RF neurotomy could be a choice of treatment for chronic spinal pains due to facet arthrosis and spondylosis. RF neurotomy is a non surgical minimally invasive procedure that uses heat to destroy the nerves that cause chronic pain. In this procedure, within the quidance of fluoroscopic examination, the physician inserts the spesific needle next to the nerve and sends high frequency radio waves to destroy temporarily nerve sheats. Patients should be awake during procedure.