Non-Surgical Lumbar Hernia Treatment with Radiofrequency

Radiofrequency-based non-surgical herniated disc treatment is a minimally invasive interventional technique commonly used for treating lumbar disc herniation, cervical disc herniation, chronic back and neck pain, and joint-related pain. In this procedure, low-voltage radiofrequency waves are delivered to the nerve through a special needle to temporarily interrupt pain transmission. It can provide long-term pain relief without the need for surgery and improve patients’ quality of life.

What is Radiofrequency Nerve Block?

Radiofrequency nerve block is a technique in which the pain-transmitting nerve fibers are deactivated using controlled thermal energy or pulsed radiofrequency waves. The goal is to block pain signals along the nerve pathways and provide long-lasting relief. The procedure is typically performed under local anesthesia with imaging guidance (fluoroscopy or CT).

How is Radiofrequency Treatment Performed?

Before the procedure, the patient undergoes a thorough clinical evaluation and imaging studies. During the treatment, the patient lies in a prone position and the target area is numbed with local anesthesia. A special radiofrequency needle is inserted under image guidance and directed precisely to the target nerve. Controlled thermal energy is delivered through the needle tip to temporarily block nerve transmission. The entire procedure usually takes 20–30 minutes.

Advantages of Radiofrequency Treatment

This method offers long-term pain control without requiring surgical intervention. Since general anesthesia is not needed, it can be safely used in elderly patients or those with comorbidities. Recovery time is short, and most patients can return home the same day. It may also help reduce the need for medications.

When is it Recommended?

Radiofrequency nerve block is used for lumbar and cervical herniated discs, facet joint pain, sacroiliac joint pain, knee osteoarthritis, and trigeminal neuralgia. It is especially effective in patients who do not respond to medications and are not considered for surgery.

Who Is Not a Candidate?

It is not recommended for patients with advanced nerve damage, bleeding disorders, active infections, or those who are pregnant. It is also not effective for psychogenic pain.

What Is the Recovery Process Like After Radiofrequency?

After the procedure, patients are typically monitored for 1–2 hours. Aside from mild discomfort or tenderness, serious side effects are rare. Light activities can usually be resumed within the first week, but heavy lifting should be avoided. Pain relief often begins within a few days and can last from 6 months to a year.