Lumbar radiofrequency ablation for lumbar facet joint pain

Low back pain is a common and potentially debilitating disorder. Pain due to lumbar facet joint pathology is estimated to occur in 15% to 45% of those with low back pain. Radiofrequency ablation (RFA) is a common interventional pain management procedure used to treat lumbar facet joint disease (LFJD). RFA is available for patients when conservative treatment has been unsuccessful. A major benefit to RFA is the diminished need for the use of opioid and other potentially harmful medications. RFA also has the potential to prevent the need for more invasive treatment. The procedures necessary prior to RFA and RFA itself are performed in outpatient settings and allow patients to quickly return to their normal activities post procedure. This article describes the risk factors, pathophysiology, diagnosis, treatment, and nursing considerations of a patient with LFJD. The steps to an RFA and the RFA procedure itself are also discussed.