Endoscopic Rhizotomy
Home » Treatments » Minimally Invasive Spine Therapies » Endoscopic Rhizotomy
What is Richard Wolf Endoscopic Rhizotomy?

Indications for Richard Wolf Endoscopic Rhizotomy
- 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?
1
Preparation:
Patients receive local anesthesia and mild sedation for comfort during the procedure.
2
Access:
A small needle and guide wire are inserted near the affected facet joint using fluoroscopic guidance.
3
Endoscope:
A thin, flexible endoscope with a camera and light is inserted through a small incision, allowing the physician to visualize the target area.
4
Nerve Identification:
The medial branch nerve responsible for transmitting pain signals is located.
5
Ablation:
A specialized radiofrequency device is used to disrupt the nerve's ability to transmit pain signals without damaging surrounding tissues.
6
Recovery:
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.