Radiofrequency Ablation for Back and Neck Pain in London
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When chronic back or neck pain from arthritic facet joints disrupts your daily life, radiofrequency ablation for back and neck pain in London offers longer-lasting relief than traditional injections.
Dr Purnajyoti Banerjee provides this advanced procedure that uses controlled heat to disrupt pain-carrying nerves, helping patients regain function and quality of life.

What Is Radiofrequency Ablation?
Radiofrequency ablation back pain treatment, also known as radiofrequency denervation spine, targets the medial branch nerves supplying the facet joints. These small nerves transmit pain signals from arthritic or inflamed facet joints in the spine.
The procedure uses a specialised probe that delivers radiofrequency energy to create a precise heat lesion on the nerve. This interrupts pain signals without affecting motor function or spinal stability. Importantly, the treatment does not damage muscles or the spinal cord.
When Is Radiofrequency Ablation for Back and Neck Pain Recommended?
Radiofrequency ablation for back and neck pain in London is used for chronic back or neck pain arising from facet joints that hasn't responded adequately to physiotherapy, medication, or activity modification. The procedure is performed after a positive response to medial branch blocks—diagnostic injections that temporarily numb the target nerves. If these blocks provide significant pain relief, you're likely a good candidate.

Ideal Candidates
RFA is recommended for patients who demonstrate a strong temporary response to medial branch blocks, indicating that the target nerves are correctly identified.
Chronic facet-related neck or back pain
Positive relief after diagnostic nerve blocks
Pain persisting despite conservative care
Symptoms limiting daily activity
No surgical instability requiring fusion
Common Conditions Treated
Facet Joint Degeneration and Arthritis
Facet joint arthritis and age-related spinal degeneration cause inflammation and abnormal joint motion that generate chronic mechanical pain. Treatment focuses on interrupting pain signals from the affected joints.
Relieves chronic back or neck pain
Reduces inflammation-driven joint irritation
Post-Traumatic and Post-Surgical Facet Pain
Pain may develop after whiplash injuries or spinal surgery when facet joints become the primary pain source. The procedure addresses residual joint pain that persists after structural healing.
Controls pain following spinal surgery
Improves movement after whiplash injury
The Medial Branch Radiofrequency Ablation Procedure
| Aspect | Details |
|---|---|
| Anaesthesia | Local anaesthetic with sedation |
| Guidance | X-ray fluoroscopy for precision |
| Duration | 30-60 minutes |
| Hospital stay | Home same day |
Recovery and Results
Recovery Timeline
- Day 1-3: Some soreness at the treatment site; may feel similar to baseline pain
- Week 1-2: Gradual reduction in pain begins; normal activities resumed cautiously
- Week 2-4: Progressive improvement; most patients notice significant relief
- Month 1-3: Peak benefit achieved; return to fuller activities and exercise
- Months 6-18+: Pain relief may last six months to over a year in suitable patients
Expected Outcomes
Facet joint radiofrequency ablation offers good outcomes for appropriately selected patients:
- Patients experience significant pain reduction
- Relief typically lasts 9-18 months on average
- Some patients report benefit for 2+ years
- The procedure can be safely repeated when pain returns
Benefits of Radiofrequency Ablation for Back and Neck Pain in London
Is RFA The Right Choice for You?
Not all back or neck pain originates from facet joints; accurate diagnosis through diagnostic blocks is essential. Dr Purnajyoti Banerjee will assess whether your pain pattern, examination findings, and response to diagnostic injections make you a suitable candidate. A private session with him includes a review of your pain history, previous treatments, diagnostic block results, and a discussion of realistic expectations for outcomes and the duration of relief.
Frequently Asked Questions
How painful is the radiofrequency ablation procedure itself?
Local anaesthetic is used to minimise discomfort during the procedure; some patients report mild pressure or warmth.
When does pain relief begin after radiofrequency denervation spine treatment?
Initial relief may take 2-4 weeks as treated nerves gradually stop transmitting pain signals; full benefit develops progressively.
Can radiofrequency ablation for back pain treatment be repeated?
Yes, the procedure can be safely repeated when pain returns, typically after 9-18 months; success rates remain good.
Does facet joint radiofrequency ablation damage the spine?
No, the treatment affects only small sensory nerves; the spinal structure, muscles, ligaments, and motor function remain completely intact.
Will RFA for neck pain require time off work?
Most patients take 1-3 days off; desk work resumes quickly, whilst physical labour may require up to one week.
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