Radiofrequency Ablation (RFA)

Radiofrequency ablation (RFA) is a minimally invasive pain management treatment that reduces chronic pain, especially in the spine and joints. Radiofrequency energy deactivates the nerve fibers carrying pain signals to the brain, and relief often lasts six months to a year or longer.

Diagram of radiofrequency ablation needles at the facet joint nerves for back pain

What Is Radiofrequency Ablation?

Radiofrequency ablation is a clinically proven technique that uses radio waves to create heat. The heat is carefully directed to specific nerve tissue, significantly reducing pain signals from the targeted area.
 
A small needle is placed under imaging guidance, such as ultrasound or fluoroscopy. A microelectrode then delivers radiofrequency energy to the nerve, creating a heat lesion that disables its ability to send pain signals without significant damage to surrounding tissue. For the spine, it is commonly used after medial branch blocks confirm facet joint pain.

Conditions RFA Treats

Is RFA Right For You?

RFA may be an effective option if you have chronic pain that has not responded to conventional treatments like medication or physical therapy. Ideal candidates have specific conditions that can be targeted, such as facet joint pain, sacroiliac joint pain, and certain types of neck and back pain.
 
A consultation with one of our board-certified physicians can help determine if RFA is suitable for your condition.

What To Expect During The RFA Procedure

RFA is typically performed on an outpatient basis, with no hospital stay:

  1. 1

    Local anesthetic

    The area is numbed to minimize discomfort.

  2. 2

    Imaging guidance

    A small needle is guided to the target nerve with fluoroscopy or ultrasound.

  3. 3

    Radiofrequency energy

    A microelectrode delivers energy to create a heat lesion on the nerve.

  4. 4

    Brief monitoring

    The process takes about 30 to 90 minutes; you are monitored briefly, then go home.

Frequently Asked Questions

What is radiofrequency ablation?

Radiofrequency ablation (RFA) uses radio waves to create heat that is directed at specific nerve tissue, disabling the nerve's ability to send pain signals to the brain.

How long does RFA relief last?

Patients often experience relief for six months to a year, and in some cases longer.

What conditions does RFA treat?

RFA is primarily used for chronic pain in the lower back and neck, arthritic joints, facet joint pain, sacroiliac joint pain, and spinal arthritis (spondylosis).

How long does the procedure take?

The procedure takes about 30 to 90 minutes, depending on the area treated, and is performed on an outpatient basis with a local anesthetic.

When will I feel relief?

Most patients report significant pain relief within one to three weeks after the procedure.

What is recovery like?

Recovery is generally quick. Some soreness at the injection site is common and can usually be managed with over-the-counter pain relievers. Avoid strenuous activity for the first 24 hours.

Who is a good candidate?

Patients with chronic pain that has not responded to medication or physical therapy, with specific targetable sources such as facet or sacroiliac joint pain, usually confirmed with diagnostic blocks.

How do I find out if RFA is right for me?

A consultation with one of our board-certified physicians can determine whether RFA suits your condition. Call (321) 499-4646.

Benefits Of RFA

RFA offers:

  • Long-lasting pain relief, often for six months to a year and sometimes longer.
  • A minimally invasive approach, with most patients back to normal activities within a few days.
  • Safe and effective treatment, with a high success rate and minimal risk of complications.
  • Improved quality of life, with more mobility and comfort.
  • An outpatient procedure with no hospital stay.

Related Treatments

Aftercare And Recovery

Recovery from RFA is generally quick.

First 24 hours

Take it easy

Avoid strenuous activity; soreness at the site is common.

Days

Back to normal activity

Most patients return to normal activities within a few days.

1 to 3 weeks

Relief builds

Most patients report significant pain relief within one to three weeks.

Our Patients Stories

Hear our patients share their experience with us, All in their own words.

Why Choose Total Spine and Orthopedics

Expert, ultra-minimally invasive spine and orthopedic care, close to home.

  • Ultra-minimally invasive and endoscopic techniques

    We specialize in procedures performed through incisions smaller than a dime, sparing muscle and supporting a faster recovery.

  • Same-day, outpatient procedures

    Most patients walk in and return home within hours, rather than facing an overnight hospital stay.

  • Board-certified, fellowship-trained surgeons

    Our team includes early leaders in endoscopic spine surgery.

  • A complimentary MRI review

    Understand your diagnosis and options from a board-certified specialist before committing to any treatment.

  • Trusted by our community

    More than 1,100 patient reviews at a 4.6-star average, and over 50,000 patients treated.

  • Leaders in minimally invasive pain care

    Our board-certified doctors and trained staff specialize in RFA and similar procedures.

  • Comprehensive spine and orthopedic care

    From injections to advanced procedures, your full continuum of care is handled in one place.

  • Convenient locations across the Space Coast and Orlando

    Care close to home in Melbourne, Orlando (Lake Nona), and Titusville.

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