What is radiofrequency ablation (RFA)?
Radiofrequency is a signifies of interrupting discomfort signals. An electrical present made by radio waves is utilised to heat up a tiny location of nerve tissue, thereby decreasing discomfort signals from that particular location supplied by that nerve. The nerve facet joint is the target for RFA. Clinical information shows that radiofrequency ablation can efficiently present lasting discomfort relief.
Contraindications to the process
Infection in the location to be injected, present use of blood thinners (anticoagulants)
Prior to the Radiofrequency Facet Joint Process
o You will be evaluated. The process need to be explained in detail by the medical professional, like achievable complications and side effects and any concerns you have will be answered at this time.
o Discontinue aspirin, non-steroidal anti-inflammatories and blood thinners (anticoagulants) three days prior to the process.
The Day of the Radiofrequency Facet Joint Process
o Discontinue each clear liquids and meals at least six hours prior to the process
o Continue to take all your drugs (like discomfort medication) with only sips of water up till four hours prior to the process
o Bring all medication with you so you can take it just after the process
o Do not discontinue any medication devoid of 1st consulting with your principal or referring doctor
o If you have diabetes and use insulin, you will have to adjust the dosage of the insulin the day of the process. Your principal care doctor will aid you with this adjustment. Bring your diabetes medication with you so you can take it just after the process.
o An Intravenous (IV) line will be placed in a vein in your arm prior to the process so that you may well acquire sedative medication for the duration of the process.
o A accountable adult will have to be present to drive you household as you will be unable to oneself.
Throughout the Radiofrequency Facet Joint Process
o The process requires about 10 – 45 minutes based on the quantity of nerves that will be treated.
o You will be lying either on your stomach or back for the duration of the process.
o Each neighborhood anesthesia and a mild sedative may well be utilised to lower any discomfort for the duration of the process.
o You will be awake for the duration of the procedure to help in appropriately locating the nerve.
o Following neighborhood anesthesia has been administered, your medical professional will insert a tiny needle into a basic location exactly where you are experiencing discomfort.
o Working with X-ray, your medical professional will guide the needle to the precise target location. A microelectrode is then inserted by means of the needle to commence the stimulation procedure
o Throughout the procedure, you will be asked by your medical professional if you are capable to really feel a tingling sensation.
o The object of the stimulation procedure is to aid your medical professional ascertain if the electrode is in the optimal position for remedy.
o When the needle and electrode placement is verified, a tiny radiofrequency present is sent by means of the electrode into the surrounding tissue, causing the tissue to heat up.
Following the Radiofrequency Facet Joint Process
o You will lie down in a recovery area for 30 – 60 minutes for observation.
o A nurse will verify your blood stress and pulse.
o A bandage may well be placed more than the injection web-site.
o The nurse will give you a beverage and overview your discharge guidelines.
o You will be provided a discomfort diary to comprehensive prior to your comply with-up appointment.
o You may well expertise localized back and or leg discomfort for quite a few days to weeks just after the process
o Post-injection physical therapy may well be needed to stabilize the facet joint
o If there are any issues just after the process contact your Discomfort Specialist.
The information and facts supplied right here varies based on what discomfort medical professional you go to. Also ask the performing doctor what the process will entail. This is write-up is meant to be a guide for Radiofrequency and the precise process will differ from medical professional to medical professional.