Cervical Radiofrequency Ablation (RFA): A Precision Approach to Chronic Neck Pain Relief

Chronic neck pain can be a debilitating condition that significantly impacts your quality of life. At Solutions In Pain, we specialize in treating localized chronic neck pain without associated radicular symptoms, such as radiation of pain, tingling, numbness, or the sensation of pins and needles. This form of neck pain can be challenging to manage, but our clinic offers effective solutions through advanced techniques like Cervical Radiofrequency Ablation (RFA). This minimally invasive procedure provides precise targeting of the pain signals responsible for your discomfort, helping you regain control over your life.

What is Cervical Radiofrequency Ablation (RFA)?

Cervical Radiofrequency Ablation is a therapeutic procedure that takes only 10 to 15 minutes. It involves using radio waves to generate an electric current that heats a small area of nervous tissue, effectively blocking or interrupting the pain signals associated with chronic neck pain. By targeting the facet joints of the spine, RFA provides substantial relief for patients suffering from localized chronic neck pain. This treatment is particularly beneficial for individuals who have not found relief through traditional pain management methods.

Clinical Indications for Cervical Radiofrequency Ablation

Cervical Radiofrequency Ablation is indicated for various conditions that lead to chronic neck pain, including:

  • Cervical Spondylosis: Age-related wear and tear affecting the spinal discs in the neck.
  • Diffuse Cervical Arthropathy: Degenerative changes in the cervical spine that can cause pain and stiffness.
  • Chronic Neck Pain Without Radicular Symptoms: Persistent neck pain not accompanied by symptoms radiating into the arms.
  • Failed Back Surgery Syndrome (FBSS): Ongoing pain following previous spinal surgery, affecting the neck.
  • Successful Completion of Serial Medial Branch Blocks (MBB) with Clinically Satisfactory Results: Patients who have responded well to diagnostic injections may benefit from RFA.

What to Expect During Your RFA Procedure

On the day of your procedure, we recommend arriving at our clinic 15 minutes early, accompanied by a designated driver. Our team will take the time to educate you about the benefits and risks of Cervical Radiofrequency Ablation. After a thorough discussion, you’ll be required to sign a consent form before we proceed.

The procedure site will be cleaned with Chloraprep to minimize the risk of infection. Utilizing fluoroscopic guidance, our physician will identify the exact location for the procedure. An injection of lidocaine, a local anesthetic, will numb the procedural site and surrounding skin. Once you are adequately numb, we will inject a combination of bupivacaine (an anesthetic) and kenalog (a steroid) into the facet joint targets. This cocktail serves to optimize pain relief in preparation for the RFA.

Before moving forward with the radiofrequency ablation, we perform motor nerve tests to confirm that the targeted nerve is sensory and does not compromise any motor functions. After confirming the appropriate nerve is targeted, we proceed with the RFA procedure. Once the procedure is complete, you will be observed for an additional 5 to 10 minutes to ensure your safety before scheduling your next RFA session, as this is a bilateral procedure. Follow-up appointments will be scheduled approximately 10 days after the procedure.

What to Expect After Your RFA Procedure

Post-procedure, many patients experience a significant reduction in localized chronic neck pain. The duration of pain relief can vary; some individuals may find relief for just a few days, while others experience pain reduction lasting from three to twelve months or even longer. It is also common to experience mild, acute short-term swelling or discomfort around the injection site.

Potential Risks of Cervical Radiofrequency Ablation

While Cervical Radiofrequency Ablation is generally safe, like any medical procedure, it carries certain risks, including:

  • Misplacement of the Needle: This could lead to ineffective treatment or potential complications.
  • Unexpected Bleeding: Though rare, some bleeding may occur at the injection site.
  • Drug Allergies: Patients may experience allergic reactions to the medications used during the procedure.
  • Infection: As with any invasive procedure, there is a risk of infection.
  • Nerve Damage: Although uncommon, nerve damage can occur during the procedure.
  • Worsening Pain: Some patients may experience increased pain in the short term following the procedure.

Experience the Benefits of RFA at Solutions In Pain

If you’re struggling with chronic neck pain without radicular symptoms, Cervical Radiofrequency Ablation may be the solution you’ve been looking for. Our experienced team at Solutions In Pain is dedicated to providing compassionate care and advanced treatment options tailored to your needs. Contact us today to learn more about how RFA can help you reclaim your life and enjoy lasting relief from pain.

Cervical Radiofrequency Ablation (RFA)