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Facet joint blockade

Updated: Jul 18, 2022

Facet joint blockade with radiofrequency and intra-disc laser and radiofrequency interventions

Intra-disc laser or radiofrequency applications, called IDET with facet blockade with radiofrequency or intra-discal interventions, are interventions that are gaining importance today.

Nerve compression due to spinal stenosis, lumbar and neck hernias, which are the most common diseases of the modern age, constitute a very dense patient group. The vast majority of patients with such disorders resort to treatment methods called drug therapy, physical therapy or alternative medicine.

Mostly, surgical interventions are required as a result. Every surgical intervention may be without alternative, if absolutely necessary. However, there is always a risk in every surgical procedure. Therefore, today's people are in search of non-surgical treatments. Recently, due to the concentration of Neurosurgeons on the subject, non-operative procedures have become more effective. The aim here is to present the most effective method to the patient in non-operative treatments.


It is very effective in walking, sitting and standing difficulties in severe low back and hip pains, which mostly cause narrowing of the spinal canal, advanced calcification and unruptured hernias. It is the most effective method in patients with chronic complaints who do not require an operation or who do not want to have an operation even if an operation is recommended. In the operating room conditions, without being put to sleep, under local anesthesia, needles are made to the determined parts of the spine, waist, back and neck with the help of scopy, these areas are burned with radio waves and the pain receptors formed cannot reach the brain. After the procedure, which lasts for half an hour, the patient's hospital stay does not exceed 1 hour. Within 7-10 days after the procedure, there is a further improvement in the back and hip pain and walking difficulties of the patients, and the comfort of life increases. Patient satisfaction is 80%. I have 2 articles published in foreign journals that support these results.


It is a procedure performed with intra-disc radiofrequency or laser in the waist and neck, and may be the primary treatment for hernias that have not burst or caused injury. If the condition of the patient, who is evaluated by a neurosurgeon, is suitable for this procedure, the hernia can be reduced or destroyed by inserting a needle into the disc with local anesthesia in the operating room. These procedures, which have high success rates in appropriate patient selection, can often eliminate the need for surgery. In particular, it is a great advantage for the Neurosurgeon to evaluate the patient and perform the procedure himself.

In such procedures, especially in radiofrequency applications, the probability of complications is almost non-existent, and patients can return to their daily lives in a short time after the procedure. For this reason, its use is increasing in today's patients. It is a very effective procedure in experienced hands.

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