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Endoscopic Rhizotomy

At Pro Spine & Pain, our highly-skilled interventional pain management physicians specialize in the cutting-edge Richard Wolf Endoscopic Rhizotomy procedure. We’re dedicated to providing our patients with the most advanced and minimally invasive treatments to alleviate chronic pain and improve their quality of life.

What is the Richard Wolf Endoscopic Rhizotomy?

The Richard Wolf Endoscopic Rhizotomy is a minimally invasive procedure designed to provide long-lasting relief from chronic back and neck pain caused by facet joint syndrome. Utilizing state-of-the-art endoscopic technology, our experienced physicians target and treat the source of pain with minimal disruption to surrounding tissues, ensuring a faster recovery and lower risk of complications.

Who Can Benefit From the Richard Wolf Endoscopic Rhizotomy?

Our interventional pain management physicians may recommend the Richard Wolf Endoscopic Rhizotomy procedure for patients experiencing the following conditions:

  • Chronic neck or back pain due to facet joint syndrome
  • Failed conservative treatments such as physical therapy, medications, or steroid injections
  • Inability to tolerate open surgical procedures or anesthesia risks
  • Ongoing pain after previous spine surgery
  • Desire for a minimally invasive, targeted treatment option

How is the Procedure Performed?

Endoscopic Rhizotomy is a minimally invasive, targeted treatment for chronic pain caused by facet joint syndrome. Here’s a brief overview of the process:


Patients receive local anesthesia and mild sedation for comfort during the procedure.


A small needle and guide wire are inserted near the affected facet joint using fluoroscopic guidance.


A thin, flexible endoscope with a camera and light is inserted through a small incision, allowing the physician to visualize the target area.

Nerve Identification

The medial branch nerve responsible for transmitting pain signals is located.


A specialized radiofrequency device is used to disrupt the nerve’s ability to transmit pain signals without damaging surrounding tissues.


The procedure typically takes less than an hour, and most patients can return home the same day. Pain relief is often experienced within days or weeks of the procedure.

When you choose Pro Spine & Pain for your Richard Wolf Endoscopic Rhizotomy procedure, you can trust that our expert physicians have the experience and knowledge needed to help you achieve the best possible outcome. Our commitment to patient care and advanced technology ensures that you receive a personalized treatment plan that addresses your unique needs and goals. Together, we’ll help you reclaim your life free from pain.

Updated on Apr 26, 2024 by Dr. Thomas Stauss (Pain Management) of Pro Spine & Pain

Thomas Stauss, MD

Thomas Stauss, MD, completed both his undergraduate and medical studies at the esteemed University of Wisconsin in Madison. Dr. Stauss values having access to a wide array of cutting-edge treatment options, ensuring effective relief for his patients' discomfort and a significant enhancement in their quality of life. More specifically, he specializes in utilizing implanted devices to manage chronic pain. Dr. Stauss’s primary objective is to uphold the dignity of each patient while delivering ethical and professional services.

More about Dr. Stauss