Radiofrequency ablation (RFA) can be an effective treatment for spinal facet joint pain — but when things go wrong, it can cause devastating nerve damage.
In this patient’s story, Dr. Tim Tollestrup, a pain-focused peripheral nerve surgeon in Henderson, Nevada, explains how an injury to the superior cluneal nerves after RFA led to excruciating pain in the lower back, glutes, and hips.
Through careful diagnostic nerve blocks and a series of staged surgeries — including bilateral superior cluneal neurectomy, iliohypogastric lateral branch resection, and removal of additional dorsal rami nerves — Dr. Tollestrup was able to progressively eliminate the patient’s pain.
🔍 Key Takeaways:
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How nerve damage can occur after RFA
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Why superior cluneal and iliohypogastric nerves cause hidden pain
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The role of diagnostic nerve blocks in identifying pain sources
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Step-by-step surgical strategies for long-term relief
👉 If you or someone you love is struggling with unresolved nerve pain, consult a peripheral nerve surgeon. Relief is possible — even after years of suffering.
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