Nerve Ablation Procedures

Nerve Ablation Procedures

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When chronic pain doesn't respond to conservative treatments, nerve ablation procedures may offer longer-lasting relief by targeting the nerves that are sending pain signals to your brain. These minimally invasive techniques are often used after diagnostic injections (like medial branch blocks) confirm the source of your discomfort. Below are the most common types of nerve ablation therapies we offer

About the treatment

Radiofrequency Ablation (RFA) & Rhizotomy

This treatment uses targeted heat generated by radio waves to safely disrupt pain signals from specific nerves. It’s commonly used for:

  • Chronic neck or lower back pain from facet joint arthritis
  • Sacroiliac (SI) joint dysfunction
  • Persistent joint pain (like in the knees or hips) that hasn't responded to other treatments

The relief from RFA can last anywhere from 6 to 12 months or longer, and the procedure can be repeated if necessary.

Pulsed Radiofrequency Therapy

Unlike traditional RFA, pulsed radiofrequency therapy delivers short bursts of energy without fully destroying the nerve. It gently "resets" the way nerves transmit pain, making it a great option for:

  • Neuropathic pain (nerve pain that doesn’t respond well to other treatments)
  • Pain in sensitive or complex nerve areas where full nerve ablation isn’t ideal
  • Patients who need a lower-risk or less aggressive approach

Cryoneurolysis (Cryoablation)

This technique uses extremely cold temperatures to freeze and deactivate nerves causing pain. It’s often used for:

  • Post-surgical or post-traumatic nerve pain
  • Peripheral nerve pain (outside the spine)
  • Temporary relief of chronic pain in areas like the knees, hips, or chest wall

Cryoablation can provide months of relief and may be repeated as needed.

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