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 office people are great and my current provider is an excellent healthcare giver. It only took 45 mins from walking in the door and checking out at the end of the appointment. I recommend this healthcare facility.”
“Compassionate and understanding medical dr that understands my pain. Front desk and staff are very nice. The radio frequency ablation on my neck and back have improved my pain and range of motion.”
“I have al ot of problems. I have had neck fusion and SI joint fusion and now have a disc put in lower back. Now planter fastic in foot and nuro told me couple of weeks ago I have fibromyalgia and said they know that I’m in alot of pain and to go to pain management i
I found APS and f I didn’t have this kind of place I don’t know what I would do.
I have been taking pain meds since 2004 but right now it’s at the point I think I have so much pain that the meds only last 2-3 hrs but I love the people the work with you and the treatment I’ve gotten.”
“Great staff Michael Gilmore is good and Jennifer Stacey is an awesome Apn and she is really smart and professional every visit”
“Doctor was really nice and all the people in the office were nice.
“The front staff was terrific, friendly, and very prompt with their check in procedures and my wait time was amazingly short!!! The initial nurse was so efficient & professional as well as very nice. My provider is Samantha who REALLY IMPRESSED me with her knowledge and her thorough coverage and knowledge of my extensive medical records upon seeing me. She (Samantha is quite amazing) and I truly felt she recognized my issues and grasped the severity of my situation and orthopedic mobility issues”
“They are all very efficient and professional at APS. I am looking for relief from my pain but cannot take opioids for my job. I appreciate that they don’t try to push opioids on me.”
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