Greater Texas Orthopedic Associates
A pain specialist performing a fluoroscopy-guided radiofrequency ablation

Radiofrequency Ablation

An image-guided procedure that uses radiofrequency energy to create a controlled lesion on selected medial branch nerves, considered for facet-mediated axial neck or low back pain after qualifying diagnostic blocks and clinical review.

Role
Therapeutic
Target
Medial branches
Guidance
Fluoroscopy
Access
6 Texas clinics
JHMedically reviewed by Dr. John Hall, Pain Management SpecialistLast updated July 2026
Quick overview

Who We Help

Two audiences read this page: the patient considering treatment and the professional coordinating the related care or claim.

Injured patients

Patients with predominantly axial neck or low back pain whose clinician is considering RFA after qualifying diagnostic medial branch blocks.

Attorneys and case managers

Firms coordinating a spine-injury claim that need the indication, diagnostic-block response, treated levels, procedure details, and follow-up plan documented clearly.

Overview

What Is Radiofrequency Ablation?

Radiofrequency ablation (RFA) uses radiofrequency energy to create a controlled thermal lesion on selected medial branch nerves. The goal is to interrupt pain-signal transmission from facet joints evaluated through the clinical record and qualifying diagnostic blocks.

A response to diagnostic blocks can support patient selection, but it does not guarantee the outcome of RFA. Benefit, duration, and recovery vary, and nerves can regain function over time. The treating clinician applies current clinical and payer criteria to each case.

Dr. John Hall, Pain Management Specialist
Conditions

When Radiofrequency Ablation Is Used

RFA may be considered when the clinical picture and qualifying diagnostic blocks support a facet-mediated pain pathway.

Qualifying response to diagnostic medial branch blocks
Predominantly axial neck or low back pain
Symptoms that affect daily function
Clinical findings consistent with a facet-mediated source
Symptoms persisting after appropriate conservative care
Recurrent pain after a prior beneficial RFA when clinically appropriate
The procedure

How Radiofrequency Ablation Works

The indication, target levels, preparation, and follow-up plan are confirmed before the procedure.

1

Reviewing the indication

The clinician reviews symptoms, examination findings, imaging, prior care, diagnostic-block responses, and applicable criteria.

2

Preparing the treatment area

The patient is positioned, the treatment area is cleaned, and local anesthetic is used according to the clinical plan.

3

Fluoroscopic placement

The physician uses fluoroscopic imaging to guide specialized needles toward the selected medial branch targets.

4

Testing and lesioning

Stimulation may be used when clinically appropriate before controlled radiofrequency energy creates the planned thermal lesion.

5

Observation and follow-up

The patient is observed before discharge and follows individualized activity, medication, symptom-monitoring, and follow-up instructions.

Practical details

What to Expect

Preparation and follow-up vary by target region, medical history, medication, facility instructions, and payer criteria.

Visit
Outpatient

The team confirms check-in, medication, fasting, and transportation instructions before the appointment.

Guidance
Image guided

Fluoroscopy is used to guide placement at the selected medial branch targets.

Response
Individual

The degree and duration of benefit vary, and improvement is not guaranteed.

Next step
Clinician guided

Follow-up timing, activity progression, and further treatment are individualized.

Outcomes

Potential Benefits, Risks, and Recovery

The clinician reviews the treatment goal, alternatives, limitations, and patient-specific risks before treatment.

1Benefits

May reduce facet-mediated painMay improve function and activity toleranceMay reduce reliance on some pain-management measuresCan inform the next stage of a broader care plan

2Risks

Temporary soreness, numbness, or pain flareNerve irritation or neuritisBleeding, infection, or skin injuryRare unintended nerve injury or motor change

3Recovery

Activity follows individualized discharge instructionsMedication guidance is patient specificSymptoms may change gradually after treatmentFollow-up is set by the treating clinician
When to call us. Contact the clinic promptly for fever, spreading redness, drainage, or worsening pain. Seek urgent care for new weakness or numbness, loss of bladder or bowel control, or other rapidly worsening neurological symptoms.
Referral workflow

Referral, Documentation, and Communication

GTOA coordinates referral intake, scheduling, available records, and status communication for patients and authorized legal teams.

Initial evaluation report

History, mechanism of injury, examination findings, diagnosis, and the proposed treatment plan.

Clinical and imaging context

Available imaging is considered alongside symptoms, examination findings, prior care, and alternative pain sources.

Clinical correlation

When clinically appropriate, documentation may discuss how the reported incident, findings, and pre-existing conditions relate.

Procedure and response record

Indication, treated levels, guidance, testing when used, lesion parameters, tolerance, and follow-up are documented as appropriate.

Future care recommendations

The clinician may document rehabilitation, follow-up, repeat treatment, or a different pathway when supported by the record.

Response times

Scheduling and records timing depend on location, clinical need, authorization, record availability, and clinician review. The team confirms the next step for each request.

Referral requestReviewed by the team
SchedulingBased on clinical and authorization needs
Procedure notesAvailable after clinician review
Records requestsConfirmed for each request
Status communicationProvided at key milestones
Cost & coverage

Insurance, Payment, and Case Coordination

Coverage and payment arrangements vary. Contact the team before scheduling so eligibility, authorization, and current options can be confirmed.

Health insurance

Contact GTOA to verify current plan participation, benefits, and any authorization requirements before the procedure.

Confirm eligibility

Qualified injury cases

Lien-based arrangements may be available for qualifying personal injury cases. The team confirms eligibility and terms for each referral.

Lien review

Self-pay

Patients paying directly can contact the office for current pricing and available payment arrangements.

Ask the team
Why GTOA

Why Choose GTOA?

The same six reasons matter to a patient choosing a clinic and to a firm choosing where to send a client.

01

Clinical assessment first

Symptoms, examination findings, imaging, prior care, diagnostic responses, and alternative pain sources are reviewed before RFA is recommended.

02

Image-guided placement

Radiofrequency ablation is performed with fluoroscopic guidance at the selected medial branch targets.

03

Patient selection

Diagnostic-block responses and current clinical or payer criteria are considered before treatment.

04

Clear procedure record

Documentation can identify the indication, treated levels, approach, guidance, testing, lesion parameters, and follow-up plan.

05

Coordinated communication

Patients and authorized legal teams can contact GTOA about scheduling, status questions, and available records.

06

Six Texas clinics

Beaumont, Houston, San Antonio, Dallas, Arlington, and Corpus Christi provide access to GTOA care across Texas.

Request care or refer a client

Patients can request care through Contact Us, and legal teams can begin a referral through the For Attorneys page.

Main branch(409) 600-8707
Medical review

Radiofrequency ablation specialist

The physician responsible for the medical review of this page.

Our branches

Find a clinic near you

Corporate office: 324 North 23rd Street, Beaumont, TX 77707

FAQ

Frequently Asked Questions

Still have questions?

Call us at (409) 600-8707

For patients

A medial branch block places local anesthetic near selected nerves to gather diagnostic information. RFA uses radiofrequency energy to create a controlled lesion on selected nerves as a therapeutic procedure.

For attorneys and case managers

The clinician considers symptoms, examination findings, imaging context, conservative care, diagnostic-block responses, procedural accuracy, and applicable clinical or payer criteria.