Thoracic Radiofrequency Ablation (RFA) is a procedure designed to relieve chronic pain in the mid-back area, often caused by issues with the thoracic facet joints. These joints can become inflamed or arthritic, leading to persistent pain. Conditions treated by thoracic RFA include:
- Facet joint arthritis
- Thoracic facet syndrome
- Degenerative disc disease
- Chronic mid-back pain
The procedure involves using radiofrequency energy to heat and disable the medial branch nerves that transmit pain signals from the thoracic facet joints to the brain. This effectively reduces pain and improves mobility in the mid-back.
How Does It Help?
Thoracic RFA provides long-term relief for patients who have experienced temporary pain reduction from a thoracic medial branch block. By deactivating the medial branch nerves, the procedure offers a longer-term solution to managing facet joint-related pain.
Steps of Administering Thoracic Radiofrequency Ablation
- Preparation:
- You will lie face down or in a position that allows access to your mid-back. The area will be cleaned and sterilized, and a local anesthetic will be applied to numb the skin.
- Fluoroscopic Guidance:
- The doctor will use fluoroscopy (X-ray guidance) to insert a small needle near the medial branch nerves that supply the thoracic facet joints.
- Radiofrequency Application:
- A small electrode is then placed through the needle, and radiofrequency energy is applied to heat and disable the nerve tissue, stopping pain signals from reaching the brain.
- Post-Procedure Monitoring:
- You will be monitored for a short period, about 15-30 minutes, to ensure your comfort and check for any immediate reactions.
When Can You Go Home?
- Most patients are discharged within 30-60 minutes after the procedure.
- Someone should drive you home, as the treated area may feel sore or numb for a short time.
- You can usually resume light activities the next day, but avoid strenuous exercise for at least 24-48 hours.
How Many Procedures Are Needed?
- One Procedure: Typically, one RFA treatment is sufficient, though some patients may need the procedure repeated if the pain returns after several months or years.
- Duration of Relief: Pain relief from thoracic RFA can last between 6 months to 2 years, depending on the patient’s condition and response.
Final Thoughts
Thoracic radiofrequency ablation is a safe and effective treatment for chronic mid-back pain caused by facet joint problems. It can provide long-lasting relief and improve your quality of life.
If you have questions or need more information about the procedure or recovery, please contact our office.