The Effectiveness of Thoracic Medial Branch Radiofrequency Neurotomy Using a Three – Tined Electrode: A Single – Arm, Retrospective Cohort Study.

Hasan Sen, Amanda Cooper, Andrew Stephens, Brook Martin, Robert S. Burnham, Aaron Conger, Zachary L. McCormick, Taylor R. Burnham , March, 2025

What question is this study trying to answer?

This study evaluates the effectiveness of thoracic medial branch radiofrequency neurotomy (TMBRFN) performed with a three-tined electrode in patients suffering from chronic thoracic facet joint pain.

What did we learn?

About 60% of patients experienced significant improvements in pain and disability at 3 months following the procedure, with half showing clinically meaningful improvements in quality of life. Among those who responded initially but later experienced symptom recurrence, average pain relief lasted approximately 9 months with a reported 70% reduction in pain.

Why is this relevant?

Chronic thoracic facet joint pain is a disabling condition that is less studied compared to lumbar and cervical spine pain. TMBRFN is a promising treatment but lacks standardized techniques and robust evidence. This study adds important “real world” data supporting the use of a three-tined electrode and perpendicular approach, highlighting the potential for meaningful clinical benefit and guiding future research and clinical practice.

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NOTE: This was written to help the reader become familiar with some of the research we are doing here at Vivo Cura Health. This post, and all other content on this website are not intended to be a substitute for medical advice, diagnosis, or treatment. Please consult with a certified healthcare provider to discuss if a treatment is right for you.