Treatment FAQ

what is radiofrequency treatment for back pain

by Brennan Zulauf Published 3 years ago Updated 2 years ago
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A radiofrequency ablation is a minimally invasive procedure that destroys the nerve fibers carrying pain signals to the brain. It can provide lasting relief for people with chronic pain, especially in the lower back, neck and arthritic joints.

What causes severe back pain after radiofrequency ablation?

Dec 19, 2017 · Radiofrequency ablation is a minimally invasive, fast procedure that can help relieve your pain and help you feel better. Our team of skilled pain care specialists at The Pain Treatment Center can help decrease pain signals from the spine to the brain. Contact us at 601-268-8698 to find out if radiofrequency ablation is right for you.

How can radiofrequency ablation help treat back pain?

Background: Radiofrequency (RF) denervation, an invasive treatment for chronic low back pain (CLBP), is used most often for pain suspected to arise from facet joints, sacroiliac (SI) joints or discs. Many (uncontrolled) studies have shown substantial variation in its use between countries and continued uncertainty regarding its effectiveness.

Will radiofrequency ablation for back pain help me?

Radiofrequency is used to treat several areas of the back causing back pain, such as diseased or injured facet joints or the spinal discs. The facet joints prevent us from being able to lean and bend as far backward as we are able to bend forward. These joints can become diseased and cause significant amounts of pain in the back.

Can ultrasound treatment help back pain?

Jun 29, 2011 ·

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How long does it take to recover from radiofrequency ablation?

Pain relief after RFA is typically experienced 1 to 3 weeks after the injection. It is advised to rest for several days before returning to normal activities. Patients may engage in regular activities but should let pain levels be their guide for the first few days.

Does radio frequency work for back pain?

Radiofrequency neurotomy isn't a permanent fix for back or neck pain. Studies on the success of treatment have been conflicting. Some people may have modest, short-term pain relief, while others might feel better for several months. Sometimes, the treatment does not improve pain or function at all.Feb 25, 2022

Does radiofrequency have side effects?

Side effects are typically minimal and short-lived, limited to mild and temporary swelling, redness, and tingling, depending on the treatment. RF treatments can also be performed safely in tandem with injectables, microneedling, or other minimally-invasive treatments.Nov 16, 2020

Is radiofrequency ablation painful?

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.Sep 11, 2019

Who is a candidate for radiofrequency ablation?

It can provide lasting relief for people with chronic pain, especially in the lower back, neck and arthritic joints. If you suffer recurrent pain and you've experienced good relief with a nerve block injection, you may be a candidate for a radiofrequency ablation.

What is the success rate of radiofrequency ablation?

Many have found radiofrequency nerve ablation to be 70-80% effective for those who have had successful nerve blocks. Patients will experience pain relief as soon as ten days after treatment, and it can last anywhere from 9 months to 2 years.Apr 27, 2021

How many times can radiofrequency ablation be done?

Radiofrequency neurotomy or denervation is usually effective after one treatment. The procedure may be repeated every 6 months to 1 year, if necessary.

What is the next step if radiofrequency ablation doesn't work?

Epidural steroid injection Epidural steroid injections are one of the treatments we offer to treat leg pain and lower back pain. The injection involves injecting a steroid medication into the epidural space surrounding the nerve roots. The goal of the procedure is to improve mobility and control pain.May 20, 2021

How often can you have radiofrequency treatments?

For FotoFacial RF treatments, you can safely have a treatment appointment once every three to four weeks during your initial round of treatments.

Are you awake when they do an ablation?

What can I expect during surgical ablation? During surgical ablation, you can expect the following: General anesthesia (the patient is asleep) or local anesthesia with sedation (the patient is awake but relaxed and pain-free) may be used, depending on the individual case.Mar 7, 2009

How long can you live after ablation?

The median time to death was 11.6 days, and those who died were older and had a higher burden of comorbidities, such as congestive heart failure, CAD, and previous placement of a pacemaker, among other conditions.Oct 29, 2019

What are the side effects of radiofrequency ablation?

Radiofrequency ablation procedure-related risks. Damage to surrounding blood vessels and nerves during needle insertion resulting in excessive bleeding and/or irreversible neurologic damage causing long-term numbness and tingling. Heat damage to structures adjacent to the target nerve.

What is radiofrequency ablation?

Allergies or other reactions to RFA medications or anesthesia. Infection. Chronic pain isn’t something you have to live with. Radiofrequency ablation is a minimally invasive, fast procedure that can help relieve your pain and help you feel better.

How long does radiofrequency ablation last?

While radiofrequency ablation disables nerves from conducting pain for six months to a year or more, the solution is not permanent. When the nerves grow back, the pain may return and require an additional RFA treatment.

What is RFA in medical?

RFA is a minimally invasive medical procedure in which a small electrical current, produced by a radio wave, is used to heat up a small area of nerve tissue. These targeted nerves are first numbed using a local anesthetic. This helps minimize any pain while a lesion is created.

What are the side effects of RFA?

There are several potential side effects of RFA. They can include: 1 Superficial burning pain (similar to a sunburn) around the treated areas lasting up to two weeks 2 Hypersensitivity around the treated areas lasting up to two weeks 3 Temporary numbness can sometimes follow the aforementioned two-week burning and hypersensitivity period 4 Permanent nerve pain 5 Bleeding 6 Allergies or other reactions to RFA medications or anesthesia 7 Infection

How long does RFA last?

There are several potential side effects of RFA. They can include: Superficial burning pain (similar to a sunburn) around the treated areas lasting up to two weeks. Hypersensitivity around the treated areas lasting up to two weeks.

Is RFA good for back pain?

Is RFA right for me? If you suffer from chronic back pain that isn’t effectively relieved by medications, physical therapy or injections, your pain specialist may recommend RFA. This procedure may also help alleviate increased pain with lifting or twisting movements.

What are the criteria for a back surgery?

Inclusion criteria: Low back pain for >3 months, positive or neutral response to diagnostic block, 25 to 55 years of age, diagnosis of facet joint pain. Exclusion criteria: General ill health, pending compensation claims, mental illness or personality disorder, previous back operation.

When was RFA first used?

First used to treat low back pain by Shealy (12) in 1975, RFA is a procedure that may offer low back pain relief for patients without a known pathology (infection, tumour, fracture or osteoporosis). During the procedure, a high-frequency electrical current runs through an insulated needle.

Does RFA help with discogenic pain?

The evidence supporting RFA for the treatment of discogenic pain is mixed. CONCLUSIONS: While the majority of the studies focusing on lumbar facet joints and sacroiliac joints suggest that RFA significantly reduces pain in short-term follow-up, the evidence base for discogenic low back pain is mixed.

What are the side effects of radiofrequency ablation?

Lumbar radiofrequency ablation treatment is completely safe and the risk of side effects is minimal. The following are some of the extremely negligible potential side effects of the procedure: 1 Discomfort in the treated area. 2 Numbness 3 Muscle spasms. 4 Nerve pain. 5 Infection in the point of entry.

Why does my lower back hurt?

Lower back pain is a complicated issue that’s the leading issue of disabilities in the world. The spine supports the back and it’s made of bones called vertebrae that are separated from each other by cushion-like discs. Chronic pain in your lumbar usually occurs if you injure either the vertebrae of the discs, which is known as a herniated disc.

What is lumbar facet injection?

Lumbar facet joint injection is a procedure in which an anesthetic or numbing medicine is injected into the nerves of the facet joints located on either side of your spine. This procedure is often used before the radiofrequency ablation treatment because it lets the doctor figure out exactly which facet joint nerves are causing the pain. The anesthetic injection provides instant relief from pain because it blocks out the responsible facet joint nerves.

Why does my lumbar spine hurt?

Chronic pain in your lumbar usually occurs if you injure either the vertebrae of the discs, which is known as a herniated disc. You may also experience back pain because of other issues like facet joint dysfunction, sacroiliac joint dysfunction, spinal stenosis, and many other issues. Some of the symptoms of back pain that you should watch out ...

What is an epidural injection?

An Epidural Steroid Injection is a procedure in which the doctor administers a specific medicine into the epidural space which is a fat-filled space between the bone and the protective sac of your spinal nerves. This provides instant relief from pain caused by inflamed spinal nerves or degenerative disc disease.

How do you know if you have back pain?

Some of the symptoms of back pain that you should watch out for include muscle spasms, stabbing pains, pain that spreads down your legs, excessive pain while bending or even walking, weakness in your legs, tingling sensation in your legs, or bladder problems. These are all warning signs of back pain and you should seek treatment immediately.

Is radiofrequency ablation a procedure?

As previously mentioned, radiofrequency ablation treatment is a fairly advanced procedure. In all likelihood, the back pain specialist will first recommend that you go through the following treatments.

How long does radiofrequency ablation last?

The relief can last from six to 12 months. For some patients, the relief lasts years.

What are the side effects of radiofrequency ablation?

Temporary side effects can include: Weakness or numbness in your legs. Swelling and bruising at the incision site.

How to relax after xray?

First, you’ll be given an intravenous medication to relax you. Then, you’ll lie on your stomach or back on an x-ray table. The doctor will numb an area of your skin with a local anesthetic. Then, he or she will: Insert a thin needle into the area where you feel pain; an x-ray can help your doctor pinpoint the exact area.

Is radiofrequency ablation right for you?

Radiofrequency ablation may be right for you if you have chronic pain that does not respond to other treatment, such as pain medication and physical therapy. Talk to your physician about it. To schedule an evaluation at Cleveland Clinic’s Department of Pain Management call 216.444.PAIN (7246) or 800.392.3353.

What is radiofrequency ablation?

In this Article. 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.

How long does pain last after RFA?

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.

How long before a radiofrequency ablation can you eat?

To prepare for radiofrequency ablation treatment, you should take a few precautions, including: Do not eat within six hours of your appointment; however, you may have clear liquids until two hours before the procedure. If you have diabetes and use insulin, you must adjust the dosage of insulin the day of the procedure.

What is RFA used for?

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 does an X-ray work?

Using X-ray, your doctor 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 doctor will ask if you are able to feel a tingling sensation.

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Why It's Done

Surgical treatment for diffcult urination due to prostrate enlargement using cytoscope.

Treatment for: Benign Prostatic Hyperplasia · Urinary Tract Infection · Kidney or Bladder Disease · Bladder Stones

Type of procedure: Invasive

Recovery time: Can take several days

Duration: Few minutes

Hospital stay: Typically a few days

Risks

How You Prepare

What You Can Expect

  • Radiofrequency neurotomy is usually done by a provider who specializes in treating pain. The goal is to reduce chronic back, neck, hip or knee pain that hasn't improved with medications or physical therapy, or when surgery isn't an option. For example, your provider may suggest the procedure if you have back pain that: 1. Occurs on one or both sides of your lower back 2. Spreads to the but…
See more on mayoclinic.org

Results

  • Common side effects include: 1. Temporary numbness 2. Temporary pain at the procedure site Rarely, more-serious complications may occur, including: 1. Bleeding 2. Infection 3. Nerve damage
See more on mayoclinic.org

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