Radiofrequency Ablation for Arthritis Pain
Radiofrequency ablation (or RFA) is a procedure used to reduce pain. An electrical current produced by a radio wave is used to heat up a small area of nerve tissue, thereby decreasing pain signals from that specific area.
Which Conditions Are Treated With Radiofrequency Ablation?
RFA can be used to help patients with chronic (long-lasting) low-back and neck pain and pain related to the degeneration of joints from arthritis.
How Long Does Pain Relief From Radiofrequency Ablation Last?
The degree of pain relief varies, depending on the cause and location of the pain. Pain relief from RFA can last from six to 12 months and in some cases, relief can last for years. More than 70% of patients treated with RFA experience pain relief.
Is Radiofrequency Ablation Safe?
RFA has proven to be a safe and effective way to treat some forms of pain. It also is generally well-tolerated, with very few associated complications. There is a slight risk of infection and bleeding at the insertion site. Your healthcare provider can advise you about your particular risk.
What Are the Side Effects of Radiofrequency Ablation?
The main side effect of RFA is some discomfort, including swelling and bruising, at the site of the treatment, but this generally goes away after a few days.
Who Should Not Get Radiofrequency Ablation?
As with any medical procedure, RFA is not appropriate for everyone. For example, radiofrequency ablation is not recommended in people who have active infections or bleeding problems. Your healthcare provider can tell you if you should not have RFA.
How Do I Prepare for Radiofrequency Ablation?
To prepare for radiofrequency ablation treatment, you should take a few precautions, including taking your normal medications: Do not discontinue any medication without first consulting with your primary or referring doctor.
What Happens During Radiofrequency Ablation?
You will meet with your healthcare provider for an evaluation. If radiofrequency ablation is recommended, your healthcare provider will explain the procedure in detail, including possible complications and side effects, and will also answer any questions you may have.
You will be awake during the process to aid in properly assessing the procedure. Ask your healthcare provider about specifics beforehand.
After the local anesthesia (you will be awake but will not feel any pain) has been given, your healthcare provider will insert a small needle into the general area where you are experiencing pain.
Using X-ray, your healthcare provider will guide the needle to the exact target area. A microelectrode is then inserted through the needle to begin the stimulation process.
During the procedure, your healthcare provider will ask if you are able to feel a tingling sensation. The object of the stimulation process is to help the healthcare provider to determine if the electrode is in the optimal area for treatment.
Once the needle and electrode placement are verified, a small radiofrequency current is sent through the electrode into the surrounding tissue, causing the tissue to heat. You should not feel discomfort during the heating portion of the procedure.
What Happens After Radiofrequency Ablation?
Following radiofrequency ablation:
You will stay in a recovery room for observation, where a nurse will check your blood pressure and pulse.
A bandage will be placed over the injection site.
Can I Resume My Normal Activities After Radiofrequency Ablation?
You will have a few restrictions immediately following radiofrequency ablation:
Do not engage in any strenuous activity for the first 24 hours after the procedure.
Do not take a bath for one to two days after the procedure; you may shower.
You may remove any bandages in the evening before going to bed.
What Side Effects May I Have After Radiofrequency Ablation?
You may experience the following effects after RFA:
Leg numbness: If you have any leg numbness, walk only with assistance. This should only last a few hours and is due to the local anesthesia given during the procedure.
Mild back discomfort: This may occur when the local anesthetic wears off and usually lasts two or three days, if it occurs. Apply ice to the area the day of the procedure and moist heat the day after the procedure if the discomfort persists. You may also use your usual pain medications.
After the Procedure:
The pain management nurse will call you in one week to follow-up on your progress.
If you have any questions or concerns, please contact:
When to Call Your Healthcare Provider:
Call your healthcare provider if you have a fever over 101.0°F, chills, or redness or drainage at the treatment site.