Radiofrequency Spinal Denervation (RFD)

Modern medicine is increasingly opting for targeted treatments rather than incisions. Radiofrequency spinal denervation is one such method where surgery gives way to technology. This method of relieving chronic pain is recognized as effective and safe worldwide. In Moscow, the procedure is actively performed at the K+31 clinic, a leader in high-precision medicine.

Radiofrequency helps restore spinal mobility and reduce dependence on pain medications. It is suitable for patients who need a quick recovery and return to work or sports. Thanks to modern equipment and precise diagnostics, the procedure at K+31 is as gentle as possible and delivers predictable results.

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What is radiofrequency ablation and denervation?

Radiofrequency denervation (RFD) is a minimally invasive medical technique in which a physician targets the nerve that transmits pain impulses from the facet joint of the spine. The procedure involves thermal "ablation": a special radiofrequency electrode heats the tissue to a precise temperature, blocking pain transmission.

This approach eliminates pain without extensive surgery, scarring, or a lengthy recovery period. The radiofrequency current acts only 1–2 millimeters around the electrode—a targeted approach, without damaging surrounding spinal structures.

This technique is used for facet syndrome, arthrosis of the facet joints, and chronic pain in the lumbar and cervical spine. According to specialists at the K+31 Clinic, RFD is effective in cases where medication and nerve blocks provide only short-term relief.

What is radiofrequency ablation and denervation?

Indications and contraindications for the procedure

Before prescribing radiofrequency denervation, the doctor carefully evaluates the patient's complaints and examination results. The main goal is to accurately determine which joint or nerve is causing chronic pain and interfering with movement. This diagnostic stage is especially important: the effectiveness of RFD depends on correctly identifying the source of pain. At the K+31 Clinic, diagnostics are comprehensive, using modern imaging techniques and test blocks. This allows doctors to obtain a complete picture of the spine's condition and offer a personalized treatment plan.

Main indications:

  • Chronic pain in the lumbar, thoracic, or cervical spine
  • Facet syndrome, arthrosis of the spinal joints
  • Ineffectiveness of medications and blocks
  • Inability to perform extensive surgery

Contraindications include acute inflammation, bleeding disorders, pregnancy, and severe cardiovascular disease. Before prescribing the procedure, the doctor assesses the patient's overall condition and rules out risk factors. This approach minimizes potential complications and ensures the treatment is as safe as possible.

Before scheduling RFD, the patient undergoes a consultation with a neurologist or vertebrologist. If necessary, a diagnostic block is performed. If the pain disappears, this joint is the source of the pain, and denervation will be effective. The doctor explains the procedure in detail and answers all questions to ensure the patient feels confident. Thanks to the comprehensive diagnostics at the K+31 clinic, we can accurately determine the cause of the pain and select the optimal treatment.

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Efficiency and advantages of the method

According to neurologists, radiofrequency spinal denervation eliminates up to 90% of chronic pain associated with facet joints. Patients report a lasting improvement in well-being within the first 24 hours after the procedure. This result is confirmed by numerous clinical studies and the experience of leading medical centers. Radiofrequency therapy is often a lifesaver for those who have failed to respond to medications, physical therapy, or traditional nerve blocks.

Advantages of the method:

  • No incisions – the procedure is performed through a skin puncture.
  • Fast recovery and minimal trauma.
  • Long-lasting results – the nerve does not regenerate for 8–24 months.
  • Repeat procedure possible.
  • High precision thanks to radiological control.
  • Comfort: everything is performed under local anesthesia, without general anesthesia.

Compared to traditional surgery, doctors emphasize: RFD is not an experiment, but a proven method of pain treatment, recognized by international pain associations. It allows not only to eliminate the symptom but also to address the underlying cause of the pain syndrome without disturbing the anatomy of the spine. Thanks to this, the patient avoids lengthy hospitalization and returns to normal life within a few days after the procedure.

General information

How is radiofrequency degradation and denervation performed

The procedure is performed under the supervision of an X-ray or CT scan. The patient is placed on the operating table – the doctor accurately identifies the problematic faceted joint and inserts a thin needle electrode. After local anesthesia, a test stimulation is performed to make sure that the electrode is installed correctly and acts specifically on the pain nerve.

Next, a radio frequency pulse is applied – the nerve undergoes short-term thermal destruction. The entire operation takes 20-40 minutes, after which the patient rests for about an hour and can go home.

In the "K+31" clinic, spinal RCD is performed using the latest generation of devices. According to the center's experts, the effect of the procedure lasts on average from 6 months to 2 years, and repeated treatment, if necessary, is carried out without complications.

Preparation for the procedure

Radiofrequency denervation of the spine requires minimal training, but serious treatment. After the consultation, the doctor prescribes standard blood tests, an ECG, as well as visual examinations (MRI or CT) of the corresponding spine. This is necessary to accurately identify the faceted joint that has become the source of pain.

One day before the procedure, it is advisable to give up alcohol and heavy food. On the day of treatment, come on an empty stomach or with a light snack, if recommended by a specialist. Medications taken, especially blood thinners, should be discussed with your doctor in advance.

At K+31, the patient is provided with a personal coordinator who accompanies them at all stages: from preparation to discharge. Such an organization makes the procedure as comfortable and safe as possible.

Procedure safety

Radiofrequency denervation is one of the safest treatments for chronic pain. It should only be performed in a medical center with X-ray or CT navigation equipment and an experienced doctor.

At K+31, such operations are performed by specialists with extensive experience in neurosurgery and interventional medicine. All stages are monitored visually, so the risk of damage to neighboring spinal structures is excluded.

The method does not require anesthesia, which is especially important for older patients or those with concomitant diseases. There are no scars, blood loss, or long–term restrictions - just a targeted effect and a predictable result.

Postoperative period and rehabilitation

After radiofrequency ablation of the facet joints, the patient remains under observation for several hours. After 1-2 hours, a person can get up, walk and return home. The pain syndrome decreases almost immediately, and the maximum effect occurs after a few days, when the inflammatory reaction finally subsides.

Rehabilitation after RCD is easy: no hospitalization, wearing a corset, or bed rest is required. The doctor recommends limiting physical activity for 2-3 days, avoiding hot baths and massage in the affected area. After that, the patient can return to his usual activities – work, sports, driving.

According to the clinic's patients, after the procedure, "the back seems to cease to remind of itself": mobility is restored, chronic tension disappears, and sleep improves. Many are returning to an active life without pills and constant blockages.

Prices for radiofrequency spinal denervation in Moscow

The cost of RCD depends on the level of intervention, the number of joints treated, and the spine – lumbar, thoracic, or cervical. On average, the price in Moscow varies from 35,000 to 90,000 rubles per procedure.

At the K+31 clinic, the patient receives a full estimate in advance: consultation, diagnosis, the procedure itself, and supplies. Transparent pricing and the absence of hidden fees make it possible to plan treatment without surprises.

At the same time, the quality of medical care meets international standards, and comfort and service approach the level of private European centers. Loyalty programs are provided for regular patients and for complex treatment.

Why is it better to have radiofrequency spinal denervation performed at K+31?

The K+31 Clinic in Moscow is renowned for its multidisciplinary team—neurosurgeons, neurologists, orthopedists, and rehabilitation specialists work together. This approach ensures not just a procedure, but comprehensive pain management. Thanks to the combination of specialists from various fields, each case is assessed comprehensively, taking into account all factors affecting the spine. This is especially important for chronic pain syndromes, which require accurate diagnosis and a well-designed patient recovery strategy.

Clinic Advantages:

  • Modern, internationally recognized radiofrequency equipment
  • Accurate pre-procedure diagnostics – MRI, CT, functional testing
  • Physicians certified in interventional pain therapy standards
  • Personalized support and comfortable conditions
  • The procedure can be performed on an outpatient basis without hospitalization

Each patient receives an individualized treatment plan, and, if necessary, subsequent rehabilitation and monitoring. This is not a one-time service, but a comprehensive medical approach that helps achieve long-term pain relief. The clinic's doctors monitor the progress of recovery and, if necessary, adjust therapy to ensure the benefits of the procedure last as long as possible. This format of interaction builds trust between doctor and patient and makes treatment not only effective but also psychologically comfortable.

Radiofrequency spinal denervation is a modern radiofrequency method that helps relieve pain without surgery or lengthy rehabilitation.

The K+31 Clinic in Moscow offers the procedure under the supervision of experienced doctors, with accurate diagnostics and transparent pricing. This treatment restores mobility, freedom of movement, and quality of life – without fear of pain.

Our doctors

Zhao Alexey Vladimirovich
Experience 43 years
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Zhao
Alexey Vladimirovich
Chief physician of the network
Udin Oleg Ivanovich
Experience 32 years
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Udin
Oleg Ivanovich
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Korolev Sergei Vladimirovich
Experience 24 years
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Sergei Vladimirovich
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Shapovalyants Sergei Georgievich
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Sergei Georgievich
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Tsvetkov Vitaly Olegovich
Experience 40 years
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Vitaly Olegovich
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Maltsev Andrew Vladimirovich
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Andrew Vladimirovich
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Malygin Sergey Evgenyevich
Experience 31 year
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Sergey Evgenyevich
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Shabrin Alexei Valerevich
Experience 19 years
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Alexei Valerevich
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Kovylov Aleksey Olegovich
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Aleksey Olegovich
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Kim Ilya Viktorovich
Experience 27 years
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Ilya Viktorovich
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Kuzavleva Elena Igorevna
Experience 19 years
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Elena Igorevna
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Lysenko Andrey Olegovich
Experience 10 years
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Andrey Olegovich
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Ivanchik Inga Yakovlevna
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Inga Yakovlevna
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Shpilevoy Nikolay Yurievich
Experience 20 years
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Nikolay Yurievich
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Gontarenko Vladimir Nikolaevich
Experience 24 years
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Vladimir Nikolaevich
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Volenko Ivan Alexandrovich
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Ivan Alexandrovich
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Kushkin Ilya Olegovich
Experience 7 years
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Ilya Olegovich
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Natalinov Ruslan Viktorovich
Experience 15 years
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Ruslan Viktorovich
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Blinov Dmitry Alexandrovich
Experience 15 years
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Dmitry Alexandrovich
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Adyrkhaev Zaurbek Akhsarbekovich
Experience 17 years
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Zaurbek Akhsarbekovich
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Nikitina Nina Mikhailovna
Experience 12 years
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Nina Mikhailovna
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Hakopyan Artashes Aramovich
Experience 20 years
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Artashes Aramovich
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Grechin Anton Ivanovich
Experience 8 years
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Anton Ivanovich
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Magdiev Arslan Khulatdaevich
Experience 14 years
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Magdiev
Arslan Khulatdaevich
Surgeon, oncologist, phlebologist
No Specify
Experience 11 years
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Samara
Maxim
Surgeon
Iluridze Georgy Davidovich
Experience 9 years
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Iluridze
Georgy Davidovich
Oncologist, traumatologist-orthopedist, surgeon
Andreev Alexey Olegovich
Experience 16 years
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Andreev
Alexey Olegovich
Surgeon
Chukumov Rinat Maratovich
Experience 32 years
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Chukumov
Rinat Maratovich
Maxillofacial surgeon
Balkarov Beslan Khasenovich
Experience 17 years
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Balkarov
Beslan Khasenovich
Surgeon, oncologist
Melkonyan Lia Eduardovna
Experience 13 years
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Melkonyan
Lia Eduardovna
Oncologist, oncologist-mammologist, surgeon, radiologist, ultrasound diagnostician
Okhotin Viktor Viktorovich
Experience 18 years
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Okhotin
Viktor Viktorovich
Oncologist-mammologist, ultrasound diagnostician
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Reviews

I'd like to thank surgeon Samara M. for his exceptional professionalism and truly skilled hands. The removal of the sebaceous cyst behind my earlobe was quick, gentle, and completely calm. I was especially impressed by how simply and clearly he explained everything—my anxiety immediately disappeared, and I felt confident that everything would be fine. Thank you for your skill and compassion!
12.01.2026
Anatoly

About doctor:

Samara Maxim

The appointment went very well. The doctor bandaged the wound. I received the care I needed. The specialist was attentive and friendly.
12.01.2026
Olga

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Samara Maxim

Good and responsive doctor!
29.12.2025
S. Irina Viktorovna

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Melkonyan Lia Eduardovna

CIRCUMSTANCES AND ATTENTION OF A SPECIALIST
20.12.2025
T. Elena Mikhailovna

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Ivanchik Inga Yakovlevna

A very good, responsive and competent doctor! ☀️
09.12.2025
S. Tatyana Vladimirovna

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Melkonyan Lia Eduardovna

I was very pleased with the doctor’s professionalism!
03.12.2025
S. Maria Yuryevna

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Melkonyan Lia Eduardovna

I consulted a surgeon in Samara. I had an abscess that was really bothering me. I specifically chose this doctor because I read that he was a specialist in the removal of tumors and purulent surgery with extensive experience. During the appointment, the doctor incised and cleaned the abscess. My main impression from the appointment was complete trust. The surgery was completely painless, although I was very nervous. I want to highlight the doctor's many strengths: his high level of professionalism, amazing precision in his work, and his attentive attitude towards the patient. He explained everything in detail, constantly inquired about my well-being, and maintained a calm and trusting atmosphere. I did not notice any drawbacks. The result exceeded expectations: the wound healed very quickly and without complications. The treatment was completely successful. A huge thank you to the doctor for his skillful hands, sensitivity, and the confidence he gives his patients!
01.12.2025
Anna

About doctor:

Samara Maxim

The doctor was very professional in treating this lesion. Compared to a similar operation I had in Nanjing in 2022, this time everything went better.
29.11.2025
L. Chengting
Attentive, friendly, clear language. Thank you.
29.11.2025
R. Olga Ivanovna

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Ivanchik Inga Yakovlevna

I express my sincere gratitude to surgeon Samara Maxim for the surgery (lipoma removal) and professional treatment. The recommendations before the surgery and during the recovery period were clear and understandable!
27.11.2025
Julia A.

About doctor:

Samara Maxim

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