Cervical/Thoracic

Cervical/Thoracic RFA

Radiofrequency ablation (RFA) is a procedure that helps relieve chronic neck or upper/mid-back pain. It targets the small nerves near the facet joints that are sending pain signals to the brain. By using heat from radio waves, these nerves are “turned off” temporarily, which can provide long-lasting pain relief.

Conditions RFA Treats

Cervical or thoracic RFA is often used for:

• Chronic neck or upper back pain caused by arthritis.
• Pain from inflamed or irritated facet joints.
• Pain that has not improved with medications, physical therapy, or other injections.

Benefits of RFA

• Long-lasting pain relief, often for several months.
• Reduced muscle tension and spasms in the neck and upper back.
• Improved mobility and flexibility, making everyday activities easier.
• Decreased need for pain medications.
• It can be performed after medial branch blocks confirm which nerves are causing pain.

How RFA Works

• A small needle is guided near the target nerve using X-ray or fluoroscopy.
• Radio waves create heat that interrupts pain signals from the nerve.
• The procedure usually takes 30–60 minutes.
• The treated nerve does not grow back immediately, so relief can last several months. Some patients may repeat the procedure if needed.

What to Expect During the Procedure

• RFA is done in an outpatient setting so that you can go home the same day.
• You will lie on your stomach while the doctor cleans and numbs the area.
• Using imaging guidance, the needle is placed near the nerve, and the radiofrequency energy is applied.
• Mild soreness at the injection site is normal for a day or two.

Safety & Recovery Tips

• Rest the day of the procedure, but light walking is fine.
• Avoid heavy lifting or strenuous activity for the first 24 hours.
• Ice can help if the area feels sore.
• Most patients return to normal activities within 24 hours.
• Contact your doctor if you notice unusual numbness, weakness, fever, or severe headache. These side effects are rare but essential to report.