Cervical Radiofrequency Ablation (RFA) is a procedure used to alleviate chronic neck pain that originates from the facet joints in the cervical spine. These joints can become inflamed or damaged due to conditions such as:
- Cervical facet joint arthritis
- Facet joint syndrome
- Degenerative disc disease
- Whiplash injuries
- Chronic neck pain
RFA uses radiofrequency energy to heat and disrupt the medial branch nerves that transmit pain signals from the cervical facet joints. This blocks pain transmission and provides relief for an extended period.
How Does It Help?
Cervical RFA is designed for patients who have already experienced temporary pain relief from a cervical medial branch block. By permanently disrupting the medial branch nerves, cervical RFA can offer long-lasting relief from chronic neck pain.
Steps of Administering Cervical Radiofrequency Ablation
- Preparation:
- You will be positioned comfortably, typically lying down, and the skin over your neck will be cleaned and sterilized.
- A local anesthetic will be injected to numb the area around the cervical spine.
- Fluoroscopic Guidance:
- The doctor will use fluoroscopy (X-ray guidance) to carefully position a small needle near the medial branch nerves supplying the cervical facet joints.
- Radiofrequency Application:
- Once the needle is in place, a small electrode is inserted, and radiofrequency energy is applied to heat and disable the targeted nerve tissue.
- Post-Procedure Monitoring:
- After the procedure, you will be observed for 15-30 minutes to assess your response and ensure your safety.
When Can You Go Home?
- Most patients can go home within an hour after the procedure.
- It is advisable to have someone drive you home, as you may feel temporary soreness or numbness in the neck.
- Light activities can be resumed the next day, but you should avoid heavy lifting or strenuous activity for 24-48 hours.
How Many Procedures Are Needed?
- One Procedure: Cervical RFA is generally performed once, though some patients may need to repeat the treatment if the pain returns over time.
- Duration of Relief: Pain relief from cervical RFA typically lasts 6 months to 2 years, depending on individual response and condition. If the pain recurs, the procedure can be repeated.
Final Thoughts
Cervical radiofrequency ablation is an effective way to manage chronic neck pain caused by facet joint problems. It provides long-term relief, helping you regain mobility and engage in activities with less discomfort.
If you have further questions or concerns about the procedure or your recovery, please reach out to our office for assistance.