What is Radiofrequency Ablation (RFA)?

Radiofrequency Ablation (RFA) or Rhizotomy is a minimally invasive procedure used to reduce pain by targeting and destroying nerve tissue that is transmitting pain signals. It is commonly used to treat chronic pain conditions, such as arthritis of the spine (facet joint pain), nerve-related pain in the neck or back (medial branch neurotomy), and certain types of cancerous tumors.

Procedure Overview:

1. Preparation: Before the procedure, you will undergo a thorough evaluation to ensure you are a suitable candidate for RFA. This may include physical examinations, imaging studies, diagnostic injections and discussions about your medical history and current medications.
2. Anesthesia: RFA is usually performed under local anesthesia. If light sedation is required your doctor will discuss with you prior to the procedure. 
3. Placement of Electrodes: Using fluoroscopy (real-time X-ray guidance), the physician will insert a thin needle or probe through the skin and into the targeted area near the nerve(s) causing pain.
4. Nerve Stimulation: Once the electrode is in position, a small electrical current is used to stimulate the nerve and confirm its location.
5. Radiofrequency Ablation: The electrode generates heat, which creates a lesion on the nerve tissue, disrupting its ability to transmit pain signals. This process typically takes a few minutes per nerve.
6. Monitoring and Completion: Throughout the procedure, the physician monitors your vital signs and adjusts the equipment as necessary to ensure safety and effectiveness.
7. Recovery: After RFA, you will be monitored for a short period in a recovery area. Most patients can return home the same day, but you should arrange for someone to drive you.
8. Follow-up: Your healthcare provider will schedule follow-up appointments to assess your progress and determine the need for additional treatments or adjustments.

Benefits of Radiofrequency Ablation:

• Effective pain relief: RFA can significantly reduce or eliminate chronic pain symptoms, allowing patients to resume normal activities and improve their quality of life.
• Minimally invasive: RFA is performed through small incisions, resulting in less tissue damage, minimal scarring, and faster recovery compared to traditional surgery.
• Long-lasting results: Many patients experience relief from pain for several months to years after RFA, although results can vary depending on the individual and the condition being treated.
• Outpatient procedure: RFA is typically performed in a clinic or outpatient surgery center, allowing patients to return home on the same day and resume daily activities within a few days.

Risks and Considerations:

While RFA is generally safe, all medical procedures carry some risks. Potential risks and complications include:

• Temporary discomfort or swelling at the treatment site
• Skin burns or numbness
• Infection
• Nerve damage

Allergic reaction to anesthesia or medications

• Your healthcare provider will discuss these risks with you in detail and address any concerns you may have.

Conclusion:

Radiofrequency ablation (RFA) is a safe and effective treatment option for managing chronic pain conditions, offering long-lasting relief with minimal downtime. If you are experiencing chronic pain that has not responded to conservative treatments, RFA may be a suitable option to consider. Talk to your healthcare provider to learn more about RFA and whether it is right for you.

For more information or to schedule a consultation, please contact our office.