Treatments

A Minimally Invasive Procedure for Nerve Pain Relief

Living with chronic pain in your back, neck, knees, or joints can make everyday life harder.  Radiofrequency Ablation (RFA) which is sometimes called rhizotomy is a minimally invasive, non-surgical treatment that offers lasting pain relief by stopping pain signals from specific nerves.

At Midwest Vascular and Pain Specialists, we’re here to help you move better and feel better. Our team specializes in advanced treatments like RFA that relieve pain without surgery or long-term medications.

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What Is Radiofrequency Ablation (RFA)?

RFA works by using heat to disrupt small nerve fibers that send pain signals to your brain. When those signals are blocked, you get relief that often lasts anywhere from six months to two years.

It’s commonly used to treat:

• Chronic back pain from arthritis or spinal wear and tear
• Neck pain caused by whiplash, disc issues, or arthritis
• Knee pain as a non-surgical option for arthritis or post-op discomfort
• Hip pain that lingers after injury or joint replacement
• Sacroiliac joint pain affecting the lower back or pelvis

Learn more about pain therapy treatments at Midwest Vascular and Pain Specialists

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Who Can Benefit from RFA?

You may be a good candidate if:

• Have tried medications or therapy but still have chronic pain
• Experience significant but temporary relief from medial branch blocks or nerve blocks
• Are looking for a long-term option that doesn’t involve opioids or surgery

If a nerve block helps provide short term relief, it’s usually a strong indicator that RFA can provide longer-lasting relief.

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Explore other non-surgical pain management solutions.

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How the Procedure Works

RFA is done as an outpatient procedure and usually takes between 30 and 60 minutes.

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Step 1: Getting Ready
You’ll lie comfortably on the table, and we’ll numb the area with a local anesthetic.

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Step 2: Needle Placement
Using real-time X-ray (fluoroscopy), we’ll guide a thin probe to the exact nerve. Then a small electrical pulse confirms we’re in the right spot.

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Step 3: Treatment
Radiofrequency heat is applied to stop the nerve from sending pain signals.

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Step 4: Recovery
Patients are briefly monitored before heading home and are able to return to normal activities after 24 - 48 hours.

For long-lasting results, patients may be advised to combine RFA with physical therapy, exercise, and lifestyle changes.

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Read about other interventional pain management techniques.

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After RFA: What to Expect

Most people start feeling better within one to three weeks.

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How long does it last?
Relief typically lasts between six and 24 months and some patients may need repeat RFA treatment if pain returns.

Recovery timeline:

• Day 1: You might feel sore where the needle went in is completely normal.
• First few days: Pain starts to ease.
• One to three weeks: Full relief usually kicks in.

Many patients combine RFA with physical therapy or exercise to keep the results going strong.

Benefits of radio frequency ablation

• Long-lasting pain relief lasting 6 months - 2 years
• Minimally invasive procedure with no incisions or stitches
• Less need for medications, including opioids
• Helps keep your joints moving and may delay or eliminate ate the need for surgery

Read about other interventional pain management technique

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Long-Term Pain Management After RFA

For best results, RFA is often combined with:

• Physical therapy to build strength and improve posture
• Gentle movement or low-impact exercise
• Periodic check-ins or repeat treatments if pain returns

And if RFA alone isn’t enough, other options like spinal cord stimulation or additional nerve blocks can help.

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Learn about spinal cord stimulation for chronic pain

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FAQs

How long does RFA last?
Anywhere from six months to two years, depending on your condition.

Is the procedure painful?
It’s usually just mild discomfort but no severe pain.

Will I need more than one?
Some people do need a second treatment months or years later.

Is it covered by insurance?
Most insurance plans cover RFA. We’ll help confirm your coverage and walk you through next steps.

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Why Choose Midwest Vascular and Pain Specialists?

At Midwest Vascular and Pain Specialists we have an experienced pain management team. We use the latest imaging technology to make sure every RFA treatment is as precise and effective as possible.

• Board-certified specialists trained in interventional pain care
• Quality imaging for accurate targeting
• Personalized plans based on your unique pain and goals