RFA (Radio Frequency Ablation) Who had this, "burn or kill" the nerves?

[Ozworks]

Hi, I am interested in anyone who has had this procedure done and the effect of it? It may be called RFA (Radio Frequency Ablation) where they "burn or kill" the nerves. The area I am researching would be those that have had in for lower back issues.

If anyone can provide feedback, I would appreciate it.

Thank, Oz

[leathercarp]

I had radio frequency done on both sides of my neck,unfortunately it's had a terrible
effect on me, it has left me with severe head,facial pain, involentry movements ie head
shoulders, and arms, I also lost par in my two little fingers, hope you have better luck
than me, I'm devastated.

[philnoir]

Click on Ozworks name and you'll get his or her profile. There  you can see that he or she joined the forum in 2011, made a single post, and evidently moved on.

If you have a question or need advice, or even have advice to share, better to open a new thread. Q&A get lost in these big threads with hundreds of posts. Unfortunately, some people will only read so much.

Best wishes.

[Ozziemoto]

Hi Oz. My name is Ozz. I am going to have an RFA on July 14,2015 in my lower back and right SI joint arthritis to alleviate the 24/7 pain. I am curious if you did have the procedure, if you found the expected relief and what the cost was. I will be paying a co-pay as my deductible for the insurance has been met, but was looking for an idea of the cost. Hope you had success if you did have the juice. Thanks

[philnoir]

RFA is effective only for certain conditions -- your pain doctor can help you understand when and how it works.

You can also find more information on spine sites like spineuniverse.com. Look for interventional pain management under the Treatments menu, and conditions like spondylosis or facet syndrome in the Conditions menu.

[Tarenn82]

I have been getting the injections for several years and am getting ready to talk to my Dr, about the RFA procedure. I am researching it before I make up my mind. But from what I have been reading it has worked for most people. I have done everything from pain meds to physical therapy to injections. The only options left are the neuro-stimulator, the RFA procedure and surgery. If there is anyone out there that can give me more feedback I would greatly appreciate it.

[Tarenn82]

I have been getting the injections for several years and am getting ready to talk to my Dr, about the RFA procedure. I am researching it before I make up my mind. But from what I have been reading it has worked for most people. I have done everything from pain meds to physical therapy to injections. The only options left are the neuro-stimulator, the RFA procedure and surgery. If there is anyone out there that can give me more feedback I would greatly appreciate it.

[philnoir]

You speak truth, my friend. I've had RFA in the cervical and lumbar regions, at multiple levels, and I've had great results in pain reduction.

I begin to feel moderate pain about 6 months after an ablation. I'm now 16 months out on my lumbar, and 13 months from my last cervical procedure, and I'm now getting worked up for another round.

Last year Cigna refused my prior auth for more ablations. I now have another insurer, and I hope that I do not have the same problem with an insurance company rejecting my request.

Best of luck to you.

[PainInButt98]

HI, I HAVE HAD NUMEROUS RFA'S OF LUMBAR & SACROILLIAC.. THEY DO GIVE RELIEF, I USED TO GET ABOUT A YEARS RELIEF BUT NOW IM DOWN TO @ 6 MONTHS.  I RECENTLY HAD RFA'S OF LUMBAR FROM L-3 TO L-5 AND AM HAVING GREAT RELIEF IN THAT AREA, BUT SACROILLAC IS KILLING ME , IM WAITING FOR APROVAL FOR THE SACRO RFA'S.. I HAVE HAD FUSION AT L-4L-5 AND NUMEROUS LAMENECTOMIES, SO YES THEY DO WORK AND YES THE NERVES DO COME BACK AND YOU NEED TO FIND WHAT WORKS FOR YOU AND YOUR BODY. I TRY DIFFERENT DISTRACTIONS, BUT IM UNABLE TO DO ALOT OF LIFES NORMAL LIVING,

[TheMadMan]

RFA's have made a difference in the quality of my life.
Each doctor I went to gave me steroid injections which only lasted two weeks. I have degenerative joint/disk disease and CA NO LONGER have steroid injections due to the deterioration it does to my bones.
I have had serious hip (piriformis) issues along with sciatic nerve issues. I have been to many a doctor and all they would do is shots. I got tired of the shots not working so off I went to see another doctor. This time, I went through the VA and found they had a pain management clinic that was educated and well informed on this procedure. I have had RFA's in the past and they always worked for me but no other doctor I went to would take on this procedure. They said they would but when I arrived and asked about an RFA, they responded with shots.
The VA I went to was rather amazing. I was awake for the procedure and had my hip done as the doctor explained to me what he was doing. I asked this doctor why I was always 'put out' for this procedure and the doctor responded that they prefer to keep the patient awake to make sure they are hitting the correct area. His response to my question was 'that is one way to pad the bill'.
The next procedure with RFA was done two weeks later on my sciatic nerve. Again, he explained to me what he was doing and showed me the fluoroscope afterwards where the needles were inserted.
Yes the nerves do grow back but with physical therapy, the nerves have a better chance of recovering the correct way.
I have had RFA's in the past and they kept me walking, something I haven't done in quite some time, due to the pain. I am now walking again and very happy with the education I learned as the doctor was doing the procedure. It's nice to have confidence in a doctor again especially in the VA system. The doctor noted in my records that I am not to have any more steroid shots! Amazing to see an educated doctor do the right thing now a days and I am thankful for this experience of walking again and out of pain. Yes I know the nerve will grow back but the doctor informed me to call him in the event I have any pain for follow up before the situation gets out of hand. My waiting time between appointments was reasonable and a note to the hospital director about the professionalism of this team was worth the recognition. Recommend writing to the director for both good and bad comments but I will say, my experience was good.

[philnoir]

Pink -- your doctor can prescribe a cream to help with the 'sunburn.' Call him today!

[Pink_Buttercup]

I forgot to mention that I had this performed on 8 locations on my lower back.

[Pink_Buttercup]

I am two weeks post RFA. My first 10 days were very painful, but then finally I started improving. This is not normal from the experiences if some friends who's pain after was much less. Now, the biggest issue are a large area on each hip that feels badly sunburnt. I follow up with the dr tomorrow and hope he can help in some way. However, if anyone has any tips on how to treat this, I'm all ears!  I responded well to both sets of injections before hand, so I have high hopes for my improvement over the next few days.

[joanchipps]

I have had lower back problems for many years. I have taken pain meds for years now. A chiropractor refered me to go get steroid shots at the pain management clinic. I did that, each set of shots gave me relief which lasted about a month. I had the shots three times. The relief I got from them made me a candidate for RFA. After the first RFA I told my Dr. (the  anesthesiologist that works with me), "thank you for giving me my life back." The procedure lasted me for about six months, when the nerves started to grow back. I waited another four months and was in terrible pain before I made an appt. to go back for another treatment. The second time it lasted me about nine months. Again, I waited a few months to go back. I just had my third treatment three weeks ago. I am better, but not as good as before. I am hoping that as the nerves calm down I will be in even less pain (like I was before). I am soo grateful for RFA! It gets me off the pain drugs for a while. I do recomend to have someone who really knows how to do this, to help you. I am always leary to do such an invasive thing to my back, but I have an AWESOME Dr. who I trust. RFA is way better for me than injecting steroids in my back, as I had a bad reaction each time I had them and when the Dr. changed the steroids because of that, they did not work at all. I will likely do RFA again if needed...

[dmh16]

I had it as well, worked pretty good but did cost me over 500.00 out of pocket after insurance. That was over a year ago. I am in awful pain again and considering going back, I just wish it lasted longer. Mine was about 7 months. Did you have to have the test shots again before the actual procedure?

[sixbassets]

i had this nerve block/burn done twice not..1st time helped on both sides of my lower back#s 4&5..lasted maybe 6mos...second time just approx 5 weeks ago ..did not go as well not the same relief as 1st and pain in needles was great..so today i go in 4 a steriod shot each side i hope that helps for awhile..

[runt311]

I had it done in my neck and I am having problems.Its been two weeks now and my neck is hurting so bad and my head aches are terrible not to mention the swelling. Pain management doctor wants to do the left side next.NOT!

[nurseaudrea]

I have had the RFA done in my lumbar and cervical region and I will swear by them. I have had every medical procedure you can think of and this procedure is the only one that has taken the pain away from the nerve pain I have in my neck. Yes, the nerve regenerates and it varies from person to person. For me, I got three years of relief in my neck. I am having it done again this Friday. I have had horrible neck pain now for the last 18 months and have finally gotten the ins. to approve the procedure. I have had a reduction in pain in my back as well. I could not believe how well it worked. I have had so many ESI's and the effects never lasted long. The RFA was a God send. Hopefully if you decide to do it, it will work for you as well.

[atonicat]

I only had a few hours of relief from the MBB and that was enough to make me a candidate! The MBB are good even if you're not a candidate because it can rule out your pain coming from the facet joints.

[namnam46]

Hi Oz,

As atonicat said, the Medial Branch Block is the test they give you to see if it will work for you.  If this test gives you any relief at all then they should proceed with the actual RFA.

Believe me, I'm praying that the test will work great for you.  When they did the Block with me I got relief for a day or 2 and just that short period of time made me want the RFA so much!!! It was such a relief not to feel the burning, searing and horrific pain anymore.

We're all wishing very good things for you, Oz!!

We can hardly wait to hear all of the updates from you..........Sherry  :)

[atonicat]

I believe the Medial Branch Block is just the diagnostic test to see if you're a candidate for RFA. They inject lidocaine into your facet joints and if it brings down your pain, they then do the RFA.

[Ozworks]

Hi all,

I just wanted to send a little update as I try to work with the VA and get an appointment setup for a nerve block. I did find out that the procedure mentioned throughout this thread as RFA is also known, at least by the VA, as a Medial Branch Block. If you Google Medial Branch Block you will see other names and what they are, there is just a boat load of information out there.

I will send an update as things progress.

Thanks, Oz...

[namnam46]

Hi Oz!!

I am so happy to see that you are checking out the RFA as I suggested to you on your other post earlier!!

Have you had a chance to talk with your Doctor as yet to be sure that you will be a candidate for the RFA?  I would love to know what his feelings on the RFA are.  :)  

You already know the wonderful success story that I have had with the RFA and how much i love this procedure.  I hope to hear the very same success story from you some day soon on your own successful RFA.  I'm hoping that you will be able to say that you are going on 24 months of being almost 100% Pain Free, too!!!

As always, wishing you the very best..........Sherry  :)

[Tuckamore]

I have heard of some excellent results from RFA. We have a member that swears by this procedure. I'll let her know you are asking.

Additionally if you can find anything in our archives by Jim Humphries, B.S., D.V.M. formerly from MedHelp's PetDocsOnCall it will be very helpful. He visited our forum and wrote extensively on his experience with RFA. He had nothing but glowing reports on the procedure and outcome.

Unfortunately RFA is not an option for me. I'll be very interested to hear about your experience also.

Regards,
~Tuck

[Ozworks]

Hi all,

Thanks for all this feedback, if there are more of you that have any feedback, please keep it coming. I will be on the phone today and this week to get in and see if I can have this done. After that, I am going to a Pain Management Clinic that runs for three weeks long (on-site) through the Courage Center.

I will post as I learn more, thanks much, Oz...