RFA uses a targeted radiofrequency current to disrupt the sensory nerve carrying pain signals from an arthritic or inflamed spinal joint. Many patients achieve significant relief lasting 9–24 months with a 70–80% success rate.
Using fluoroscopy guidance, Dr. Nair places a thin needle precisely at the target nerve. A microelectrode confirms correct placement before any current is applied.
The radiofrequency current is applied to heat the nerve for 60–90 seconds, creating a lesion that destroys the pain-transmitting portion without affecting surrounding tissue.
Based on your needs, Dr. Nair can treat multiple nerves during the same procedure session, providing broader relief in a single outpatient visit.
Per Kentuckiana Pain Specialists’ clinical protocol, we never perform RFA without first confirming we have the right target using a diagnostic medial branch or nerve block.
We inject a small amount of local anesthetic onto the target nerve. If you experience significant pain relief in the hours following, we have confirmed this nerve is the source of your pain.
A positive diagnostic block result makes you an excellent candidate for the long-lasting relief provided by RFA. This step ensures we are treating the correct nerve every time.
Arthritis-related pain in the neck (cervical) or lower back (lumbar) that has been confirmed by diagnostic blocks and is causing ongoing limitation.
Pain in the lower back and buttock area originating from the SI joint, confirmed by diagnostic injection and not adequately managed by conservative treatments.
Ongoing neck or back pain that has been confirmed by diagnostic blocks and is significantly impacting function, sleep, or daily quality of life.
Most patients experience mild soreness for 1–2 weeks after the procedure. Full pain relief typically develops over 2–3 weeks as the treated nerves fully respond to treatment.
The RFA procedure is performed in our office. You will lie comfortably while we clean and numb the area with local anesthetic. Using fluoroscopy, your physician places a thin needle precisely at the target nerve before applying the radiofrequency current.
You lie comfortably on the procedure table. The skin is cleaned and numbed with local anesthetic. Optional sedation is available for additional comfort.
Using live fluoroscopy, Dr. Nair guides a thin needle precisely to the target nerve. A microelectrode is inserted and a small current confirms correct placement.
The radiofrequency current heats the nerve for 60–90 seconds, creating a lesion. The process is repeated for any additional target nerves in the same session.
Radiofrequency ablation may be the next step. Schedule a consultation with Dr. Ajith Nair at Kentuckiana Pain Specialists to discuss whether RFA is appropriate for your condition.
Common questions patients ask before pursuing RFA treatment.
If you or a loved one is experiencing cancer-related pain, schedule a consultation with Kentuckiana Pain Specialists to discuss advanced pain management options. Call (502) 995-4004 today.
