Radiofrequency Ablation
Also known as: radiofrequency neurotomy, nerve ablation, nerve burning
Radiofrequency ablation (RFA) is a minimally invasive procedure that targets nerve tissues responsible for chronic pain. It uses radio waves to generate heat, which destroys specific nerves, thereby reducing pain signals to the brain.
What is radiofrequency ablation?
Radiofrequency Ablation (RFA) is a minimally invasive procedure designed to target specific nerves responsible for pain signals. RFA generates heat through radio waves to target and destroy nerve tissue, alleviating pain signals sent to the brain. This technique is particularly effective for those suffering from chronic pain conditions such as arthritis, neck and back pain, and certain cancers.
RFA aims to reduce or halt pain, enhance physical function, decrease dependency on pain medications, and potentially delay the need for surgery. Remarkably, while the procedure targets the pain-causing nerve tissue, nearby healthy nerves remain unaffected, ensuring that only the problematic areas are addressed to relieve pain.
Candidates for RFA often experience pain relief from prior nerve block injections, confirming the targeted nerve as the source of their pain. This pre-procedure testing helps tailor the treatment to the individual’s specific pain profile, making RFA a highly personalised and effective pain management solution.
Conditions treated with radiofrequency ablation
Radiofrequency ablation (RFA) is a versatile and minimally invasive procedure used to treat a variety of chronic pain conditions. This technique is particularly effective for targeting specific nerves that are responsible for sending pain signals to the brain. Here are some of the conditions that can be treated with RFA:
- Lumbar Facet Joint Pain: RFA can be highly effective in relieving pain in the facet joints of the lower back. This type of pain is often caused by arthritis, injury, or general wear and tear over time.
- Joint Pain: Whether it’s the neck, back, hips, knees, or shoulders, RFA can target and alleviate pain in various joints, providing significant relief for those suffering from chronic joint pain.
- Medial Branch Nerves: These nerves are responsible for carrying pain signals from the facet joints to the brain. RFA can target and disrupt these nerves, reducing the pain experienced in the affected areas.
- Lateral Branch Nerves: Similar to medial branch nerves, lateral branch nerves send pain signals from the sacroiliac joints to the brain. RFA can effectively target these nerves to alleviate pain in the lower back and pelvic region.
By addressing these conditions, RFA offers a targeted and effective solution for those struggling with chronic pain, helping to improve their quality of life.
Candidates for radiofrequency ablation
Radiofrequency ablation (RFA) is an excellent option for individuals who have not found relief from other treatments. You may be a suitable candidate for RFA if you:
- Have Chronic Pain: If you suffer from chronic pain that has not responded to other treatments such as physical therapy or pain medication, RFA might be the solution you need.
- Experience Pain in Specific Joints: Pain in the facet joints, sacroiliac joints, or other joints can be effectively managed with RFA.
- Medial or Lateral Branch Nerve Pain: If your pain is caused by medial branch nerves or lateral branch nerves, RFA can target these specific nerves to relieve pain.
- Seek a Minimally Invasive Procedure: RFA is a minimally invasive procedure, making it an attractive option for those looking to avoid more invasive surgical treatments.
- Have Tried Other Interventional Treatments: If other interventional treatments, such as injections or nerve blocks, have not provided sufficient relief, RFA may be a viable next step.
By meeting these criteria, you can benefit from the targeted pain relief that RFA offers, potentially improving your overall quality of life. Patients with current infections or bleeding disorders may not be suitable candidates for RFA due to increased risks.
Hospital fee guide price: £1,960
Procedure price subject to bespoke quotation
*Additional consultant fee not included
Before treatment
Firstly, you will have an appointment with one of our spinal or pain management consultants. If you don’t already have a confirmed diagnosis, they will take a history, conduct a physical exam, and refer you for an MRI scan of your spine. You may need to have some blood tests as well.
If radiofrequency ablation procedure is recommended, your doctor will walk you through the potential risks and details of the procedure.
If you decide to go ahead with the procedure, we will help you prepare, but you should also try to eat healthily in the run up and stop smoking if you can.
Preparation for radiofrequency ablation
Preparation plays a key role in the success of Radiofrequency Ablation. Patients may need to stop certain medications and have blood tests prior to the procedure to ensure safety. Discussing specific preparations with your healthcare provider tailors the approach to your individual needs.
Arrange for someone to drive you home, as you will not be able to operate a vehicle immediately after the procedure.
Taking these preparatory steps ensures that you are ready for the procedure and can focus on the potential benefits of pain relief that RFA offers. By following these guidelines, you set the stage for a smooth and successful treatment experience.
During treatment
Before the procedure, the patient undergoes diagnostic tests, such as medial branch nerve blocks, to confirm the source of the pain. During the RFA procedure, the patient is typically awake but sedated for comfort. The patient lies on an X-ray table, and the area of the spine being treated is cleaned and numbed with a local anaesthetic. Using fluoroscopic (X-ray) guidance, the physician inserts a thin, specialised needle into the precise location near the targeted nerve. Contrast dye may be injected to confirm accurate placement.
Once the needle is properly positioned, a radiofrequency electrode is inserted through the needle. The electrode emits radiofrequency energy, creating heat that ablates, or burns, the targeted nerve tissue. This heat disrupts the nerve’s ability to transmit pain signals to the brain. The procedure typically targets nerves near the facet joints, which are small joints in the spine that provide stability and allow for motion. Depending on the area and number of nerves treated, the procedure may last between 30 and 90 minutes.
After treatment
Immediate post-procedure care
Post-procedure, you will be monitored in the recovery room to assess your response and manage any discomfort. Vital signs are regularly checked, and initial discomfort can often be managed with prescribed pain relief medication. This monitoring typically lasts between 15 minutes to an hour, depending on your individual response.
Patients may experience superficial burning pain, hypersensitivity, and slight numbness immediately after RFA. It is advised to have someone drive you home, as you will return home the same day. Understanding what to expect immediately after the procedure can help you feel more at ease during the initial recovery phase.
Applying an ice pack on the injection site can help manage initial discomfort and swelling as you transition from the recovery room to home.
Short-term recovery from RFA
Short-term recovery after Radiofrequency Ablation involves a few simple but important steps to ensure a smooth healing process. Patients are usually advised to avoid strenuous activities initially, gradually returning to normal activities within a few days.
To alleviate swelling and discomfort, consider the following recommendations:
- Use ice packs, which can be particularly effective in the days following the procedure.
- Follow a soft diet for the initial two days post-RFA, including options like soups and yogurt, to make eating more comfortable.
- Resume normal dietary habits after two days but avoid meat and dry foods for an additional 2 to 4 days.
By following these guidelines, you can help ensure a smoother recovery process.
Mild side effects such as discomfort in the chest or abdomen may occur for up to 10 days post-procedure. However, these symptoms are typically manageable and subside as the body heals.
Long-term pain relief and follow-up
Long-term pain relief from Radiofrequency Ablation can be a game-changer for those suffering from chronic pain. Most patients start experiencing relief within a timeframe of 1 to 3 weeks, with some feeling better as early as one week post-procedure. This gradual improvement allows patients to resume their daily activities with significantly less pain.
Follow-up appointments evaluate the effectiveness of the treatment and allow for adjustments in pain management strategies if needed. During these visits, healthcare providers can monitor your pain levels and ensure that the procedure has successfully targeted the problematic nerves.
Temporary numbness in the treated area might occur but usually subsides as the nerves heal. Overall, the long-term benefits of RFA can lead to a substantial improvement in quality of life.
Risks and complications
As with any medical procedure, Radiofrequency Ablation comes with potential risks and complications. Infection is a potential risk, and precautions are taken during the procedure to minimise this likelihood. Bleeding can also occur, especially in patients with pre-existing bleeding disorders.
There is a risk of damage to blood vessels during the procedure, as well as the possibility of heart rhythm disturbances, which may require monitoring and management. Patients may experience slow heart rates after the procedure, which might necessitate the use of a pacemaker.
It is essential for individuals with pacemakers to inform their medical staff, as RFA may interfere with its function. Awareness of these risks allows patients to make informed decisions and take necessary precautions.
Appointment and Treatment Plan
Appointment
Based on your previous consultation with a doctor, an appointment will be arranged between you and your surgeon.
Treatment plan
During this appointment, you’ll go through your medical history, the surgery, the recovery, and together, you’ll decide whether this is a viable option for you.
Pre-op assessment
If the procedure is an option, then the surgeon and their team will thoroughly assess whether you’re right for the procedure. They’ll consider your current health, any previous issues, and other external matters.
Procedure
Prior to going through the procedure, our team will ensure that you’re prepped once again. If everything is confirmed, you’ll undergo the procedure and then we’ll explain the aftercare instructions.
Aftercare
If necessary, you’ll stay in a ward for a few hours to ensure that you’re ready to go home after the surgery. However, this may depend on the surgery outcome and whether you need moderate or light assistance.
Follow-Up
You’ll come in a few weeks later and we’ll give you one final check-over to ensure that you’re on track for recovery.
Experts
We are proud to provide patients with access to a wide range of clinicians, chosen specifically for their knowledge and reputation in their area of expertise. Our experts align with our values: putting you at the centre of your care and educating you on your options at each step of the journey. We encourage you to learn more about our clinicians and how they can help you below. As always, please contact our patient services team if you require any additional information.
We offer 3 ways to pay for your treatment
We exist to take the stress out of private healthcare.
Our payment options are designed to offer you easy access to our treatments and services. You can choose to pay on the day, spread the cost, or use your private medical insurance.
Our patient services team will guide you through the process, providing clear costs and support throughout your course of treatment so you can focus on the thing that matters most – your health.
Whether you pay in advance, spread the cost, or use your private medical insurance, rest assured you will be receiving exceptional care 365 days a year.
Pay in Advance
Even if you do not have medical insurance, you can still get quick and comprehensive access to private medical care.
We provide transparent pricing from your initial consultation to the completion of your treatment so you know where your stand, every step of the way.
We accept all major debit and credit cards, as well as Apple Pay for UK residents. Please note that we do not accept cash or cheques.
Pay monthly
Paying for your treatment at OSD Healthcare doesn’t need to mean settling the full cost in one go.
Many of our treatments have a pay monthly option that allows you to spread the cost of your treatment over 12 months with no credit checks required.
A minimum spend of £300 does apply. We’ll take your first payment upfront and then arrange a direct debit for your monthly payments thereafter. It’s that simple.
Pay using PMI
We are recognised by all major health insurance companies and with our extensive range of services, there are lots of benefits to using your insurance with us. Our patient services team is here to answer any questions you may have about using your private health insurance with us.
Please bring along your policy details including your scheme details, membership or policy number, expiry date and confirmation of eligibility to claim (i.e. your authorisation number). If you do not have these details with you, we will require payment from you on the day. Patients are liable for any amounts not settled by their insurer.
Hospital fee guide price: £1,960
Procedure price subject to bespoke quotation
*Additional consultant fee not included