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Thoracic (Upper Back) Pain Articles


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Thoracic RFA

Thoracic Radiofrequency Ablation (RFA) for Chronic Upper & Mid Back Pain

A thoracic radiofrequency ablation (RFA) is an outpatient procedure for treating upper and middle back pain. It is also called thoracic facet thermal coagulation or rhizotomy. This information sheet will explain what it is. Your doctor can explain if it is for you.

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Thoracic Facet Pain Patterns

Facet Pain Patterns

Facet joints occur in pairs at the back of each vertebra. The facet joints link the vertebrae directly above and below to form a working unit that permits movement of the spine. The structure of the facet joint is identical to other joints in the body, such as knees and hips.

The bone surfaces of the facet joints are covered with a specialized tissue called articular cartilage. The joint is lined by a membrane called the synovium and enclosed in a fibrous sac called a joint capsule. A thick liquid (synovial fluid) surrounds the joint, allowing the bones to move without friction.

Facet joint syndrome refers to pain that occurs in the facet joints. This syndrome most often affects the lower back and neck. Lumbar facet syndrome might cause referred pain to the buttocks and thigh. Facet syndrome in the neck might cause headaches or shoulder pain.

  • Thoracic Facet Pain Patterns .pdf

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Trigeminal Neuralgia

Cervical / Neck Pain Articles

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