Chronic pain is a major health concern in India, affecting millions of people and impacting their ability to perform everyday activities. Conditions like arthritis, back pain, neck pain, and nerve-related discomfort often require long-term management strategies. While medications and physiotherapy can help, many patients seek more advanced solutions for sustained relief. One such effective treatment is Radiofrequency Ablation (RFA).
What is Radiofrequency Ablation?
Radiofrequency Ablation is a minimally invasive procedure that uses heat generated from radio waves to target specific nerves causing pain. The heat disrupts the nerve’s ability to transmit pain signals to the brain, providing long-term relief. Unlike surgery, RFA does not involve large incisions, making it a safer and less invasive option for managing chronic pain.
RFA is most commonly used for conditions like facet joint pain, sacroiliac joint pain, chronic neck and back pain, and certain nerve-related pains. It is particularly useful for patients who have not found adequate relief from medications, injections, or physical therapy.
How Does Radiofrequency Ablation Work?
During the procedure, a thin needle is inserted into the area near the affected nerve under imaging guidance, such as X-ray or fluoroscopy. Once the needle is in place, radiofrequency energy is delivered to generate heat, which temporarily disables the nerve’s ability to transmit pain signals.
Before the procedure, patients may receive local anaesthesia to minimise discomfort. The entire process usually takes about 30 to 60 minutes, and most patients can return home on the same day.
Conditions Treated with RFA
Radiofrequency Ablation is effective for a variety of chronic pain conditions, including:
- Facet Joint Pain: Commonly caused by arthritis or injury in the spinal joints.
- Sacroiliac Joint Pain: Pain in the lower back and pelvis can be relieved using RFA.
- Chronic Neck and Back Pain: Patients with long-term spinal pain often benefit from nerve-targeted therapy.
- Peripheral Nerve Pain: Nerve entrapment or neuropathic pain can also be treated effectively.
- Arthritis-related Pain: Knee, shoulder, and hip joint pain from osteoarthritis can be reduced with RFA.
Advantages of Radiofrequency Ablation
Radiofrequency Ablation offers several benefits over traditional pain management approaches:
- Long-lasting Relief: Pain relief from RFA can last from six months to two years, depending on the condition.
- Minimally Invasive: The procedure does not require large incisions, reducing recovery time and risk of complications.
- Reduced Dependence on Medications: Patients can lower their intake of painkillers, including opioids.
- Targeted Therapy: Only the nerves responsible for pain are affected, leaving surrounding tissues unharmed.
- Quick Recovery: Most patients can resume normal activities within a day or two.
Procedure and Recovery
RFA is usually performed on an outpatient basis. The steps include:
- Consultation and Evaluation: Pain specialists assess the patient’s condition and conduct diagnostic tests to locate the pain-causing nerves.
- Trial Block: Sometimes a temporary nerve block is performed to confirm that targeting the nerve will provide relief.
- Radiofrequency Ablation: Using imaging guidance, the physician inserts the RFA needle and delivers controlled radiofrequency energy.
- Post-procedure Care: Patients are monitored for a short period and may experience mild soreness, which usually resolves within a few days.
Physical therapy may be recommended to maintain mobility and strengthen muscles after the procedure.
Safety and Considerations
Radiofrequency Ablation is generally safe when performed by experienced specialists. Risks are minimal but can include temporary numbness, soreness, or mild infection at the needle site. Patients with severe bleeding disorders or active infections may need alternative treatments.
It is essential to have RFA performed in a reputable pain management centre with advanced imaging and trained professionals to ensure safety and optimal results.
Future of Radiofrequency Ablation
Ongoing research and technological advancements are making RFA even more effective. Modern devices allow for precise targeting of nerves, adjustable energy delivery, and combination with other therapies for better outcomes. As awareness of minimally invasive pain treatments grows in India, more patients are seeking RFA as a reliable alternative to long-term medication or surgery.
Conclusion
Radiofrequency Ablation is a safe, minimally invasive, and highly effective option for managing chronic pain caused by nerve or joint problems. With long-lasting results and minimal recovery time, RFA has transformed pain management strategies for patients struggling with persistent discomfort. For expert evaluation, personalised treatment plans, and advanced RFA procedures, Nexus Advanced Pain Management offers comprehensive care designed to improve quality of life and restore mobility naturally.