If you have a positive response to a medial branch block, then the next step to obtain longer pain relief is a Radiofrequency Ablation (RFA).
A RFA is an electric current that is introduced to the nerves of the facet joints. The current is used to deaden a small area of the nerve and disrupt the pain signals that the nerve is sending to the brain. This is like temporarily shutting off/decreasing the nerve signals that are causing your pain. This is performed using small needle-like probes as demonstrated in the picture above.
For patient comfort, you may have the choice of mild sedation or pre-medication. For patient safety, an x-ray technique known as fluoroscopy guidance is utilizing for accurate needle positioning.
On average you can expect at least 70-80% pain relief that lasts anywhere from 4 to 6 months, followed by a slow increase in pain levels over the next 2 -3 months. After 6 months, the RFA can be repeated for continued pain relief.
With this procedure, it may take up to 6 weeks to start noticing pain relief due to initial nerve irritation caused by the procedure. Meanwhile, your provider will continue to manage your medication appropriately.
“The staff and providers are awesome. I’ve been going there for several years. My concerns are always answered. The girls at the front desk are so polite and willing to help in any way. They are all very friendly and professional. I feel they all have a true concern about my issues and doing what needs to be done to help me with my day to day life. Thanks to all.”
“Yes, I get excellent care from these providers. I would be completely non-functional without my pain management treatment plan from these doctors. They know the extreme pain that I face 24/7 as a result of uncontrollable, intractable bone and nerve pain.”
“Very friendly staff at APS.”
“Jennifer, my provider, is the best, So compassionate and easy to talk to.”
“Everyone is always so nice and polite I love coming to APS”
” I have always been treated wonderfully at Associated Pain Specialists. Everyone there always works to make sure my issues are as resolved as they possibly can be. The providers, nurses and staff are all professional and caring!”
“My provider Lindsey is so professional and explains all my options and has the great ability to listen to me!”
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