Spinal nerve radiofrequency technology is a new technique that precisely stimulates the anterior branch of the spinal nerve or thermally coagulates the small posterior branch of the spinal nerve under x-ray guidance to treat neck, shoulder and back pain. It is a minimally invasive interventional procedure that can be performed under local anesthesia with little to no bleeding, and is both safe and effective, often achieving the results of open surgery but avoiding the significant risks associated with open surgery. Chiropractic radiofrequency technology is divided into two types: pulsed radiofrequency and standard radiofrequency, depending on the procedure and the surgical site. Pulsed radiofrequency does not harm the nerves, but can regulate nerve function and improve the pain and numbness caused by nerve compression; standard radiofrequency uses thermal coagulation to remove some tiny nerves that trigger pain and achieve long-term pain relief. Therefore, according to the different types of neck, shoulder, back and leg pain, we use different surgical treatments. For nerve root type cervical spondylosis with radiating pain and numbness in the extremities, lumbar disc herniation, etc., we use spinal nerve pulse radiofrequency. It is a neuromodulation technology, which means that the pulsed electric field stimulation of radiofrequency against the nerve roots reduces the production of inflammatory factors in the nerve itself and enhances the ability of the nerve roots to tolerate the adverse physiological environment, thus substantially reducing the patient’s neurogenic symptoms, so it is used to treat patients with cervical spondylosis and lumbar disc herniation who do not need open surgery or do not want to undergo open surgery, and has good efficacy. On the other hand, since the technique itself does not remove the cause of the disease, it is normal that some patients may have a recurrence of pain. If the pain recurs, you can choose to undergo radiofrequency treatment again, as the technique itself is almost harmless to the body and can be repeated completely. If the pain persists after several repetitions, further surgical treatment will need to be considered, rather than just radiofrequency intervention. For simple neck and shoulder pain where conservative treatment is ineffective, as well as for senile degenerative low back pain, we use the posterior spinal nerve branch radiofrequency thermocoagulation technique. This technique allows the radiofrequency needle to reach the target nerve through precise puncture and inactivates the tiny nerves that cause pain and seriously affect the patient’s quality of life with high temperature of 75℃-85℃, blocking the transmission of pain signals, and eventually substantially relieving or even completely eliminating the patient’s pain, even with excellent results that cannot be achieved by open surgery. Since these tiny nerves are inactivated by high temperature, the recurrence rate of pain is very low. Many elderly people have greatly reduced their pain, avoided open surgery and started a new life through one nerve radiofrequency thermal coagulation procedure.