Radiofrequency Ablation (RFA) or Rhizotomy

Overview: Radiofrequency Ablation (RFA), also known as Radiofrequency Rhizotomy, is a minimally invasive medical procedure used to reduce or eliminate pain. It involves using radiofrequency energy to heat and destroy specific nerve tissues, thereby disrupting pain signals sent to the brain. This technique is commonly used to treat chronic pain conditions, particularly those related to the spine, and joints.

How it Works:

• Procedure: The process involves inserting a needle-like probe into the targeted area under imaging guidance (such as fluoroscopy or CT scan). The tip of the probe emits radiofrequency energy, generating heat that ablates (destroys) the nerve tissue responsible for transmitting pain signals.
• Duration: The procedure typically takes 30 to 90 minutes, depending on the area being treated, and is often performed under local anaesthesia with mild sedation.
• Effect: By ablating the nerves, the pain signals are interrupted, leading to pain relief, which can last from several months to over a year.

Areas of Treatment:

1. Spine and Back Pain:
• Facet Joint Pain: RFA is commonly used to treat chronic pain originating from the facet joints in the spine, which can cause back and neck pain.
• Sacroiliac Joint Pain: This procedure can also be effective in managing pain in the sacroiliac joints, which connect the spine to the pelvis.
2. Chronic knee Joint Pain: RFA is used to treat osteoarthritis-related knee pain by targeting the genicular nerves.
3. Occipital Neuralgia: The procedure can also be applied to relieve pain from occipital neuralgia, a type of headache caused by irritation of the occipital nerves at the back of the head.

Benefits:

• Minimally Invasive: RFA is a non-surgical option, involving minimal recovery time and reduced risk of complications.
• Long-Lasting Relief: Patients often experience significant pain relief that can last for months or even longer.
• Targeted Treatment: The procedure is highly targeted, affecting only the specific nerves responsible for pain.

Considerations:

• Temporary Relief: While RFA can provide long-lasting relief, the effects are not permanent, and nerves may regenerate over time.
• Risks: Potential risks include infection, nerve damage, and numbness, although these are relatively rare.
• Suitability: Not all patients are candidates for RFA. It is typically recommended after conservative treatments, like physical therapy or medication, have failed to provide adequate relief.

Radiofrequency Ablation or Rhizotomy is an effective and widely used treatment for managing various types of chronic pain, particularly when other treatments have proven ineffective. It offers a non-surgical option that can significantly improve a patient's quality of life.

Disclaimer:  This content is intended for informational purposes only. It is not a substitute for professional medical advice. If you would like any clarifications, please contact your local practice.