Radiofrequency thermodenervation / cryodenervation
Targeted and sustainable pain management for chronic lower back pain (osteoarthritis of the facet joints of the lumbar spine) and knee pain (osteoarthritis of the knee joint), as well as chronic pain.
Denervation (also known as denervation) is a tried-and-tested method for long-term pain relief in cases of chronic lower back pain, facet joint osteoarthritis and knee osteoarthritis (gonarthrosis). It is particularly recommended when injections near the spine have repeatedly proved successful. The procedure involves selectively severing pain fibres, thereby blocking the transmission of pain signals.
At Dr Beate Helgers’ private practice, we place great emphasis on providing you with long-term pain relief using modern methods such as thermodenervation – for a better quality of life and reduced reliance on painkillers.
What methods are available?
This technique can be carried out in two ways:
- Radiofrequency thermodenervation (denervation using heat)
High-frequency current is used to apply targeted heat in order to sever pain-conducting nerve fibres. - Cryodenervation (denervation by freezing)
As an alternative, the nerve is frozen using cold and its function is disrupted.
Radiofrequency thermodenervation is a useful and superior advancement on traditional thermodenervation, as it allows for more precise temperature control and thus ensures an even more targeted treatment.
How does the treatment work?
- Precise planning
: Before treatment, the joints to be treated (facet joints or knee joints) are precisely identified. - Ultrasound guidance to reduce
radiation exposure In our practice, we carry out the treatment under ultrasound guidance. This significantly reduces radiation exposure compared with X-ray-guided procedures. - Local anaesthesia
The exact positions of the individual probes are first determined, followed by targeted anaesthesia before the actual treatment begins. - Preliminary
stimulation Before the actual radiofrequency therapy, a test stimulation (sensory and motor stimulation) is carried out to ensure that no major nerves can be damaged. - Targeted energy delivery
Each individual probe position is treated for approximately two minutes. - Wound care
A small wound dressing is sufficient after the treatment.
When is thermodenervation advisable?
The treatment is particularly suitable for:
- Chronic back pain caused by wear and tear or osteoarthritis of the small vertebral joints (facet joint osteoarthritis).
- Sacroiliac joint (SIJ)
pain; discomfort in the area of the sacroiliac joints - Osteoarthritis-related knee pain (gonarthrosis)
– relief from pain caused by joint wear and tear. - Prolonging the effect of injections
As a supportive measure following injections near the spine, to significantly prolong their effect and make it more long-lasting.
The benefits of thermodenervation for you
- Long-lasting effect
: Potential pain relief lasting many months or years. - Minimally invasive and safe
: Ultrasound-guided precision ensures safety and effectiveness. - Low
radiation exposure: As the procedure is performed using ultrasound, there is no radiation exposure associated with X-ray-guided treatment. - Proven method
: Well-researched and established in modern pain management. - Reduced need for medication
: By treating the cause of the pain directly, the use of painkillers is often no longer necessary. - Short recovery time
: Minimal disruption and a quick return to everyday life.
Frequently asked questions about thermodenervation
FAQs
How long do the effects of thermodenervation last?
In many cases, the reduction in pain lasts for between 6 months and several years. If the nerves regrow, the treatment can be repeated.
Is the treatment painful?
Thermodenervation is carried out under local anaesthetic. During the procedure, you may feel a sensation of warmth or cold.
Are there any risks or side effects?
Side effects are very rare. Immediately after treatment, you may experience brief localised discomfort at the wound site or a slight numbness around the scar.
Book an appointment now
Would you like to put your pain behind you and improve your quality of life? Book a consultation today at Dr Beate Helgers’ private practice to find out more about the possibilities offered by radiofrequency thermodenervation.
We look forward to helping you!