Radiofrequency Ablations
Introduction
Radiofrequency ablation (RFA) is a minimally invasive procedure used to treat chronic pain by targeting specific nerves and disrupting their ability to send pain signals to the brain. This procedure is particularly beneficial for patients suffering from chronic arthritic pain in various regions of the spine, joints, and specific nerves.
Clinical Indications
RFA is indicated for patients with chronic pain conditions who have not responded to conservative treatments such as medications, physical therapy, or chiropractic care. Common conditions treated with RFA include:
- Cervical Spine Pain: Pain originating from the neck region due to conditions like arthritis or disc degeneration.
- Thoracic Spine Pain: Pain in the mid-back region, often due to arthritis or disc issues.
- Lumbar Spine Pain: Chronic lower back pain caused by conditions such as arthritis or disc herniation.
- Sacroiliac Joint Pain: Pain in the joint between the sacrum and the ilium, often due to arthritis or dysfunction.
- Hip Joint Pain: Pain in the hip joint, typically due to arthritis or injury.
- Knee Joint Pain: Chronic knee pain caused by arthritis or injury.
- Greater Occipital Nerve Pain: Pain in the back of the head, often due to tension headaches or nerve irritation.
Therapeutic Benefits
The primary therapeutic benefits of RFA include:
- Pain Relief: Significant reduction or elimination of chronic pain.
- Improved Function: Enhanced ability to perform daily activities without pain.
- Reduced Medication Use: Decreased reliance on pain medications.
- Avoidance of Surgery: Delay or avoidance of surgical interventions.
- Quick Recovery: Most patients can return to regular activities within a day or two
Medications Used
During the RFA procedure, local anesthetics such as lidocaine or bupivacaine are used to numb the treatment area. Steroids may be administered at the end of ablation which can help with the healing process. In some cases, a mild sedative may be administered to help the patient relax.
Frequency & Duration
Frequency of Procedure
RFA can be repeated if the pain returns after the initial effects wear off. The frequency of repeat procedures varies depending on the patient's condition and response to the initial treatment.
Duration of Effects
The effects of RFA can last from 6 months to 2 years, depending on the individual patient and the specific condition being treated. Some patients may experience longer-lasting pain relief.
What to expect when you come to the Clinic
When a patient comes to the clinic for an RFA procedure, they can expect the following:
- Preparation: The patient will change into a gown and receive a mild sedative if needed.
- Procedure: The skin over the treatment area is cleaned, and a local anesthetic is injected. Using fluoroscopy (a special X-ray machine), the physician guides a needle to the targeted nerve. Radiofrequency waves are then sent through the needle to create a heat lesion on the nerve.
- Post-Procedure: The patient may experience some soreness or bruising at the treatment site, which can be managed with over-the-counter pain medications. Most patients can go home the same day.
Possible Side Effects or Complications
While RFA is generally safe, some possible side effects or complications include:
- Temporary Numbness: Numbness in the treated area, which usually resolves within a few weeks.
- Infection: Rare, but possible at the injection site.
- Bleeding: Minor bleeding at the injection site.
- Allergic Reactions: Rare allergic reactions to the anesthetics used.
- Nerve Damage: A rare complication, although permanent nerve damage is unlikely.
We are here to help you
At the Institute of Interventional Pain Management, we are dedicated to helping patients achieve long-term pain relief through radiofrequency ablations. Our experienced team ensures that each patient receives personalized care and the best possible outcomes for their chronic pain conditions.