The cooled radiofrequency procedure, although surgical, is fairly simple. In fact, it is often performed using only local anesthetic. During the procedure, a small needle will be inserted into the nerves where pain signals are originating. Then, we will apply controlled, cooled radiofrequency energy to the nerves using this needle. This process heats and damages the nerves, preventing them from sending pain signals through the body. Since this treatment offers a cooling component, we are able to treat a larger area without compromising safety, which improves the results of treatment. The cooled radiofrequency treatment takes about an hour to perform.