
Chronic pain can obviously have a massive impact on a person's life in terms of their ability to perform daily routines and their general quality of life. For people who are still suffering with pain despite having tried a range of conservative treatments, it may be time to consider other options for pain management. Radiofrequency ablation (RFA) is a procedure which can offer long term pain relief for some chronic pain conditions without the need for surgery. At Pain Treatment Centers of America, we take a highly individualized approach to each patient, and a key part of that is assessing their symptoms, medical history, and treatment goals to see whether RFA may be a suitable option.
What Is Radiofrequency Ablation?
Radiofrequency ablation is a pain management procedure that uses radiofrequency energy to heat and ablate (i.e., destroy) specific nerves responsible for transmitting pain to the brain. The aim is to reduce the pain in a particular area of the body.
RFA is used for chronic pain arising from the facet joints of the spine (so in the neck and lower back) and can also be considered in some other joint pains depending on the specific condition and the individual patient.
Radiofrequency ablation is very different from conventional surgery in that it doesn't require any large incisions or any significant disruption of tissue. It is generally performed under imaging guidance to assist the surgeon in correctly placing the needle adjacent to the nerve in question.
Which Conditions Can Radiofrequency Ablation Treat?
Radiofrequency ablation may be an option for someone who has chronic pain that hasn't responded adequately to other forms of treatment. The specific condition in question will determine whether the doctor recommends RFA. Conditions that may be treated in this way include:
- Chronic lower back pain associated with facet joints
- Chronic neck pain originating from facet joints
- Certain types of arthritis-related joint pain
- Selected cases of sacroiliac joint pain
Not every patient with chronic pain qualifies for RF ablation. You need to do a proper assessment to establish the source of the pain and work out whether it's likely to be of any benefit to ablate the relevant nerves.
In some cases, providers may perform a diagnostic nerve block prior to RFA. This is a temporary injection which helps to establish whether the nerves in question are the source of the patient's pain and whether RFA would be of any benefit.
How Long Does Radiofrequency Ablation Provide Pain Relief?
One possible benefit of radiofrequency ablation is that the pain relief can last longer than some more temporary treatments. Many patients who do well with RFA experience pain relief for around 6 to 12 months, although the duration of relief varies by patient and condition.
Over time the target nerves can regenerate and the pain can come back. If the initial procedure had been very effective then RFA could be considered again following a suitable assessment.
RFA can be of benefit in terms of reducing discomfort and promoting mobility, but it doesn't necessarily address the root cause of the chronic pain condition. Results are variable and some patients will see only a small degree of improvement or indeed no improvement at all.
What Should Patients Expect During Recovery?
Radiofrequency ablation is typically an outpatient procedure with the majority of patients being able to go home the same day. It's very common to have some degree of soreness or discomfort in the area of the treatment. Some patients will also experience a temporary increase in pain prior to the pain actually starting to improve.
Pain relief may take several days to a few weeks to develop. It's important to follow the doctor's recovery instructions and to gradually get back to normal activities. Depending on the individual patient, physical therapy or other conservative measures may be recommended.
Personalized Pain Management at Pain Treatment Centers of America
At Pain Treatment Centers of America we know that chronic pain is going to be different for every patient. Our approach is to look at the source of the pain and then determine what treatment options are appropriate for that individual patient based on their own needs and goals.
If you're suffering with chronic neck pain, back pain or certain types of joint pain to the extent that it's impacting your day to day life then radiofrequency ablation may be worth talking about with a pain management specialist. Book a consultation with Pain Treatment Centers of America to find out more about your treatment options and to find out whether this minimally invasive procedure could be the key to longer term pain relief without the need for surgery.













