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Endoscopic Nerve Transection

Radiofrequency Neurotomy (Endoscopic Method)

This procedure uses heat from radio waves to treat painful facet joints in your lower back. It eases pain that isn’t helped by medications or physical therapy.

Endoscopic Transection for Spinal Arthritis

Call us for a MRI REVIEW to see if Endoscopic Transection is the right option for your condition.

Many patients suffer from low back pain due to arthritis (aka spondylosis). Arthritis can be caused by normal aging or a previous injury. In some cases pain from spinal arthritis can be so severe that it interferes with normal function like standing, walking, sitting, or working.

Traditional medical treatments include physical therapy, chiropractic, massage, pain medications. In severe cases surgery is recommended. Endoscopic Transection is a minimally invasive alteranative to open spinal surgery. The benefits include avoiding general anesthesia and long recovery times normally seen with tradional open spinal surgery.

After a dignosis of arthritis is confirmed on MRI, two spinal injections called Facet Blocks are performed to confirm that the source of pain is coming from the arthritis. If a patient gets excellent pain relief from the diagnostic (test) injections, then the endoscopic procedure is scheduled.

A small tubular device called an endoscope (small camera) is used to visualize the arthritic joint. The small nerve responsible for delivering painful impulses from the arthritic joint is identified. This nerve is transected under direct vision and radio frequency energy is applied. This blocks painful impulses and results in significant pain relief.   Eventhough arthritis is still present in the spine, the pain is not.


Back pain is not a gift, but fascinating doctors who could treat back pain and pinched nerves are! Dr. Khaimov helped me get back on my feet through physical therapy and an epidural steroid injection. The staff is amazing and the doctors are very knowledgeable! Great experience! Definitely recommend this center!

Ella Uvaydova
Page Updated on Feb 24, 2022 by Dr. Daniel Khaimov (Pain Specialist) of Precision Pain Medicine
(718) 878-4656