Radiofrequency Ablation (RFA)/Rhizotomy for Neck Pain
At Paragon Sport Spine & Wellness, we offer Radiofrequency Ablation (RFA) and Rhizotomy as advanced, minimally invasive treatments to manage chronic neck pain. These procedures target the nerves transmitting pain signals, providing long-lasting relief for patients suffering from conditions like arthritis or other degenerative spinal conditions.
What is Radiofrequency Ablation (RFA)/Rhizotomy?
- Radiofrequency Ablation (RFA) is a procedure that uses radiofrequency energy to heat and disrupt the function of specific nerves, preventing them from sending pain signals to the brain. This is done using a specialized needle under live X-ray (fluoroscopic) guidance to ensure precision.
- Rhizotomy refers to the surgical severing or disrupting of nerve roots. While traditional rhizotomy involves cutting the nerve, RFA achieves the same result without surgical incisions, using controlled heat to interrupt the nerve function.
Both procedures are effective options for long-term pain relief, especially when more conservative treatments have failed.
How Does Radiofrequency Ablation (RFA) Relieve Neck Pain?
- RFA works by applying heat to the medial branch nerves that transmit pain signals from the affected joints to the brain. By targeting these nerves, the procedure effectively reduces or eliminates pain. Over time, the nerves may regenerate, but pain relief typically lasts from 6 to 12 months or longer.
- The procedure involves the placement of a thin, insulated needle near the affected nerves. Once in position, the needle delivers radiofrequency energy to heat the nerve, creating a lesion that blocks pain transmission.
RFA is performed using live X-ray guidance for accuracy and safety.
Conditions Treated by Radiofrequency Ablation (RFA)
RFA is especially useful for patients suffering from:
- Cervical Facet Joint Arthritis
- Cervical Facet Syndrome
- Degenerative Disc Disease
- Chronic Neck Pain
- Whiplash Injuries
Patients experiencing persistent neck pain that radiates to the shoulders or upper back, or who have not found relief through injections or physical therapy, may benefit from RFA.
Is the Procedure Safe?
Radiofrequency Ablation (RFA) is a safe and minimally invasive procedure performed by our experienced medical professionals. While some soreness or discomfort may occur at the injection site, these side effects are temporary. Complications are rare when the procedure is performed under the guidance of live imaging.
The goal of RFA is to provide long-lasting pain relief, reducing the need for medications or more invasive procedures. If successful, patients can experience significant pain reduction for months, with the possibility of repeat treatments if necessary.
What to Expect After the Procedure
Most patients begin to experience relief within a few days to weeks following the procedure. It is recommended to avoid strenuous activities for a short period, allowing the treated area to heal.


