Greenberg Spine

Nonsurgical treatment

Back Pain Treatments: RFA, Chiropractic Care, and PRP

Radiofrequency ablation, manual care, and platelet-rich plasma are aimed at different problems and have different evidence. None should be chosen simply because it sounds more advanced. The useful question is whether the proposed treatment matches a plausible pain generator and has a measurable goal.

Key points from this video

  • Medial-branch radiofrequency ablation is generally considered for selected facet-mediated pain only after appropriately performed diagnostic medial-branch blocks produce a concordant temporary response.
  • Manual care may provide temporary relief for some mechanical pain patterns but does not correct every structural finding.
  • PRP is marketed for several spine conditions, but evidence, technique, cost, and the structure being injected vary.
  • Before any procedure, ask what diagnosis it targets, what benefit is realistic, how long that benefit may last, and what happens if it fails.

What this video can—and cannot—tell you

Low back pain can arise from joints, discs, nerves, muscles, or causes outside the spine. A treatment that helps one of those patterns may do little for another, which is why diagnosis and reassessment matter more than ranking every option from “best” to “worst.”

This is general educational information, not medical advice. Symptoms vary by person — a clinical evaluation is the only way to know what’s right for you.

Your symptoms deserve more than a general answer

A useful consultation connects your story, examination, and imaging—and explains clearly when surgery is not the right next step.