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Radiofrequency Cervical Ablation for Neck & Back Pain: What It Is and How It Works

Aug 12, 2025

Radiofrequency ablation

Patient receiving radiofrequency cervical ablation for neck and back pain relief.Patient receiving radiofrequency cervical ablation for neck and back pain relief.

Chronic neck and back pain can take a toll on your everyday life. From disturbed sleep to limited mobility and constant discomfort, the effects are often overwhelming. While medications may offer short-term relief, they usually come with side effects or wear off over time.

Many patients today are choosing radiofrequency ablation as a non-surgical, long-lasting solution that targets the source of pain directly. This minimally invasive procedure provides effective pain relief and helps restore normal function without relying heavily on daily medications.

What Is Radiofrequency Cervical Ablation?

Radiofrequency cervical ablation (also known as radio ablation or a nerve ablation procedure) is a treatment designed to reduce or eliminate pain in the neck and upper back. It works by disrupting the small sensory nerves that carry pain signals from the spine to the brain.

This is done using heat generated from radiofrequency energy, which is delivered through a specially guided needle. Once the targeted nerve is treated, it can no longer send pain messages from the affected area.

Cervical vs Lumbar Ablation

  • Cervical ablation is focused on the upper spine, including the neck and shoulder region.
  • Lumbar ablation is used to treat the lower back and hips.

Both procedures follow the same principles but are adapted to the region where the pain originates.

How the Nerve Ablation Procedure Works?

This is a safe outpatient procedure that does not require hospital admission. It is guided by imaging tools to ensure precision and accuracy.

Step-by-Step Overview:

  • Identifying the Pain Source

Diagnostic imaging and nerve blocks help the doctor locate the specific nerves causing the pain.

  • Preparing the Area

Local anaesthesia is applied to numb the treatment site. You remain awake and alert but comfortable throughout the process.

  • Needle Placement and Energy Delivery

A thin needle is inserted near the targeted nerve. Radiofrequency energy heats the tip of the needle, which then removes the nerve's ability to transmit pain signals.

  • Short Monitoring Period

After the procedure, you are monitored briefly before heading home. Most patients can walk out of the clinic the same day.

Conditions Treated with Cervical Radiofrequency Ablation

This procedure is recommended when other treatments such as physiotherapy, medication, or injections have not provided lasting results.

Commonly treated conditions include:

  • Facet Joint Arthritis
  • Whiplash Injuries

Doctors usually consider this treatment after confirming the pain source using diagnostic nerve blocks.

What to Expect Before, During, and After the Procedure

Before the Procedure:

  • Wear loose-fitting, comfortable clothing.
  • Avoid food or drink for a few hours if sedation is planned.
  • Inform your doctor about medications you are taking.
  • Arrange transportation home if sedation is used.

During the Procedure:

  • You may feel slight pressure or a warm sensation.
  • Local anaesthetic ensures the process is not painful.

After the Procedure:

  • Mild soreness at the treatment site is normal.
  • Ice packs and rest can help ease discomfort.
  • Most people resume light activities within a day,
  • Pain relief generally starts within one to three weeks.

How Long Does It Last?

Pain relief typically lasts  six to twelve months. In some cases, relief may continue for longer. The treated nerves may eventually regenerate, and the procedure can be repeated if needed.

Benefits of Radiofrequency Treatment for Neck and Back Pain

There are several benefits to choosing this non-surgical treatment:

  • Long-lasting pain relief
  • Avoidance of spinal surgery
  • Short recovery time
  • Minimal side effects
  • Reduced need for medications
  • Improved ability to move, sleep, and complete daily activities

Risks and Possible Side Effects

While this is a low-risk procedure, some side effects are possible:

  • Mild bruising or soreness around the injection site.
  • Temporary numbness or tingling.
  • Increased pain during the first few days.
  • There is an infrequent chance of infection or nerve injury.

When to Call Your Doctor:

  • Persistent or worsening pain
  • Fever or signs of infection
  • Numbness that spreads or lingers
  • Difficulty moving the treated area

Who Is a Good Candidate for This Procedure?

You may be a good candidate if you:

  • If you have chronic pain in your neck or upper back.
  • Had short-term relief from a diagnostic nerve block.
  • You want to avoid spine surgery or strong medications.
  • If you are generally in good health.

You may not qualify if you:

  • You have a bleeding disorder.
  • We are currently dealing with an infection.
  • If you are pregnant.
  • Have significant spinal instability or deformity

Choosing the Right Specialist for Radiofrequency Ablation

Choosing an experienced and qualified doctor is key to the success of this procedure.

Look for:

  • A board-certified pain management physician or interventional spine specialist
  • Experience with radiofrequency and image-guided procedures
  • A clinic that uses updated equipment and follows safety protocols

Questions to Ask During Your Consultation:

  • How many of these procedures have you performed?
  • What is your patient success rate?
  • What kind of imaging will be used during the procedure?
  • What are the costs, and will insurance cover them?

Apex Interventional Pain & Spine Supports Your Journey to Lasting Relief

Radiofrequency cervical ablation is a safe and reliable treatment for those struggling with persistent neck and upper back pain. It works by targeting the source of the pain, offering long-lasting relief without the need for ongoing medication or invasive surgery. With minimal downtime and a low risk of complications, this procedure can make a significant difference in your quality of life.

At  Apex Interventional Pain & Spine, our team understands how chronic pain can disrupt your routine, sleep, and well-being. If physical therapy, medications, or injections haven't brought lasting relief, radiofrequency ablation may be the next step toward effective and sustainable pain management.

If you're looking for a solution that does more than just mask the pain,  contact us today to schedule a consultation. We'll help determine if this advanced treatment is proper for you and guide you toward a more comfortable, active life.

FAQs

The procedure itself is not painful thanks to the local anaesthetic. You may feel a slight warmth or tingling sensation.

Most patients experience relief for six to twelve months. Some benefits even last longer.

You can usually return to light activities within 24 to 48 hours. Complete relief may take up to three weeks.

Your doctor will use imaging and diagnostic nerve blocks to identify the source of your pain and determine the appropriate treatment area.

It is most effective for pain caused by spinal joint problems, arthritis, or nerve irritation. It may not help with herniated discs or muscle strain.

If sedation is not used, you can usually drive home. However, arranging for someone to take you home is often recommended.
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