Intravenous sedation is commonly recommended, and the patient is monitored by an anesthesiologist or certified registered nurse anesthetist (CRNA). The skin around the injection site is cleaned and numbed with local anesthetic. Using fluoroscopy (live X-ray), a needle is inserted to the targeted nerve. An electrical current is sent through the needle to confirm proper placement. Pulsed radiofrequency ablation is then performed by applying high-voltage current at specific intervals and temperatures, creating a lesion that disrupts the nerve’s ability to send pain signals. Anesthetics and steroids may be injected post-procedure to reduce pain.