Radiofrequency Ablations (RFA)

Radiofrequency Ablations

Radiofrequency ablation (RFA), sometimes called a nerve-burning procedure, is a minimally invasive option to help relieve chronic pain. This procedure uses radiofrequency energy to heat and disable nerves that send pain signals to the brain. By “burning” these nerves, RFA can provide long-term relief for people with ongoing pain caused by conditions like arthritis, back pain, or joint problems.

How Does Radiofrequency Ablation Work?

During the procedure, a small, needle-like probe is placed into the area causing pain. The probe sends out radiofrequency waves that create heat. This heat helps in two key ways. First, it blocks pain signals from reaching your brain by targeting the nerves causing pain, providing long-lasting relief. This can be especially helpful for people who haven’t found success with other treatments like medication or physical therapy. Second, the heat can shrink abnormal growths, like tumors or nodules, by damaging the cells. Along with reducing pain, RFA can help improve symptoms like swelling or discomfort caused by these growths. This makes RFA a good option for treating both pain and other related symptoms.

Graphic of Radiofrequency Ablations treatment

Types of Radiofrequency Ablation

There are several types of radiofrequency ablation procedures, each designed to address specific conditions and areas of chronic pain. Choosing the correct type of RFA depends on the location of your pain, your medical history, and your doctor’s recommendations. The main types include:

  • Conventional Radiofrequency Ablation (RFA): This common procedure uses continuous radiofrequency energy to heat and disable nerves responsible for transmitting pain signals. It is often used to treat pain in the back, neck, or joints.
  • Pulsed Radiofrequency Ablation (PRFA): Unlike conventional RFA, this method delivers short bursts of radiofrequency energy, reducing the risk of tissue damage while still disrupting pain signals. It’s often used for patients who need a gentler approach.
  • Water-Cooled Radiofrequency Ablation (CRFA): This technique uses a water-cooled probe to provide a broader treatment area, making it ideal for larger nerves or areas of pain, such as in the knees or hips.
  • Targeted RFA for Spinal Pain: This approach focuses on the spine and targets nerves in the facet joints to alleviate chronic back or neck pain that may be caused by arthritis or disc degeneration.
  • Sympathetic Nerve Block RFA: This procedure targets nerves in the sympathetic nervous system, which controls involuntary body functions, to relieve pain from conditions like complex regional pain syndrome (CRPS). It’s also useful for patients with certain vascular conditions.

Uses of Radiofrequency Ablation

Radiofrequency ablation (RFA) is often used to treat chronic pain, particularly when other treatments have not been effective. Conditions like arthritis, degenerative disc disease, and joint degeneration can cause persistent pain that RFA may help alleviate. Common symptoms that indicate RFA might be beneficial include:

  • Persistent Back or Neck Pain: Chronic spinal pain that doesn’t respond to traditional treatments.
  • Joint Pain: Ongoing discomfort in the knees, hips, or other joints, often associated with osteoarthritis.
  • Radiating Pain: Pain that spreads from the lower back into the legs (sciatica) or from the neck into the arms, suggesting nerve involvement.
  • Muscle Weakness or Numbness: Weakness or numbness due to nerve irritation or damage.
  • Limited Mobility: Stiffness or difficulty moving due to chronic pain, impacting daily activities and quality of life.

Graphic of man with back pain

Specific Applications of RFA

RFA is a versatile treatment that can be applied in different areas depending on the medical condition.

  • Chronic Pain: For individuals with chronic pain, especially in the spine, RFA targets the nerves responsible for sending pain signals, often leading to significant relief and improved quality of life.
  • Thyroid Nodules: RFA provides a less invasive option for treating benign thyroid nodules, allowing patients to experience shorter recovery times than traditional surgery.
  • Gastrointestinal Conditions: RFA is effective in treating Barrett’s esophagus, a condition that can lead to esophageal cancer. By eliminating abnormal tissue, RFA can prevent disease progression.

Risk Factors

Various risk factors can heighten the likelihood of experiencing chronic pain. One key factor is age since older individuals are more likely to experience arthritis and back pain. Lifestyle choices play a significant role as well; a lack of physical activity, poor posture, and obesity can all lead to increased pain. Previous injuries or surgeries may also make individuals more susceptible to chronic pain.

Mental health issues such as stress, anxiety, and depression can intensify pain symptoms. Identifying these risk factors is crucial for effectively managing and preventing chronic pain.

Graphic of Radiofrequency Ablations and xray

Benefits of Radiofrequency Ablation

RFA offers several advantages that make it an appealing treatment option:

  • Minimally Invasive: RFA, unlike traditional surgeries, disrupts tissues less. This leads to quicker recovery times.
  • Reduced Pain: Many patients experience significant pain relief shortly after the procedure.
  • Short Recovery Time: Most individuals can resume normal activities within 24 hours.
  • Versatile Applications: RFA can treat various conditions, from chronic pain to tumors.

Determining the Need for Radiofrequency Ablation

If you’re experiencing chronic pain, determining whether radiofrequency ablation (RFA) is the right treatment usually starts with a visit to your physician. You may have a physical exam to assess your pain and how it impacts your daily life. In some cases, imaging tests like X-rays, MRIs, or CT scans are done to identify conditions such as arthritis or disc problems that could be contributing to your pain.

In certain situations, your physician may perform a diagnostic nerve block to pinpoint the source of your pain. If the nerve block provides relief, RFA may be a suitable option. Understanding this process is an important step in managing your pain effectively.

Our Approach to Radiofrequency Ablation Care

At Florida Medical Clinic Orlando Health, we’re committed to helping patients find lasting relief from chronic pain through treatments like radiofrequency ablation. By targeting the specific nerves that send pain signals, RFA can significantly reduce discomfort and improve your quality of life. Our team will guide you through the procedure, explain its benefits, and help you decide if RFA is the right option for you.

If you’re struggling with chronic pain and want to explore whether RFA can help, our experienced specialists are here to offer personalized care and treatment plans. Contact us today to begin your journey toward pain relief and reclaim your life.

St. Petersburg - 603 7th Street South, St. Petersburg, FL 33701

St. Petersburg

603 7th Street South
St. Petersburg, FL 33701

Suite 100


St. Petersburg

603 7th Street South
St. Petersburg, FL 33701

Suite 100

Radiofrequency Ablations (RFA) Care Team at this location:
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