Radiofrequency Ablation

Direct answers — no jargon.

If your question isn’t here, ask us at your consultation. We will give you the same answer in plain English.

• Is RFA painful?
  The targeted area is fully numbed with local anesthetic, and we offer light sedation. Most patients describe the experience as a few minutes of pressure rather than pain.
• How long does relief last?
  Most patients experience 6 to 18 months of meaningful relief. As the nerve regenerates over time, the procedure can be repeated safely.
• Will I be on medications afterward?
  RFA is specifically designed to reduce reliance on long-term pain medications. Many patients are able to taper or stop oral pain medications after a successful ablation.
• Why are diagnostic blocks done first?
  We use a two-block paradigm — two separate diagnostic medial branch blocks on different days — to confirm that the small nerves we plan to ablate are in fact the source of your pain. Both blocks must provide meaningful relief; this is the standard before RFA and is also what insurers require. If the blocks do not provide meaningful relief, RFA is unlikely to help — and we will redirect to a different therapy.
• How quickly can I get back to work?
  Most patients return to desk work the next day and to physical work within 2–3 days, depending on the area treated. We will give you specific guidance based on your job.
• Can RFA be done if I had previous spine surgery?
  In many cases, yes. Prior spine surgery does not automatically rule out RFA. We will review your imaging and surgical history to determine candidacy.
• Are there alternatives to RFA?
  Yes — depending on the source of your pain, alternatives can include Intracept, spinal cord stimulation, SI joint fusion, or continued conservative care. We discuss the full landscape with you before recommending RFA.