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What is Medial Branch Nerve Resection Rhizotomy?

Medial Branch Nerve Resection Rhizotomy is a minimally invasive procedure designed to alleviate chronic back pain that originates from the facet joints in the spine. The facet joints, located between the vertebrae, allow for flexibility and movement of the spine. However, when these joints become damaged or arthritic, they can cause persistent pain that may radiate throughout the back and into the legs. In cases where conservative treatments like medication or physical therapy are ineffective, Medial Branch Nerve Resection Rhizotomy can provide lasting relief. During the procedure, the medial branch nerves, which carry pain signals from the facet joints, are selectively targeted and either resected or disrupted. By interrupting the pain signals at their source, the procedure helps to reduce inflammation, alleviate pain, and improve overall spinal function. This technique is often recommended for patients suffering from facet joint arthritis, facet syndrome, or other degenerative conditions affecting the spinal joints.

When Is Medial Branch Nerve Resection Rhizotomy Recommended?

Medial Branch Nerve Resection Rhizotomy is typically recommended for patients who experience chronic back pain originating from the facet joints but have not found relief with other non-surgical treatments. The procedure is particularly effective for those who have:

Facet Joint Arthritis

Degenerative changes to the facet joints that cause inflammation, pain, and stiffness.

Facet Syndrome

A condition where the facet joints become irritated and inflamed, leading to localized pain in the back.

Chronic Lower Back Pain

Persistent pain that does not respond to medication, physical therapy, or other conservative treatments.

Failed Conservative Treatments

Patients who have tried treatments like pain medications, injections, or physical therapy without achieving lasting relief.

Before recommending Medial Branch Nerve Resection Rhizotomy, our team at Gerling Spine Care and Research Institute conducts a comprehensive evaluation, including diagnostic imaging and possibly a diagnostic nerve block, to confirm the facet joints as the source of pain.

Dr. Gerling performing a neurological reflex test on a patient

The Medial Branch Nerve Resection Rhizotomy Procedure

Medial Branch Nerve Resection Rhizotomy is performed under local anesthesia and sedation to ensure patient comfort. The procedure typically takes place on an outpatient basis, meaning patients can return home the same day. The procedure begins with the surgeon locating the medial branch nerves responsible for transmitting pain signals from the affected facet joints. Using fluoroscopic (X-ray) guidance, a small needle is carefully inserted near the nerve. Once the nerve is located, the surgeon either ablates (damages) or resects (removes) the nerve to stop it from sending pain signals. This interruption of pain transmission significantly reduces inflammation and alleviates discomfort, providing long-term relief. While traditional surgery often requires larger incisions and a lengthy recovery period, Medial Branch Nerve Resection Rhizotomy uses a minimally invasive approach, which means smaller incisions, less tissue disruption, and a quicker recovery.

Recovery and Benefits of Medial Branch Nerve Resection Rhizotomy

The recovery process for Medial Branch Nerve Resection Rhizotomy is relatively quick compared to traditional spine surgery. Most patients can return to their normal activities within a few days, with minimal discomfort. While some soreness or swelling around the incision site may occur, this usually resolves within a week or two. Benefits of the procedure include:

Long-Lasting Pain Relief

By interrupting the nerve pathways responsible for pain, many patients experience significant relief for months or even years.

Minimally Invasive

The small incision and precise technique mean less muscle and tissue disruption, resulting in faster recovery times.

Improved Mobility and Function

As pain levels decrease, patients often experience increased flexibility and mobility, allowing them to resume daily activities with greater ease.

Minimal Risk of Complications

The minimally invasive nature of the procedure reduces the risk of complications, such as infection or excessive bleeding.

Patients may begin to feel relief from their pain within a few days, although the full benefits of the procedure typically become apparent within a few weeks. Many patients find that the procedure provides lasting relief, enabling them to return to normal activities and improve their quality of life.

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Why Choose Gerling Spine Care and Research Institute?

At Gerling Spine Care and Research Institute, we offer the latest in minimally invasive spine treatments, including Medial Branch Nerve Resection Rhizotomy. Our team of expert surgeons, led by Dr. Michael Gerling, is dedicated to providing exceptional care with the highest level of expertise. Using cutting-edge technologies and techniques, we focus on delivering pain relief while ensuring a safe, comfortable recovery.

Our approach is centered on understanding the unique needs of each patient. We work closely with you to determine the most appropriate treatment plan for your condition, empowering you to make informed decisions about your care. With Medial Branch Nerve Resection Rhizotomy, we aim to help you regain your mobility and improve your overall quality of life without the need for extensive surgery.

Take the Next Step Toward Pain Relief

If you’re experiencing chronic back pain that hasn’t responded to other treatments, Medial Branch Nerve Resection Rhizotomy may be an effective solution. Contact Gerling Spine Care and Research Institute today to schedule a consultation and learn how our expert team can help you find lasting relief and improve your spine health.

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Gerling Spinecare & Research Institute consists of NY Orthopedics & Gerling Institute NJ. Two practices, one standard of excellence.

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Relief starts with quality orthopedic care. Contact us today to take the next step toward a more active, pain-free life.

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