Radiofrequency Ablation (RFA) is a procedure used to treat chronic back and neck pain, especially from facet joint problems. These small joints help stabilize the spine, and when irritated, they can cause persistent pain. If physical therapy or medications haven’t worked, RFA may be an option.

RFA works by using radio waves to heat and deactivate nerve tissue, reducing pain signals from that area. Before this procedure, a medial branch block (also called a diagnostic injection) is performed to confirm whether the targeted nerves are the source of pain. This step is required before moving forward with RFA.

During the procedure, you’ll lie on a table while X-ray or ultrasound imaging helps guide a thin needle to the correct spot. Most patients don’t need sedation or anesthesia, but it may be used if necessary. Radiofrequency energy generates heat, disrupting the nerve's ability to send pain signals. Because nerves regenerate, RFA may need to be repeated every six months to maintain long-term relief.

Most patients go home the same day and can return to light activities quickly. Pain relief typically begins within a few weeks and can last anywhere from six months to over a year. Fewer than 5% of patients may experience temporary increased pain, but this usually resolves.

Risks are rare but can include temporary soreness, infection, or nerve irritation. Blood thinners may or may not need to be paused, so check with your doctor. Most RFA cases do not require stopping them. You’ll need to arrange a ride home after the procedure.

Alternatives to RFA include physical therapy, pain medications, additional injections, pulsed RFA, or, in severe cases, surgery. The best approach depends on your specific condition and response to previous treatments.

RFA is a safe and effective way to manage pain. Our team is here to help guide you through your treatment options.