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Radiofrequency Ablation (RFA) is a minimally invasive procedure that uses heat generated by radio waves to target and destroy abnormal tissues, nerves or pathways causing pain or irregular heart rhythms. It’s widely used to treat conditions like atrial fibrillation (AFib), chronic back pain, thyroid nodules and cervical issues. The procedure involves inserting a thin tube called a catheter to deliver controlled radiofrequency energy to the problem area.
To treat irregular heart rhythms such as AFib, SVT and atrial flutter
For nerve ablation to relieve chronic back pain or neck pain
To manage thyroid nodules without surgery
For cervical ablation in women with certain uterine issues
To treat abnormal tissue in cancer cases (radioablation)
When medications fail or are not well-tolerated
As an alternative to open-heart cardiac ablation surgery
Minimally invasive and no large surgical cuts
Quick recovery compared to traditional surgery
Effective pain relief in chronic back and neck conditions
Highly precise in targeting problem areas
Lower risk of complications than surgery
Can be repeated if symptoms return
Often performed as a day-care procedure
Inform your doctor about all medications, especially blood thinners
Avoid eating or drinking for 6–8 hours before the procedure
Arrange for someone to accompany you on the day of treatment
Discuss any allergies or previous reactions to anesthesia
Wear comfortable, loose clothing and remove jewelry
Follow specific instructions if it’s for heart ablation for AFib or spinal nerve ablation
A local anesthetic or light sedation is given
A thin catheter or needle is inserted through the skin or a vein
Guided by imaging (like X-ray or ultrasound), it reaches the targeted nerve or tissue
Radiofrequency energy is delivered to heat and destroy the abnormal tissue
The procedure usually takes 30 minutes to 2 hours, depending on the location
1. Before the Procedure:
Light sedation or local anesthesia is given
Area is sterilised and marked under imaging guidance
2. During the Procedure:
You may feel slight pressure or warmth but no major pain
The doctor uses a radiofrequency generator to deliver heat
Procedure is monitored in real time
3. After the Procedure:
You will rest for a short time in recovery
Mild soreness, fatigue, or swelling may occur
Most patients return home the same day
Instructions will be given on activity limits and medications
Temporary worsening of pain (especially worse pain after RFA)
Burning sensation or numbness in the treated area
Bleeding or infection at the insertion site
Risk of burning nerves in lower back if not done properly
Rare complications like nerve damage or arrhythmias
Tiredness or fatigue especially after heart ablation for AFib
Uncommon side effects include cervical ablation recovery discomfort
Most patients experience significant pain relief within a few days to weeks
In cardiac ablation, success rate for treating AFib or SVT is high
Some may need repeat sessions after 6–24 months
Helps avoid long-term pain medications or more invasive surgeries
Improves quality of life, daily activity and sleep
Can significantly reduce episodes of arrhythmia
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