Using Radio Frequency Ablation for Pain Relief

For individuals with persistent back or neck pain that remains unresponsive to standard treatments, radio frequency ablation (RFA) offers a promising solution. This minimally invasive procedure utilizes heat generated by radio waves to target and temporarily disable nerves responsible for transmitting pain signals. Relief from RFA can last several months to over a year, providing hope for long-term pain management.

Understanding Radio Frequency Ablation

The radio frequency ablation (RFA) process begins with a thorough evaluation by a qualified healthcare provider. Before the procedure, patients typically undergo diagnostic nerve blocks to identify the specific nerves causing their pain. This diagnostic step improves precision and effectiveness.  

During the procedure, patients lie on an examination table. The treatment area is cleaned and numbed with a local anesthetic. Using fluoroscopic guidance (real-time X-ray imaging), the physician inserts a thin needle electrode near the targeted nerve. Radiofrequency energy is then delivered to create a small lesion on the nerve, temporarily blocking pain signals. The procedure usually takes 30 to 90 minutes, and most patients can return home the same day and resume normal activities within a few days.

Targeting Back Pain

Back pain, particularly in the lower spine, is one of the most common reasons for radiofrequency ablation (RFA). The procedure typically targets the medial branch nerves, which provide sensation to the facet joints in the spine. These joints can become a source of chronic pain due to arthritis, injury, or everyday wear and tear.  

Candidates for RFA often experience back pain for several months without relief from conservative treatments. Physical therapy, medications, or injections are usually tried first but may not provide adequate results. The pain is often described as a deep, aching sensation that worsens with specific movements or activities.  

Before recommending RFA for back pain, healthcare providers typically perform diagnostic medial branch blocks. These temporary nerve blocks are used to confirm whether the facet joints are the source of pain. If the blocks provide relief, RFA may be a beneficial next step for treatment.  

Treating Neck Pain

Neck pain is another condition where radio frequency ablation (RFA) can provide relief. Similar to its use for back pain, RFA often targets the medial branch nerves that supply the cervical facet joints in the neck. These joints can become arthritic or irritated due to injury, poor posture, or degenerative changes. This can lead to chronic discomfort. Patients with neck pain that doesn’t improve with conventional treatments may find RFA to be a suitable option.

Symptoms of neck pain suitable for RFA often include chronic aches that radiate to the shoulders or upper back, typically worsening with neck movement or prolonged static positions. Before proceeding with RFA, diagnostic nerve blocks are performed to confirm whether the cervical facet joints are the primary source of pain. This step helps healthcare providers determine if RFA is an appropriate treatment to alleviate symptoms.  

Make an Appointment Today

Radio frequency ablation is one option for managing chronic back and neck pain. If you’re dealing with persistent pain that affects your daily life, talk to a qualified healthcare provider. They can review your symptoms and treatment history to see if this procedure is right for you. A provider will also explain the benefits, risks, and help you make an informed decision about pain management.

Receive the latest news in your email
Table of content