Discogram (Provocative Diskography)

Cervical radiofrequency neurotomy is a minimally invasive procedure that uses radio waves to create heat, targeting small nerves in the neck that carry pain signals from facet joints. By disrupting these signals, the treatment can help reduce chronic neck pain. It is often considered for patients who haven’t found relief with other conservative treatment options. (See related care like Medial Branch Block Cervical.)

The procedure works by applying controlled heat to the medial branch nerves that supply the facet joints in your cervical spine. This heat interrupts the nerves’ ability to send pain signals, offering longer-lasting relief than injections alone. By specifically targeting these nerves, the treatment helps manage neck pain caused by irritated facet joints. (Learn more about similar procedures like Cervical Joint Injection.)

You may be a candidate if you have persistent neck pain linked to facet joints and experienced temporary relief from a medial branch block. That diagnostic injection helps confirm the nerves are the source before moving forward. This ensures radiofrequency neurotomy is directed at the right area for effective pain reduction. (See diagnostic options under Pain Management.)

Cervical radiofrequency neurotomy is performed in an outpatient setting. Using imaging guidance, the physician places small electrodes near the targeted nerves and delivers controlled heat. Because it is minimally invasive, patients usually return home the same day. Procedure time varies depending on how many nerves are treated, but most are completed efficiently. (See noninvasive care options like Laser Therapy.)

The goal of cervical radiofrequency neurotomy is to provide longer-lasting relief from neck pain compared to other injections. By stopping pain signals from facet joint nerves, many patients experience several months of reduced pain. This relief often improves mobility, function, and the ability to return to daily activities with less discomfort. (Learn about recovery support in Physical Therapy.)

The procedure is generally safe, but mild side effects may occur. Some patients experience soreness, swelling, or numbness near the treatment site, which usually resolves quickly. Serious complications are rare when the procedure is performed with imaging guidance by trained physicians. Overall, it is a well-tolerated and low-risk option for neck pain. (Explore alternative options like PRP Therapy.)