Radiofrequency Ablation

Radiofrequency Ablation (RFA) is a minimally invasive procedure used to manage chronic pain by targeting specific nerves and disrupting their ability to transmit pain signals.

What is Radiofrequency Ablation?

Radiofrequency Ablation (RFA) is a minimally invasive procedure used to manage chronic pain by targeting specific nerves and disrupting their ability to transmit pain signals. It involves applying controlled heat generated by radio waves to small areas of nerve tissue, providing long-lasting pain relief for individuals suffering from conditions such as arthritis, spinal joint pain, and nerve-related pain syndromes.

As chronic pain can impact quality of life, RFA offers a safe, effective, and non-surgical alternative for patients who have not responded well to other treatments. It is especially beneficial for those seeking sustained relief without relying heavily on medication.

radiofrequency ablation pain management treatment Singapore.
Radiofrequency Ablation (RFA) uses thermal energy to disrupt nerve signals and relieve chronic pain without surgery.
radiofrequency ablation procedure for chronic pain in Singapore.
Radiofrequency Ablation disrupts pain signals by targeting specific nerves with precisely delivered thermal energy.

How does Radiofrequency Ablation work?

RFA works by using electrical energy to produce heat around the tip of a specialised needle. Under image guidance, such as fluoroscopy or ultrasound, our doctor at Apicare Pain Clinic precisely positions the needle near the affected nerve. Once in place, a small amount of current is applied to confirm accurate targeting, after which the radiofrequency current is delivered to thermally disrupt the nerve’s function.

Step-by-step overview

  • Diagnostic nerve block before the RFA procedure, we usually perform a diagnostic nerve block to determine if the targeted nerve is indeed the source of pain. This helps ensure the effectiveness of the subsequent ablation.
  • Needle placement using real-time imaging, we guide the RFA needle to the exact location of the target nerve.
  • Nerve stimulation test a low-voltage current is applied to verify correct positioning and avoid damage to motor nerves.
  • Thermal ablation once confirmed, radiofrequency energy is delivered to heat and deactivate the pain-transmitting nerve fibres.

Due to its minimally invasive nature, the entire procedure typically takes less than an hour and is performed as a day surgery. This enables most patients to return home the same day.

What are the benefits of Radiofrequency Ablation?

RFA is increasingly popular among patients and physicians for its precision, effectiveness, and minimal recovery time. It is a valuable tool in modern pain medicine, offering several benefits:

  • Improved function and quality of life with reduced pain, many patients regain the ability to engage in daily tasks and physical activities.
  • Long-lasting pain relief most patients experience relief for 6 months to over a year, with some benefiting even longer.
  • Minimally invasive no surgical incisions are needed; only a needle is used, reducing risk and downtime.
  • Quick recovery patients often resume light activities within 24 to 48 hours after the procedure.
  • Reduced dependence on medication RFA may decrease or eliminate the need for long-term use of painkillers, particularly opioids.

What conditions can Radiofrequency Ablation treat?

With the help of the advancement of technology, RFA can be used to treat a range of chronic pain conditions, especially when conservative therapies have not provided sufficient relief.

Radiofrequency Ablation offers relief for spinal arthritis, sacroiliac joint dysfunction, and nerve pain without major surgery.

Commonly treated conditions include:

  • Chronic neck and back pain particularly when linked to degenerative changes or previous injuries.
  • Facet joint arthritis (cervical, thoracic, lumbar spine) pain arising from arthritic changes in the small joints of the spine.
  • Knee osteoarthritis – for patients who are not candidates for surgery or who prefer non-operative solutions.
  • Peripheral nerve pain including nerve entrapment syndromes and some types of neuropathies.
  • Sacroiliac joint pain pain in the lower back or buttocks due to dysfunction in the sacroiliac joints.


Beyond that, RFA may also be used in selective cancer-related pain or the management of complex regional pain syndrome (CRPS). However, this will depend on individual assessment.

What are the side effects of Radiofrequency Ablation?

Although the treatment is generally safe and well tolerated, there are potential risks and side effects. Be that as it may, these are usually mild and temporary.

Possible side effects include:

  • Delayed response some patients experience gradual improvement, with optimal pain relief taking up to three weeks.
  • Infection or bleeding – very rare, especially with proper sterile technique and image guidance.
  • Local discomfort or soreness some pain or bruising at the insertion site, usually resolving in a few days.
  • Muscle weakness – rare, and typically short-lived, occurring if nearby motor nerves are inadvertently affected.
  • Numbness or tingling temporary changes in sensation around the treated area.

What should I expect after my RFA procedure?

RFA is typically performed as a day procedure, and most patients can walk out of the clinic unassisted shortly afterwards. Because it is minimally invasive, there is no need for stitches, and recovery is usually swift.

However, you may feel some mild soreness, bruising or localised discomfort at the insertion site. This is a normal response to the procedure and generally subsides within a few days. Applying ice packs intermittently over the area and taking over-the-counter pain relief, such as paracetamol, can help manage this early discomfort effectively.

When will I feel relief?

Pain relief does not occur instantly for most patients. Some notice improvement within a few days, while others may take two to three weeks to experience the full benefits. This gradual onset is due to the time it takes for the treated nerve to completely lose its ability to transmit pain signals.

It is important to monitor your response during this period. A follow-up appointment is usually scheduled within 2 – 3 weeks so we can assess your progress and ensure your recovery is on track.

Activity and recovery timeline

  • Day of procedure rest is recommended. You can walk and perform basic tasks but avoid strenuous activity or driving until the sedation has fully worn off.
  • Day 1 – 2 most patients can resume light activities and return to work. But this depends on the nature of your job. Additionally, mild soreness may persist but usually does not interfere with daily tasks.
  • Week 1 onward gradual improvement in pain is expected. You may begin low-impact exercises or physiotherapy as recommended.

How long do the effects of Radiofrequency Ablation last?

Pain relief from RFA can last anywhere from 6 – 18 months, with many patients enjoying sustained improvement in mobility and quality of life. The nerves treated during the procedure can regenerate over time, but in many cases, repeat treatments remain effective.

If the pain returns, our doctor will reassess your condition to determine whether a second ablation, alternative therapy or combination approach is most appropriate.

benefits of radiofrequency ablation.
Radiofrequency ablation offers long-lasting relief, thereby improving quality of life and mobility.

Summary

RFA is a precise, minimally invasive pain management treatment that uses controlled heat to disable specific nerves and block pain transmission. At Apicare Pain Clinic, we believe RFA can greatly improve the lives of patients living with chronic pain, offering an effective, low-risk option with long-lasting results.

Whether you are living with spinal arthritis, nerve pain or osteoarthritis, RFA offers a path to greater comfort and freedom. Schedule a consultation to see if you are a candidate for this non-surgical pain relief technique.

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