What is Radiofrequency Ablation?
A radiofrequency ablation (RFA) is a procedure in which a needle is placed near the medial branch nerves in your spine and the needles are heated to destroy the sensory nerves that are responsible for sending pain signals into your brain. Radiofrequency ablations are a common procedure that can help to treat localized pain in your spine caused by osteoarthritis and other degenerative conditions. RFAs can be performed in your cervical, thoracic or lumbar spine and can provide up to 6 months of relief.
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"On first arrival Dr. Kohler and his staff at Ospina Medicine were warm and welcoming. He was precise in his knowledge and explained all parts of both my pain management due to previous injury, and preventative measures for future treatment. Their New York City based state of the art technology and contemporary office made me feel at ease immediately. As someone with continual back pain, and as someone who wants to avoid opioid treatment, the very nature of Ospina Medical using non-opioid approaches to pain management for me was a big bonus. The results have been brilliant, and I am so pleased to have Dr. Kohler to help me through my pain management process."- M.M. / Google / May 17, 2021
"The nicest people, the best care. I feel so much better already. Would recommend to any and all friends, dancers, athletes, who are having pain."- C.J. / Google / May 14, 2021
"Dr Maniam and his staff are excellent. Renya at the front desk is always friendly and makes me feel comfortable. There’s a real sense that they care about their patients. I’ve had numerous spinal epidural‘s and radio frequency ablations, they’ve been painless and have gotten excellent results. This is the best pain management group that I’ve been to and I’ve been to more than a few... I highly recommend Ospina!"- M.G. / Google / May 14, 2021
"I've had 3 cortisone injections with Ospina and I'm amazed by the care they take when applying the injections. I can't believe how well it works and what good care they take of me. (I had received an injection somewhere else and it was more painful, bruised badly, and didn't last near as long.) I will ONLY go to Ospina now. The staff and doctors are truly WONDERFUL. Don't hesitate!"- P.G. / Google / Apr 30, 2021
Who is a candidate for a Radiofrequency Ablation?
Patients who have a history of pain in their neck, mid-back, or lower back may be a candidate for a radiofrequency ablation. During your first consultation, your physician will review your medical history and perform a physical exam to determine if you may benefit from an RFA. With most insurances, two sets of diagnostic medial branch and/or facet blocks are required before your insurance can approve the RFA. These test blocks are performed to test if your pain is being caused by your medial branch nerves.
How is a Radiofrequency Ablation performed?
An RFA is performed by targeting your medial branch nerves in your neck, mid-back or low back. Using fluoroscopic guidance (X-Ray) your physician will place a needle near your nerve(s). A motor test is performed that causes the muscles near your nerve to twitch. This test is performed to ensure that the physician is not near your motor nerve, or the nerve that controls your muscle movements. After ensuring that the doctor is in a safe position a thermal lesion is created that destroys the sensory nerve. The procedure takes approximately 30 to 45 minutes and has little to no downtime. Patients may experience increased sensitivity in the area following the procedure and can expect to experience improvement around the 4 week mark. Patients who receive relief from an RFA can have the procedure repeated every 6 months, if needed.
If you are experiencing localized pain in your neck, mid-back, or low back contact our midtown Manhattan office today to find out if radiofrequency ablations may be the right treatment for you