Radiofrequency Ablation

Radiofrequency ablation (RFA) is a technique that can interrupt nerve fibers that transmit pain signals from the spinal cord to the brain in some types of pain. This minimally invasive technique is an effective treatment option for chronic back and neck pain.

What is radiofrequency ablation?

Radiofrequency ablation (RFA) is a non-surgical procedure that involves inserting a needle-like probe into the body, similar to a needle biopsy. Radiofrequency waves are then released from the probe into the surrounding area, inducing the death of nearby cells. The immune system then eliminates these dead cells, resulting in nodule shrinkage. To ensure accurate probe placement, health care providers use ultrasound or other imaging techniques. This minimally invasive procedure is performed in an outpatient setting and does not require general anesthesia. However, you may be given medication to relax and a numbing agent for the area where the probe is inserted.

When performed on eligible patients, RFA provides pain relief for a year or more in approximately 70% of cases. This approach may be beneficial to people living with chronic arthritis, and degenerative back and neck conditions.

What is the RFA procedure like?

Before the RFA procedure

Confirming the source and extent of your pain is crucial to determine the level of relief you could receive. Your provider will conduct a diagnostic block test, which involves injecting a local anesthetic near the area of pain. If there is a significant improvement, it is likely that RFA will be effective in reducing your pain. However, if there isn't any notable improvement, RFA may not be the best course of action. In case of a favorable response, your provider may recommend RFA as a viable solution to alleviate your discomfort.

During the RFA procedure

If you're diagnostic block is successful, you might be a candidate for a radiofrequency ablation procedure. This method involves inserting a small, hollow needle into the affected nerve, followed by an electrode placed into the top of the needle. As the electrode sends radio waves through the needle, it generates heat that creates a lesion that stops the nerve from transmitting pain signals to the brain. It's important to note that this process doesn't harm nearby healthy nerves.

How long is the recovery for RFA?

After your procedure, you'll be able to return home shortly. It's important to take it easy and rest once you're home. For the first 24 hours after your treatment, you should avoid driving and other strenuous activities. After a day or two, you can resume your normal activities, including bathing or showering.

It's normal to experience soreness, pain or muscle spasms at the treatment site for a few days. Your healthcare provider may have prescribed pain medication to ease any discomfort. Additionally, you can apply an ice pack to the injection site, on and off for 20 minutes a few times during the first day of your recovery at home to reduce any inflammation.

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