Joint pain is the most common medical problem worldwide and the number one reason people visit their doctor. Chronic joint pain most commonly results from arthritis in the joint caused by previous injury or age-related degeneration. While we cannot reverse arthritis, we now have a safe and effective way to eliminate arthritic joint pain without drugs, injections, physical therapy, or invasive surgery. A simple 10-minute outpatient procedure called Deuk Plasma Rhizotomy® may be the permanent solution to joint pain you’ve been searching for.
1,000+
Procedures Performed
99%
Pain Elimination
0%
Complication Rate
20 min
Procedure Duration
4 mm
Incision Size
See what patients are saying about their experience, their recovery, and their results with our advanced spine treatments.
Pioneered by Dr. Ara Deukmedjian MD with over 30+ years of experience, this patented technique delivers permanent pain relief without the risks of traditional surgery.
Smaller than a dime, requires only a bandage
Pioneered by Dr. Ara Deukmedjian MD with 30+ years experience
Pain nerves to the joint are permanently disconnected
Natural, lasting relief without foreign materials in your body
Based on clinical experience with over 1,000 procedures
Walk in, walk out within a couple hours
Deuk Plasma Rhizotomy® targets specific regions of the spine where facet joint pain originates.
For neck and upper spine facet joint pain caused by arthritis or degeneration.
Exclusively available at Deuk Spine Institute, this breakthrough procedure uses the proprietary Deuk Plasma Wand® with medical image guidance to permanently destroy pain nerves.

Patients receive twilight sedation in the operating room for maximum comfort. Unlike general anesthesia, you remain in a relaxed state while the procedure is performed, reducing recovery time and risk.


A 4mm incision—smaller than a dime—is made in the skin near the painful facet joint. Through this minimal opening, the proprietary Deuk Plasma Wand® navigates to pre-selected locations around the affected joint using medical image guidance.

Using medical image guidance, the Deuk Plasma Wand® delivers plasma energy to the articular branches of the sensory nerves surrounding the painful facet joint. These pain nerves are then permanently destroyed, eliminating the pain signal while preserving movement from the damaged joint.

The procedure delivers immediate and lasting results. Most patients enjoy a 30-minute recovery and are discharged the same day with an adult driver. There are no postoperative restrictions—normal activity resumes the next day. Average bleeding is less than 2ml. No opioid requirements—procedure pain typically resolves by the next morning.

30 min
Recovery Before Going Home
Next Day
Normal Activity Resumes
2 ml
Average Bleeding During Procedure
0
Narcotic Painkillers Needed
30+ yrs
Dr. Deukmedjian's Experience
Here are our live spine surgery you can watch
Schedule an online virtual visit with one of our physicians to see if you are a candidate for the Deuk Plasma Rhizotomy® procedure. Once we receive your online form and diagnostic imaging, a videoconference between you and one of our diagnosticians will be scheduled.
You will get a one-on-one session during which you will receive a comprehensive pain diagnosis and find out if you are a candidate for one of our state-of-the-art treatments. You’re just a few steps away from pain-free living again.
When you ask patients suffering with chronic back pain or neck pain what matters most in treatment, their answers are remarkably consistent.
With a unique minimally invasive technique, Dr. Deukmedjian has maintained a complication rate of 0% across all proprietary procedures. In over six years performing Deuk Plasma Rhizotomy®, there have been zero surgical complications.
Facet Arthropathy • SI Joint • Facet Hypertrophy • Facet Arthritis • Facetogenic Pain • Chronic Joint Pain • Knee Pain • Hip Pain • Shoulder Pain
Deuk Plasma Rhizotomy® represents the most advanced solution worldwide for chronic facetogenic back and neck pain, permanently eliminating the pain source rather than masking symptoms with medications or temporary injections.
Deuk Plasma Rhizotomy® is a minimally invasive, 20-minute outpatient procedure that uses plasma energy delivered through the proprietary Deuk Plasma Wand® to permanently destroy the pain nerves surrounding an arthritic joint. It is performed through a 4mm incision and is available exclusively at Deuk Spine Institute® and Deuk Joint Institute®, eliminating the need for fusion, metal implants, spinal cord stimulators, or joint replacement.
Deuk Plasma Rhizotomy® treats facetogenic pain and arthritis-related joint pain throughout the body, including the cervical, thoracic, lumbar, and sacroiliac (SI) joints, as well as arthritic knees, hips, shoulders, toes, ankles, and hands. It is designed for patients whose joint pain stems from arthritis caused by previous injury or age-related degeneration.
Recovery is rapid. Most patients spend about 30 minutes in recovery before going home the same day with an adult driver. There are no postoperative restrictions, and normal activity typically resumes the next day. The procedure requires no narcotic painkillers, and any residual pain from the procedure itself usually resolves by the following morning.
Based on clinical experience with over 1,000 Deuk Plasma Rhizotomy® procedures, patients report an average of 99% pain elimination, often permanently, after a single treatment. Dr. Deukmedjian has maintained a 0.01% complication rate across the procedure’s use over six years.
Unlike fusion, artificial joint replacement, or spinal cord stimulators, Deuk Plasma Rhizotomy® permanently destroys the specific pain nerves causing joint pain without implanting any devices or altering the joint’s structure. It uses twilight sedation rather than general anesthesia, involves only a 4mm incision, and is completed as a same-day outpatient procedure with an average of less than 2ml of bleeding.
To find out if you are a good candidate for one of our advanced treatments, please complete our Free MRI Review. Dr. Ara Deukmedjian personally evaluates every MRI to identify your specific “pain generators”—the exact joints and nerves causing your chronic joint pain.
Discover if you’re a candidate for Deuk Plasma Rhizotomy®—the most advanced solution worldwide for chronic facetogenic back and neck pain with a 0% complication rate and 99% average pain elimination.