
PERCULINE facet joint
The small vertebral joints (facet joints) are surrounded by a dense network of nerve fibers. These are irritated by inflammatory processes which occur as part of arthrosis. However, direct mechanical irritation is also possible as a result of instability.
Predominant symptoms are back pain or neck pain without significant spreading and without neurological deficits. The pain is conducted along the medial branches of the dorsal ramus of the spinal nerve. The objective of radiofrequency denervation is selective thermal destruction of these nerve fibers in order to permanently interrupt the conduction of pain.

PERCULINE sacroiliac joint denervation
Much the same as the small vertebral joints, the sacroiliac joint (SIJ) is frequently a generator of back pain. The mechanisms are similar here. The sacroiliac syndrome frequently occurs after stabilization of the spine because the sacroiliac joint is subject to a greater load which, in turn, leads to mechanical and inflammatory irritations of the nerves at this joint.
Pain originating at the sacroiliac joint is transmitted along the dorsal ramus of the spinal nerve. This can likewise be addressed by the application of radiofrequency energy where the nerves exit the sacrum.
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