Let’s Talk RFA

For patients suffering from chronic pain, a doctor may recommend radiofrequency ablation (RFA). The RFA procedure stops pain by destroying the nerve endings that send pain signals to the brain. A surgeon, radiologist, or pain specialist uses x-ray guidance to place a needle near the painful nerves. Radiofrequency waves then pass through the needle to burn and destroy nerve endings. Once the nerve endings are destroyed, pain signals can no longer go to the brain.

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Which conditions does RFA treat?

A pain specialist will use RFA primarily for problems with the spine. Most cases involve lower back pain, a condition that 80% of the world’s population will experience. Doctors regularly recommend cervical facet RFA for neck pain due to injury, muscle strains, or poor posture. RFA is not the first line of defense for pain. The treatment works well for patients who try other conservative methods without success. Burning through nerves sounds painful, and many patients are concerned if the procedure would be uncomfortable. Fortunately, the doctor will take steps to mitigate the pain.

Wide awake but pain-free

The RFA procedure lasts for about 45 minutes. The patient lies on an x-ray table to start the procedure, and a local anesthetic numbs the area. The pain specialist uses fluoroscopy, an x-ray technique that gives a real-time view of the painful area. With fluoroscopy, the patient stays awake to help confirm the needle is in the correct location. Once the needle is set, the nerve endings are seared off using the radiofrequency current. Because of the local anesthetic, there should be no pain at the injection site, but RFA can hurt after the procedure.

Will I feel pain after the procedure?

Right after radiofrequency ablation, patients do begin to feel some discomfort. There will be some slight burning and numbness at the injection site as the anesthetic begins to wear off. The pain is often compared to sunburn in the treated area. Even though these side effects are not severe, the pain can be difficult and can last for a few weeks. Remember, the nerves are slightly injured and have lost some function. Manage the pain with rest, ice packs, or oral medications.

RFA recovery

After RFA, there are a few steps that can help with recovery. Make sure to avoid driving or using heavy machinery for no less than 24 hours after the process. Patients should also avoid physical activity for 24 hours and baths for at least 2 days after the procedure. Proper rest, ice packs, and the occasional over-the-counter pain reliever help with a smooth recovery. RFA should last at least 6-9 months, with some cases going as long as 2 years.

Enjoy a pain-free life with RFA

Radiofrequency ablation can help address chronic back and neck pain. The procedure destroys nerve endings to prevent signals from going to the brain. While RFA sounds complicated, the patient is awake during the process with no pain. Pain will come after the procedure, so proper pain management is vital until RFA takes effect. If chronic nerve pain impacts the quality of life, speak with a doctor or pain specialist about RFA.

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“Dr. Dedhia made everything clear and even scheduled an early follow-up appt so I could get back to work sooner.”

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“Everyone was friendly and concerned about my comfort. They frequently asked how I was doing, or if I needed something.”

“Everyone was friendly and the place was very clean.”

“All staff were wonderful.”

“Marcia and staff were excellent and genuinely cared for my well being. Wish I could have taken them home.”

“The nurses were very nice and caring!”
“No severe pain – Just a little discomfort – I was asked several times during procedure if I was OK – they showed genuine concern for my well being.”

“I liked that it was so clean. Every staff member was pleasant and easy to talk with.”

“Dr. Best…is the best!”
“The nurses were very nice and caring!”
“Efficiency of the staff. Courteous, friendly and caring attitude. Excellent office staff. Pleasant surroundings.”
“The STAFF from the moment you walk in were the nicest people I’ve encountered at a medical facility.”

“Amazing nurses, very caring and friendly and put both me and my son at ease.”

“Incredibly professional, friendly and confidence of knowing their roles as healthcare employees. Excellent!”

“Entire staff was knowledgeable and courteous. They genuinely cared for my well being and made sure my wife and I were taken care of.”

“Anesthesia staff was outstanding!”

“Dr. Tupper was amazing! He spent time explaining exactly what he was doing, what I would experience and made sure I was comfortable.”

“Amazing nurses, very caring and friendly and put both me and my son at ease.”

“I can’t say enough about Marcia and the entire team. The care I received was well beyond anything I could have expected.”

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“Entire staff was knowledgeable and courteous. They genuinely cared for my well being and made sure my wife and I were taken care of.”

“The staff was great, especially Mary and Marcia. Marcia was extremely helpful post-op and made sure I was comfortable and well-cared for.”

“Experience was amazing. The nurses my son needed at this time couldn’t have been chosen any more perfect. They were supportive and understanding, patient and just great human beings.THANK YOU KINDLY ”
“NO wait time, RN Rebecca answered all questions prior to my visit by phone and again answered all questions and concerns while prepping me.”
“The staff was very polite, they were excellent. They explained exactly what was going on.”
“Dr. Best…is the best!”

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