Radiofrequency ablation (RFA) uses targeted heat energy to interrupt pain signals from arthritic facet joints. When the pain-transmitting nerve is disrupted, relief often lasts 9–18 months or longer.

Who Is a Good Candidate?

  • Chronic axial (spine-centered) pain for at least 3–6 months
  • Limited success with conservative care
  • Positive response to diagnostic medial branch nerve blocks confirming facet joint pain
  • No major nerve compression requiring surgery

The Procedure

RFA is performed under fluoroscopic X-ray guidance. Dr. Qureshi places RF needles next to the medial branch nerves, confirms placement with a small electrical current, numbs the area, then delivers radiofrequency energy for 60–90 seconds per nerve site. The procedure takes 45–90 minutes depending on the number of levels treated.

Recovery Timeline

  • Weeks 1–4: Post-procedure soreness is common and expected
  • Weeks 4–6: Pain relief begins as the nerve fully disrupts
  • Months 2–18: Full pain relief lasts in this window for most patients
  • When relief fades, the procedure can be safely repeated

Insurance Coverage

RFA is recognized as medically necessary by major carriers — including Medicare — when the patient has responded to diagnostic nerve blocks first. Our office handles all prior authorizations. See our insurance page for details.

Frequently Asked Questions

How long does radiofrequency ablation pain relief last?
Most patients experience pain relief lasting 9 to 18 months or longer. When relief fades as the nerve regenerates, the procedure can be safely repeated.
Is radiofrequency ablation painful?
The procedure is performed under local anesthesia and fluoroscopic guidance. Most patients tolerate it well. Post-procedure soreness is common for the first 1 to 4 weeks, after which pain relief begins as the nerve fully disrupts.
Does insurance cover radiofrequency ablation?
Yes. RFA is recognized as medically necessary by major insurance carriers, including Medicare, when the patient has first responded positively to diagnostic medial branch nerve blocks. Our office handles all prior authorizations.
Who is a good candidate for radiofrequency ablation?
Good candidates have chronic axial spine-centered pain lasting at least 3 to 6 months, limited success with conservative care, a positive response to diagnostic medial branch nerve blocks confirming facet joint pain, and no major nerve compression requiring surgery.
How long does the radiofrequency ablation procedure take?
The procedure takes 45 to 90 minutes depending on the number of spinal levels treated. It is performed under fluoroscopic X-ray guidance as an outpatient procedure.

This article is for educational purposes only and does not constitute medical advice. Schedule a consultation with Dr. Qureshi at (281) 982-2144 for personalized guidance.