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.

Best specialists
Best
specialists
Expert equipment
Expert
equipment
Advanced diagnostic treatment
Advanced diagnostic
treatment
Sign up
Fill out the entry form on the page and we will call you back
Sign up Позвонить
Download the application “Personal Account K+31”
Everything about your health in one click!
Subscribe to social networks K+31
To keep up to date with current offers and receive useful advice about your health.

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.

doctor k31

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.

How is radiofrequency degradation and denervation performed

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.

Preparation for the procedure

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.
Procedure safety

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.

Postoperative period and rehabilitation

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.

Prices for radiofrequency spinal denervation in Moscow

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

Elagin Ilya Borisovich
Experience 24 years
Make an appointment
Elagin
Ilya Borisovich
Surgeon, bariatric surgeon
Zhao Alexey Vladimirovich
Experience 43 years
Make an appointment
Zhao
Alexey Vladimirovich
Chief physician of the network, chief surgeon of K+31, world-renowned surgeon, doctor of medical sciences, professor
Udin Oleg Ivanovich
Experience 32 years
Make an appointment
Udin
Oleg Ivanovich
Deputy chief physician for surgery, surgeon
Shapovalyants Sergei Georgievich
Experience 51 year
Make an appointment
Shapovalyants
Sergei Georgievich
Chief Consultant in Surgery, Surgeon
Tsvetkov Vitaly Olegovich
Experience 40 years
Make an appointment
Tsvetkov
Vitaly Olegovich
Surgeon
Maltsev Andrew Vladimirovich
Experience 18 years
Make an appointment
Maltsev
Andrew Vladimirovich
Surgeon, plastic surgeon
Malygin Sergey Evgenyevich
Experience 31 year
Make an appointment
Malygin
Sergey Evgenyevich
Oncologist-mammologist, surgeon
Shabrin Alexei Valerevich
Experience 19 years
Make an appointment
Shabrin
Alexei Valerevich
Surgeon
Kovylov Aleksey Olegovich
Experience 20 years
Make an appointment
Kovylov
Aleksey Olegovich
Specialist in wounds and wound infections, diabetic foot doctor
Kim Ilya Viktorovich
Experience 27 years
Make an appointment
Kim
Ilya Viktorovich
Surgeon
Kuzavleva Elena Igorevna
Experience 19 years
Make an appointment
Kuzavleva
Elena Igorevna
Endocrine surgeon
Lysenko Andrey Olegovich
Experience 10 years
Make an appointment
Lysenko
Andrey Olegovich
Surgeon on duty
Ivanchik Inga Yakovlevna
Experience 20 years
Make an appointment
Ivanchik
Inga Yakovlevna
Surgeon, phlebologist
Shpilevoy Nikolay Yurievich
Experience 20 years
Make an appointment
Shpilevoy
Nikolay Yurievich
Cardiovascular surgeon, surgeon, ultrasound specialist
Gontarenko Vladimir Nikolaevich
Experience 24 years
Make an appointment
Gontarenko
Vladimir Nikolaevich
Angiosurgeon
Volenko Ivan Alexandrovich
Experience 15 years
Make an appointment
Volenko
Ivan Alexandrovich
Surgeon-oncologist-mammologist, plastic surgeon
Kushkin Ilya Olegovich
Experience 7 years
Make an appointment
Kushkin
Ilya Olegovich
Surgeon
Natalinov Ruslan Viktorovich
Experience 15 years
Make an appointment
Natalinov
Ruslan Viktorovich
Surgeon, ultrasound diagnostics doctor
Blinov Dmitry Alexandrovich
Experience 15 years
Make an appointment
Blinov
Dmitry Alexandrovich
Thoracic surgeon
Adyrkhaev Zaurbek Akhsarbekovich
Experience 17 years
Make an appointment
Adyrkhaev
Zaurbek Akhsarbekovich
Vascular surgeon
Nikitina Nina Mikhailovna
Experience 12 years
Make an appointment
Nikitina
Nina Mikhailovna
Surgeon, thoracic surgeon
Hakopyan Artashes Aramovich
Experience 20 years
Make an appointment
Hakopyan
Artashes Aramovich
Oncologist, surgeon
Kuzina Elizaveta Aleksandrovna
Experience 5 years
Make an appointment
Kuzina
Elizaveta Aleksandrovna
Coloproctologist
Grechin Anton Ivanovich
Experience 8 years
Make an appointment
Grechin
Anton Ivanovich
Surgeon
Magdiev Arslan Khulatdaevich
Experience 14 years
Make an appointment
Magdiev
Arslan Khulatdaevich
Surgeon, oncologist, phlebologist
No Specify
Experience 11 years
Make an appointment
Samara
Maxim
Surgeon
Iluridze Georgy Davidovich
Experience 9 years
Make an appointment
Iluridze
Georgy Davidovich
Oncologist, traumatologist-orthopedist, surgeon
Andreev Alexey Olegovich
Experience 16 years
Make an appointment
Andreev
Alexey Olegovich
Surgeon
Chukumov Rinat Maratovich
Experience 32 years
Make an appointment
Chukumov
Rinat Maratovich
Maxillofacial surgeon
Balkarov Beslan Khasenovich
Experience 17 years
Make an appointment
Balkarov
Beslan Khasenovich
Surgeon, oncologist, acting head of the surgical department
Melkonyan Lia Eduardovna
Experience 13 years
Make an appointment
Melkonyan
Lia Eduardovna
Oncologist, oncologist-mammologist, surgeon, radiologist, ultrasound diagnostician
Okhotin Viktor Viktorovich
Experience 18 years
Make an appointment
Okhotin
Viktor Viktorovich
Oncologist-mammologist, ultrasound diagnostician
Matveev Nikolay Lvovich
Experience 39 years
Make an appointment
Matveev
Nikolay Lvovich
Head of the hernia surgery center, surgeon, doctor of medical sciences, professor
Armashov Vadim Petrovich
Experience 25 years
Make an appointment
Armashov
Vadim Petrovich
Surgeon
Ivanov Alexey Mikhailovich
Experience 22 years
Make an appointment
Ivanov
Alexey Mikhailovich
Oncologist
Leval Pulad Shah-Zarovich
Experience 26 years
Make an appointment
Leval
Pulad Shah-Zarovich
Surgeon, traumatologist-orthopedist
Maytesyan Derenik Agvanovich
Experience 43 years
Make an appointment
Maytesyan
Derenik Agvanovich
Cardiovascular surgeon, endovascular surgeon
Goryunov Sergey Vitalievich
Experience 32 years
Make an appointment
Goryunov
Sergey Vitalievich
Surgeon, purulent surgeon
All specialists
2GIS Award
2GIS Award

This award is given to clinics with the highest ratings according to user ratings, a large number of requests from this site, and in the absence of critical violations.

«Good place» according to Yandex
«Good place» according to Yandex

This award is given to clinics with the highest ratings according to user ratings. It means that the place is known, loved, and definitely worth visiting.

Our doctors are laureates of the ProDoctors Award
Our doctors are laureates of the ProDoctors Award

The ProDoctors portal collected 500 thousand reviews, compiled a rating of doctors based on them and awarded the best. We are proud that our doctors are among those awarded.

Make an appointment at a convenient time on the nearest date

Price

Reception
Price
Primary surgeon's appointment
from 6 450 ₽
Repeated appointment with a surgeon
from 5 700 ₽
Reception of a doctor - a surgeon at home in Moscow within the Moscow Ring Road
from 19 030 ₽

Other services

Abdominal surgery AV heart block Adrenal adenoma Arthroscopy of the knee joint Bariatric surgery Bariatrics Nott's disease (trigger finger) Inflammation of the salivary glands (sialadenitis) Home visit Rectal prolapse (prolapse of the rectum) Gonarthrosis (osteoarthrosis of the knee joint) Diagnosis and treatment of hernia of the white line of the abdomen Treatment of TMJ (temporomandibular joint) dysfunction Benign soft tissue neoplasms Gallstone disease (cholelithiasis) Knee replacement Shoulder impingement syndrome Interventional radiology Correction of the nasal septum Treatment of coronary heart disease (CHD) Compression fracture of the spine Consultation with a vascular surgeon Laparoscopic hysterectomy (removal of the uterus) Laparoscopic surgery Treatment of anal fissures Treatment of ovarian apoplexy (rupture) Treatment of Graves' disease (diffuse toxic goiter) Ingrown toenail removal Treatment of hidradenitis suppurativa under the arm Treatment of spinal hernia Treatment of diastasis recti Treatment of intestinal obstruction Treatment of dupuytren's contracture Morton's neuroma treatment Treatment of uterine prolapse Treatment of vaginal wall prolapse Treatment of felon Treatment of a broken finger Treatment of a humerus fracture Treatment of jaw fracture Treatment of femoral neck fracture Treatment of perforated gastric ulcer Лечение птоза верхнего века Treatment of heel spurs Treatment of trophic ulcers on the legs Treatment of endometrioid ovarian cysts Minimally invasive proctology Eye microsurgery Neurosurgery: what does a neurosurgeon treat? Emergency Surgical Care Circumcision General surgery Oncosurgery Gallbladder surgery Thyroid surgery Операция паховой грыжи Prostate adenoma removal surgery Varicose Vein Removal (Phlebectomy) Esophageal Hernia Removal Surgery Inguinal Hernia Surgery for Men Surgery for varicocele Surgery for a torn meniscus in the knee joint Carpal Tunnel Syndrome Surgery Whipple’s procedure Pancreatic necrosis (necrosis of the pancreas) Appointment with a proctologist in Moscow Surgeon's appointment (fee required) Gastric resection is a surgery to reduce the stomach size for weight loss Robotic surgery Septoplasty is a surgery to correct the nasal septum. Vascular surgery Spinal stenosis Stenosing atherosclerosis of the brachiocephalic arteries Stenting of the heart vessels (coronary arteries) Treatment of tonsillitis Puncture (biopsy) of the thyroid gland Thoracic surgery in Moscow Thoracoscopic surgery Pulmonary embolism Breast augmentation surgery with implants Removal of anal fringes Appendectomy Removal of atheroma Wart removal Hemorrhoid removal: a complete guide to surgeries and methods Removal of hygroma Removal of a lumbar disc herniation Gallbladder removal (cholecystectomy) Bartholin's gland cyst removal Breast cyst removal Removal of bunions on the feet (surgery) Lipoma (wen) removal Removal (extirpation) of the uterus - hysterectomy Removal of papillomas Laser removal of papillomas on the eyelid Removal of polyp in the uterus Umbilical hernia removal Umbilical hernia removal Mole removal Removal of a rectal fistula Thyroid nodule removal Removal of fibroadenoma of the mammary gland Removal of a boil Removal of Hallux Valgus (Bone on the Foot) Chalazion removal Removal of the thyroid gland (thyroidectomy) Installation and removal of a stent in the ureter Fibrocystic mastopathy of the mammary glands Surgical gynecology Surgical cardiology Surgical coloproctology Surgical mammology Surgical otolaryngology Surgical dentistry in Moscow Surgical traumatology Surgical urology Surgical treatment Surgical treatment of hernias Fast track surgery Maxillofacial surgery Lump on the labia Gastric bypass Emergency hospitalization Endovascular surgery Endovenous laser coagulation of veins (EVLC) Hip replacement Epithelial coccygeal tract: treatment, removal surgery (excision) Barley on the eye
Make an appointment

Appointment to the doctor

Fill out the form, our managers will contact you within 15 minutes

Reviews

I am very grateful to the doctor for her professionalism and sensitive attitude, for her big heart, for the high level of expertise and individual approach. She helped me to go through all the necessary examinations and detect the problem in time. The feeling of confidence and calmness in the future is only Her merit! Low bow to Lia Eduardovna!
08.04.2026
Rita Z.

About doctor:

Melkonyan Lia Eduardovna

The best mammologist who will always explain everything!
06.04.2026
Sofya M.

About doctor:

Melkonyan Lia Eduardovna

Good and competent
25.03.2026
T. Jan Vitautovna

About doctor:

Udin Oleg Ivanovich

Lea Eduardovna, great doctor!
18.03.2026
F. Svetlana Alexandrovna

About doctor:

Melkonyan Lia Eduardovna

Thank you very much for the doctors and medical staff of the clinic. I particularly want to thank the surgical and surgical department of Elena Igorevn Kuzavlev and Ilya Victorovich Kim, who were doing my surgery. The post-operative recovery has been smooth and comfortable thanks to the care and attention of staff in the reanimation and in-patient environment. Very happy, I recommend the clinic. Thank you!
13.03.2026
Svetlana B.
Thank you, Kim I.V., for the operation and attention done, and thank the surgical managers for the clarity and speed of the operation.
12.03.2026
Dmitri C.

About doctor:

Kim Ilya Viktorovich

I want to thank the K+31 clinic at Lobachevski for the excellent treatment and stay. I would like to express my gratitude to the surgeon doctor, Semenov Dmitri Aleksandrovich for his professionalism, his very sensitive and careful attitude. Dmitri Aleksandrovich explained in detail and calmly the operation plan, answered all questions. It gave me confidence and calm before the operation. I also wish to thank all the medical staff of the clinic. All the real professionals of their business and very soulful people. The clinic is very comfortable, the room has everything necessary: robes, slippers, hygiene supplies. The food is delicious and diverse. Thank you so much for the entire K+31 team! I'll recommend you acquaintance.
12.03.2026
Elena B.
Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and Max.

Our clinics

Address K+31 on Lobachevskogo

st. Lobachevskogo, 42/4

Contacts

+7 499 999-31-31

Opening hours

Mon-Fri: 08:00 – 21:00
Weekend: 09:00 – 19:00

How to get there

  • Метро: Проспект Вернадского (1)(11)
  • Автомобиль: Двигаясь по ул. Лобачевского, проезжаем первый шлагбаум (пост охраны ГКБ № 31), поворачиваем направо у второго шлагбаума (пост охраны К+31)

Address K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

Contacts

+7 499 999-31-31

Opening hours

Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 19:00

How to get there

  • Метро: Цветной Бульвар (9), Трубная (10)
  • Автомобиль: По Петровскому бульвару, поворот на ул. Петровка, затем на 1-й Колобовский пер. Муниципальная парковка.

Address K+31 West

Orshanskaya, 16/2; Ak. Pavlova, 22

Contacts

+7 499 999-31-31

Opening hours

Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 18:00

How to get there

  • Метро: Молодежная (3)
  • Автомобиль: Двигаясь по улице Оршанская, поворачиваем к шлагбауму с постом охраны К+31.
Петровские ворота
Didn't find the service you were looking for?

Экстренная помощь