Radiofrequency Neuroablation: What to Expect

Chronic back or neck pain can be frustrating to live with, especially if you’ve tried several treatment methods without success. Radiofrequency neuroablation (also known as radiofrequency ablation or RFA) is a nonsurgical procedure designed to reduce pain by targeting specific nerves that are transmitting pain signals.

At Spinal Diagnostics, our experienced team uses this technique to help patients with persistent joint or spinal pain finally find relief.

How does radiofrequency neuroablation work?

The procedure works by using heat generated from radiofrequency waves to disrupt the function of specific nerves. This prevents the nerves from sending pain signals to your brain. It’s typically used for patients who have pain that originates from the facet joints in the spine.

Before recommending RFA, we usually perform a diagnostic nerve block to ensure that those nerves are indeed responsible for the pain. If the block provides significant relief, RFA may be a suitable next step.

What can I expect during the procedure?

Radiofrequency neuroablation is done on an outpatient basis and usually takes 30 to 90 minutes, depending on how many nerves are treated. You’ll lie on an exam table while your provider uses a special X-ray machine (fluoroscopy) to guide the placement of a thin, hollow needle near the affected nerve.

A small electric current is used to test the nerve location. Then, radiofrequency energy is delivered through the needle to heat the nerve tissue. The heat disables the nerve’s ability to send pain signals.

Local anesthesia is used, and mild sedation may also be offered to help you relax. Most patients tolerate the procedure well and can go home shortly afterward.

Aftercare and recovery

You may feel some soreness or discomfort at the treatment site for a few days, but this usually resolves quickly. Most people return to work or normal activities within 24 to 72 hours.

It can take a week or two to start feeling the full benefits. Pain relief from radiofrequency neuroablation can last from six months to over a year, depending on the individual and whether the treated nerves regenerate.

If the pain returns, the procedure can be repeated. Many patients experience long-term relief and are able to reduce or eliminate their need for pain medications.

Think you might be a candidate for radiofrequency neuroablation? Contact our office today to schedule a consultation and learn whether this minimally invasive treatment could help you take control of your pain.