients to meet the goal of reducing knee and spinal pain.

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What Is Radiofreqency Lesioning

Radiofrequency lesioning (RF or RFL) is also know as radiofrequency nerve ablation. RFL  is a procedure that mitigates pain by temporarily destroying nerves responsible for the sensation of pain.

How Radiofrequency Lesioning Works

Many areas in the body, including the spine and knee, contain sensory nerves that are very active in certain pain conditions. These sensory nerves can be temporarily destroyed using a very precise thermal lesion delivered by a radiofrequency (RF) current though a special insulated needle. RF current is the safest form of delivering a heat lesion due to the fact that the lesion will remain the same size irregardless of the heating duration. Using real time X-ray guidance to define the location, a segment of the targeted nerve is cauterized with careful attention to avoid any nearby motor nerves or vascular structures. Once the sensory nerves have been taken out of commission there is often dramatic improvement in pain, and blood flow. In addition surrounding muscles begin to show improved function and loss of atrophy as the inhibitory pain sensations subside.

Who Is a Candidate for the RF Procedure

Knee Pain Patients

Three sensory nerves surrounding the knee are called the genicular nerves. They are located outside of the joint capsule adjacent to the distal femur and proximal tibia. A RF procedure to ablate the genicular nerves can be used in several scenarios. This procedure can be used in conjunction with a regenerative medicine knee injection such as a stem cell procedure to help diminish pain, improve blood flow and expedite healing. The radiofrequency procedure can also be employed as a standalone pain relief procedure for patients who have ongoing pain and do not want to undergo a major invasive surgery, such as a knee replacement. The procedure can also be an excellent means of providing postoperative relief in patients with ongoing pain despite having already undergone surgical repair. For examples of stem cell patients we have treated for knee or other joint pain, please go to our joint & soft tissue case studies.

Back Pain Patients

Radiofrequency is also employed for the treatment of spinal facet joint pain. It is often administered in conjunction with stem cell back injections. The nerves targeted for the facet procedure are called medial branch nerves. These nerves are located outside of the spinal canal and are easily accessed for radiofrequency lesioning utilizing live x-ray guidance. The destruction of these nerves allows for the rebuilding of the supportive muscles of the spine as well as profound pain relief. For examples of stem cell patients we have treated for back pain, please go to our back case studies.

The Radiofrequency Lesioning Procedure

At ThriveMD, this procedure is done as a minimally invasive outpatient procedure and is performed in under an hour. I have been providing radiofrequency procedures for 20+ years and my patients continue to benefit from this excellent treatment. Be sure to choose your RF physician carefully to avoid the potential risks and complications that inexperience may cause. RF treatments are a powerful compliment to the regenerative medicine procedures of the knee and spine as well as a standalone procedure for pain relief.

Cost of Radiofrequency Lesioning

ThriveMD is able to offer the RF procedure at a very reasonable price, as we utilize our own state-of-the-art in-office procedure suite. We are able to avoid the added costs associated with a large surgical facility and anesthesia services.

*Individual patient results may vary. Contact us today to find out if radiofrequency lesioning may be able to help you.

Next Step

If you believe you, or someone you care about, could be a candidate for radiofrequency lesioning for knee or back pain, please contact us today.

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John Beeman
John Beeman
23:05 08 Jan 17
I just wanted to give an update regarding the stem cell procedure performed by Dr. Brandt at Thrive about 3 years ago. My range of motion continues to improve--remarkable at 64.I skied 150k in 5 days last week and never iced my knee once. I can't remember skiing that many feet w/out having to ice in the last 20 years. The knee treated has been without an acl since I was 18 and is pretty severely arthritic,but I am getting better performance now than I have in recent memory. Thank you, Dr. Brandt!!
Lisa Harris
Lisa Harris
15:59 02 Jan 17
After struggling with an Achilles injury for 1 1/2 years and trying everything to heal it - steroid, physical therapy, wearing a boot, no activity, stretching, etc - I decided to have stem cell therapy at It was a short procedure and an afternoon of post op recovery, which after 6-8 weeks, resulted in a full recovery from my injury. This seemed to finally stimulate blood flow and healing to an injury I had resigned myself to having forever. I highly recommend this procedure for tendon injuries like this one.
Zvezdomir Zamfirov
Zvezdomir Zamfirov
03:55 14 Nov 16
I am a pain management physician myself. I am 52, and physically very active. I still play soccer competitively. Six months ago I suffered a hip injury with a labrum tear. Due to the pre-existing wear and tear, the only conventional treatment, which was offered to me was total hip replacement. I wanted to remain physically active and continue to play sports, so I decided that this is not the best option for me. I choose instead to try stem-cell therapy. Ten days ago I had my procedure done by Dr. Brandt, and since then I have nothing but positive things to say about him and his practice. Everyone in his office was extremely welcoming and put me at ease and comfort about my procedure. The procedure went very smooth. And I did not have ANY post procedure pain or discomfort. I had no need for any pain medication. I was back to work seeing patients on the 2nd day after the procedure. My hip already feels noticeably better. I have the second procedure scheduled in four weeks, and I am confident that in another 3-4 weeks I'll be back playing soccer again. Thank you, Dr. Brandt and team for taking such excellent care of me.
John Reilly
John Reilly
13:44 04 Nov 16
I saw Dr Brandt on 8/8/16 for a lower back stem cell injection. From the injection, I got a serious infection in my lower spine. As a result, I spent 2 days in the Vail hospital and have been on daily IV antibiotics for the past 8 weeks. A few weeks after the injection, I started feeling increased pain which was a different pain than before my injection. It was much sharper and a shooting pain. I communicated this information to Dr Brandt and his staff. There only response and treatment was stronger pain meds. oral and injected steroids (the worst thing to do when an infection is present). The pain became so intense and debilitating, I finally made an appointment with an orthopedic surgeon. Their team quickly discovered from listening to my symptoms and reviewing a new MRI that I had an infection. I also discovered from a search on DORA that over the past 13 years Dr Brandt's has a history of incidents with the DORA which regulates medical professionals. Over this time, his license was suspended for a period of time and is he currently practicing on probation through 2019. At one point, the AG said he was unfit to practice medicine.
Laurel Wilkerson
Laurel Wilkerson
21:22 08 Aug 16
Great job by the Thrive MD team in Edwards. With a torn achilles tendon, I was really opposed to surgery. When I discovered Dr. Brandt and team, I was thrilled. They are most professional and explained every step of the process and procedure for treatment options. I am on the road to recovery, and I am so thankful to have discovered Thrive. Before you let an orthopedic doc operate, take the time to explore and discuss stem cell therapy. Thrive MD made the process easy and convenient. Thanks! One year later update - ankle is doing great. Skied 52 days in 2015-16. Hiking, biking and all are no problem. Great team of caring people who know their business.
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