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Integrity Spine Care

Cervical Radiofrequency Denervation

Cervical radiofrequency denervation may be considered for selected people with persistent neck pain thought to arise from facet joints.

How does it work?

The medial branch nerves carry pain signals from the facet joints. With X-ray guidance, a probe is placed near selected nerves. Heat is used to interrupt the pain signals. A useful response to diagnostic cervical medial branch blocks may help guide the decision.

What result can I expect?

Pain relief is not guaranteed. The treated area may be sore for a few days, and benefit can take time to assess. Pain may eventually return as the nerves recover or regrow.

What are the alternatives and risks?

Alternatives include exercise, physiotherapy, medication and self-management. Risks include temporary soreness or pain flare, infection, bleeding and unintended effects on nearby nerves. Professor Bateman will discuss any specific risks that apply to the levels being treated.

Arrange transport home and follow the discharge instructions about driving. Tell the team about blood-thinning medicines and any other relevant conditions before the procedure.

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Detailed patient leaflet

Read Professor Bateman’s information leaflet before your procedure and bring any questions to your consultation.

Open the PDF leaflet →

Clinical information: Written by Honorary Professor Tony Bateman, Consultant Spine Surgeon and last reviewed October 2026