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Integrity Spine Care

Lumbar Radiofrequency Denervation

Lumbar radiofrequency denervation is a treatment for selected people with persistent lower back pain thought to arise from the facet joints. It is also called radiofrequency ablation.

How does it work?

Small nerves called medial branches carry pain signals from the facet joints. Using X-ray guidance, Professor Bateman places a probe near the selected nerves and applies heat to interrupt those signals. Diagnostic medial branch blocks may help decide whether this treatment is suitable.

What should I expect?

Professor Bateman offers sedation for the procedure. You may have soreness afterwards. Relief is not guaranteed, and it can take time to judge the result. The nerves can regrow, so pain may return later. This does not normally occur until at least 2 years post procedure.

What are the alternatives and risks?

Options include exercise, physiotherapy, medication and continued self-management. Risks include temporary pain flare or soreness, infection, bleeding and unintended effects on nearby nerves.

You will need someone to take you home after sedation. Discuss blood-thinning medicines and any other relevant health conditions in advance; follow your personal medication and discharge plan.

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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