Radiofrequency ablation, often called RFA, is a procedure used for some types of chronic back or neck pain, especially pain coming from facet joints. It sounds futuristic, but the idea is fairly practical: reduce pain signals from carefully selected nerves.
RFA is usually considered only after diagnostic steps suggest that specific joints and nerves are likely responsible for the pain.
Pain considered for RFA is often aching, movement-related, and located in the neck or lower back. It may worsen with extension, rotation, standing, or certain daily movements.
Facet joints are supplied by small medial branch nerves. If diagnostic blocks suggest those nerves are carrying the pain signal, RFA may help reduce that signal for a period of time.
RFA does not “fix” arthritis or rebuild joints. It is a pain-management tool for carefully selected patients.
A consultation may be reasonable if pain has persisted despite conservative treatment and diagnostic blocks have suggested facet-mediated pain.
Evaluation typically includes history, physical exam, prior imaging review, and diagnostic medial branch blocks before RFA is considered.
During RFA, heat generated by radiofrequency energy is applied near targeted nerves. Relief can vary, and nerves may regenerate over time, so expectations should be realistic.
The best candidates are selected based on symptoms and diagnostic response, not just because an MRI mentions arthritis.
Pain Specialty Group uses RFA as part of a broader plan when the diagnosis and diagnostic blocks support it.
Related resources: Lower Back Pain, Neck Pain, Request an Appointment.
Need help sorting out persistent pain? Pain Specialty Group can evaluate the source of your symptoms and discuss conservative, interventional, and individualized treatment options. Request an appointment.
This article is educational and is not a substitute for personal medical advice. If you have severe or rapidly worsening symptoms, seek urgent medical care.
