RADIOFREQUENCY ABLATION
If you would like to inquire about Radiofrequency Ablation, please don’t hesitate to call and schedule an appointment with one of our orthopedic specialists as soon as possible.
What is Radiofrequency Ablation?
Radiofrequency ablation (RFA) uses controlled radiofrequency energy to heat and disrupt specific nerves that send pain signals to the brain. During the procedure, a neurosurgeon guides a thin needle near the targeted nerve using imaging guidance, then delivers radiofrequency energy through the needle. The treatment can reduce pain signals from nerves affected by chronic joint, spine, or other musculoskeletal conditions. Spine specialists often consider RFA when conservative treatments, such as medication, physical therapy, or injections, have not provided lasting relief.
Uses for Radiofrequency Ablation
Radiofrequency ablation can treat several sources of chronic pain by targeting nerves that carry pain signals. Doctors commonly use RFA for facet joint pain in the neck or lower back, sacroiliac joint pain, and certain types of arthritis-related pain. Specialists may also use RFA for some peripheral nerve conditions and other chronic pain conditions when targeted nerve treatment could provide relief. Specialists typically consider RFA after other treatments, such as physical therapy, medications, or injections, have not provided lasting improvement.
Radiofrequency Ablation Process
During radiofrequency ablation, the patient usually lies in a comfortable position while the neurosurgeon cleans and numbs the treatment area. Using imaging guidance, the neurosurgeon carefully inserts a thin needle near the targeted nerve. The neurosurgeon may briefly deliver a small electrical signal to confirm the needle’s position and identify the nerve responsible for pain. After confirming placement, the neurosurgeon delivers controlled radiofrequency energy through the needle, creating heat that disrupts the nerve’s ability to transmit pain signals.
After treatment, the doctor removes the needle and covers the small insertion site with a bandage. Patients usually spend a short period in recovery before returning home, and will be given detailed instructions for activity, wound care, and pain management during recovery. As the treated nerve becomes less active, patients may gradually notice reduced pain over the following days or weeks.
Recovery from Radiofrequency Ablation
Recovery from radiofrequency ablation usually involves a short period of rest followed by a gradual return to normal activities. Patients may experience temporary soreness, bruising, numbness, or discomfort near the treatment area for several days. Doctors often recommend avoiding strenuous activity for a short period while allowing gentle movement and walking. Patients can typically resume many daily activities within a few days, depending on the treated area and individual response.
Pain relief may develop gradually over several days or weeks as the targeted nerves become less active. Physical therapy and prescribed exercises can support mobility, strength, and long-term pain management. Patients should follow their doctor’s activity guidelines and report increasing pain, significant swelling, fever, weakness, or other concerning symptoms. Many patients experience pain relief for several months, although nerve regeneration can eventually allow symptoms to return.




