A non-surgical treatment for relief of chronic pain

Every patient has the right to pain relief, and surgery can be beneficial in properly selected patients. However, it is not for everyone for a variety of reasons, including cost and recovery time. That’s why at TOC, we focus on providing non-surgical pain relief options to those suffering with chronic pain.

COOLIEF* Cooled Radiofrequency Treatment is a minimally-invasive, outpatient procedure that treats patients suffering from chronic back, knee and hip pain. Clinically proven to provide up to 24 months of pain relief, improved physical functionality and reduced drug utilization, most patients are able to return to their normal activities within a few weeks.

Coolief Logo - Cooled Radiofrequency TreatmentHow COOLIEF* Cooled RF Works

A radiofrequency generator transmits a small current of RF energy through an insulated electrode – or probe – placed within tissue. Ionic heating, produced by the friction of charged molecules, thermally deactivates the nerves responsible for sending pain signals to the brain. By delivering RF energy through water-cooled electrodes, more RF energy can be safely transmitted to create larger volume, spherically-shaped treatment areas that provide physicians the ability to use the best approach angle when treating nerves, especially those located within complex nerve courses that can be difficult to reach.

Why COOLIEF* Cooled RF?

  • Effective pain relief
  • Greater mobility
  • Quick recovery time
  • Cost-effective with no overnight hospital stay
  • Minimally invasive procedure done in an outpatient setting

About Chronic Back Pain

Four out of five adults in the United States experience chronic lower back pain. Most patients with chronic pain try managing their symptoms with oral anti-inflammatory medications, steroid injections and physical therapy, while others have tried standard RF ablation and fusion procedures. Studies have demonstrated that radiofrequency treatment can provide up to 24 months of relief from chronic back pain. Most patients experience pain relief and improved mobility and are able to return to their normal activities within a few weeks.

Chronic low back pain can be unbearable, persistent and difficult to treat. Many people suffering from low back pain try multiple remedies to ease their symptoms including injections, surgery and narcotics, but experience limited or no lasting pain relief. COOLIEF* Cooled RF is clinically proven to be significantly more effective in relieving pain, increasing functionality, and decreasing the need for pain medication for up to a year. Download our brochure.

About OA Knee Pain

OA affects over 30 million adults in the U.S. It is caused by the damage and breakdown of cartilage between bones that can lead to joint pain, swelling and stiffness.  Initial treatments for knee pain include nonsteroidal anti-inflammatory drugs (NSAIDs), opioids and steroid injections.

Medication provides only short term relief and comes with serious risks which include opioid abuse and dependence. Steroid injections can provide relief for months at a time, but may have to be repeated for continued pain relief.  Surgery can be beneficial in properly selected patients, but due many factors such as BMI, age, co-morbidities, invasiveness or lack of necessary support systems, some patients are either not a candidate for surgery, or are forced to delay surgery. Many patients suffering from chronic knee pain will wait until they are ready or qualify for surgery.

For patients who suffer with chronic osteoarthritis knee pain and who are not an immediate candidate for knee replacement surgery, COOLIEF Cooled RF can provide significant pain relief until they are able to undergo surgery. Download our brochure.

To request more information about COOLIEF

If you or someone you love suffers from chronic back or hip pain, or who has been diagnosed with OA of the knee and may not be ready for replacement surgery, please contact The Orthopaedic Center at (256) 428-3030 or request an appointment online.

Cohen, S., Randomized Placebo-controlled Study Evaluating Lateral Branch Radiofrequency Denervation for Sacroiliac Joint Pain, Anesthesiology, August 2008, V. 109, No. 2, pages 279-287.

Low Back Pain Fact Sheet. National Institute of Neurological Disorders and Stroke (NIH Publication), 2003.

Stelzer W., Aiglesberger M., Stelzer D., Stelzer V., Use of Cooled Radiofrequency Lateral Branch Neurotomy for the Treatment of Sacroiliac Joint-Mediated Low Back Pain: A Large Case Series, Pain Medicine, January 2013, Volume 14, Issue 1, pages 29-25.

Davis T. Cooled RF Ablation Superior to Corticosteroids in Knee Osteoarthritis . Pain Medicine News [Internet]. 2017Feb2; Available from:

Osteoarthritis Fact Sheet. Centers for Disease Control and Prevention; 2017 [cited 2017Apr12]. Available from:

Bliddal H, Christensen R.  The treatment and prevention of knee osteoarthritis: a tool for clinical decision-making.  Expert Opin Pharmacother. 2009 Aug; 10(11):1793-804.

Altman RD. Early management of osteoarthritis. Am J Manag Care. 2010;16 (Suppl Management):S41-7.[PubMed]

Halyard sponsored study: Osteoarthritis Pain Landscape & Patient Journey. 2015. Data on file.

Mayo Clinic. “One in four people prescribed opioids progressed to longer-term prescriptions.” ScienceDaily. ScienceDaily, July 1, 2015.

Halyard Health Inc. sponsored study: A Prospective, Multi-Center, Randomized, Clinical Trial Evaluating the Safety and Effectiveness of Using COOLIEF™ Cooled Radiofrequency Probe to Create Lesions of the Genicular Nerves and Comparing Corticosteroid Injection in the Management of Knee Pain. Final results 03Apr2017. Study available upon request from Halyard.