Premier Pain Management

Long-Lasting Relief Through Precision Nerve Treatment

Radiofrequency Ablation (RFA) is an advanced interventional pain procedure designed to provide extended relief for chronic neck and back pain. At Premier Pain Management Arizona, RFA is used to treat pain that originates from specific nerves, particularly when conservative treatments and temporary injections have not delivered lasting improvement.

Radiofrequency Ablation Phoenix, AZ

What Is Radiofrequency Neuroablation?

Radiofrequency ablation is a minimally invasive procedure that uses controlled heat energy to interrupt pain signals traveling through targeted nerves. Unlike a standard nerve block, which temporarily numbs the nerve, RFA creates a small, precise lesion that disrupts the nerve’s ability to transmit pain for an extended period of time.

The procedure is performed using fluoroscopic (live X-ray) guidance to ensure accurate placement of the radiofrequency probe. Before treatment, diagnostic testing confirms the exact nerve responsible for the pain. This careful confirmation improves the likelihood of long-term success.

RFA is most commonly used to treat:

  • Facet joint pain in the neck and lower back
  • Chronic lumbar spine pain
  • Cervical spine pain
  • Sacroiliac (SI) joint–related pain
  • Certain peripheral nerve pain conditions

Because the targeted sensory nerves eventually regenerate, relief typically lasts several months and may extend up to a year or longer in some patients.

Radiofrequency Ablation in Phoenix by Premier Pain Management Arizona can address the root of your pain and develop a treatment plan.

How Does Radiofrequency Ablation Complement Interventional Care?

Radiofrequency ablation is often the next step after a diagnostic nerve block confirms the source of pain. It plays an important role in a structured pain management plan by:

  • Reducing inflammation associated with chronic joint irritation
  • Supporting healing by decreasing persistent pain signals
  • Improving outcomes by enabling greater participation in rehabilitation

By quieting the nerve pathway responsible for chronic pain, RFA can create a longer window of relief. This period allows patients to strengthen supporting muscles, improve mobility, and restore daily function without the constant barrier of pain.

Rather than repeatedly relying on short-term injections, RFA offers a more durable solution for properly selected candidates.

Who May Benefit from This Procedure?

Radiofrequency ablation may be appropriate for patients who:

  • Have chronic neck or low back pain lasting several months or longer
  • Experienced significant relief from a prior diagnostic nerve block
  • Have facet joint–related pain confirmed through evaluation
  • Want longer-lasting relief compared to temporary injections
  • Seek to reduce dependence on pain medications

RFA is typically not recommended for acute injuries or conditions without a clearly identified nerve source. A thorough diagnostic process is essential before considering this procedure.

At Premier Pain Management Arizona, radiofrequency ablation is part of a carefully structured treatment pathway.

Our Approach

At Premier Pain Management Arizona, radiofrequency ablation is part of a carefully structured treatment pathway.

Before recommending RFA, our team conducts:

  • Comprehensive clinical evaluation
  • Diagnostic nerve block testing
  • Imaging review when indicated
  • Functional assessment of spinal and joint mechanics

If RFA is performed, it is often combined with:

  • Targeted physical rehabilitation
  • Postural and strengthening programs
  • Ongoing monitoring to assess long-term response

This coordinated approach ensures that the underlying drivers of pain are addressed alongside the nerve pathway responsible for chronic symptoms.

Why Premier Pain Management for Radiofrequency Neuroablation

What makes our care different is the combination of experienced board-certified interventional specialists and a genuinely integrated approach. Dr. Paul Gaitan, our Medical Director, has more than 21 years of focused experience in anesthesiology and interventional pain management. Dr. Joel Braun is board-certified in both Physical Medicine & Rehabilitation and Pain Medicine, with expertise in image-guided interventional procedures that emphasize precision and patient comfort.

We never treat radiofrequency neuroablation as a standalone fix. Before we recommend it, we review how your pain has responded to earlier treatments so we can choose the right timing and approach for where you are right now. You also have access to on-site chiropractic support when it fits your plan, and we consistently favor non-opioid options whenever they can help, because your safety and long-term function matter most to us.

Having three convenient locations serving Phoenix (Maryvale), Mesa, and Queen Creek means you can access this level of specialized care without long drives across the valley. Same-day or next-day appointments are often available, and our team handles the details so you can focus on feeling better. Patients consistently tell us they appreciate the straightforward communication and realistic expectations we set from the first visit.

Frequently Asked Questions About Radiofrequency Neuroablation

How long does radiofrequency ablation pain relief last?

Pain relief lasts anywhere from 6 to 24 months. Over time the treated nerves can gradually regenerate, and symptoms may return more slowly and with less intensity than before. Many people find the extended window allows them to stay more active and benefit from other supportive care during that period.

What does recovery feel like in the first few weeks?

Some soreness or a deep ache around the treatment site is common at first and usually improves within several days. The original pain may linger while the nerves adjust, which is a normal part of the process rather than a sign it did not work. Most people begin noticing easier movement and better function within one to three weeks, with changes happening gradually rather than all at once.

How is radiofrequency neuroablation different from the injections I have already tried?

Injections often focus on reducing inflammation around irritated areas, which can bring relief that fades once the medication wears off. Radiofrequency neuroablation targets the nerves themselves that carry pain signals, creating a longer interruption so many patients experience relief measured in months rather than weeks. It is usually considered after injections have shown some benefit but not enough staying power.

Do I have to have tried everything else before considering radiofrequency neuroablation?

Not necessarily everything, but we generally recommend radiofrequency neuroablation when more conservative steps and shorter-acting injections have not provided lasting improvement. A thorough evaluation of your history and previous responses helps us decide if this is the right next step or if other options in our practice would serve you better first.

What is a Cervical RFA?

RFA uses radiofrequency energy to interrupt nerve function. When this is performed on a cervical medial branch nerve, the nerve can no longer send pain signals to the injured facet joint.

What to Expect During RFA Treatment

A local anesthetic will be used to numb your skin. All injections at Premier Pain Management are performed by our board-certified pain specialists using fluoroscopic guidance to ensure safety and efficiency of the procedures. When the RFA is first placed, muscle twitching may provoke some of your pain. Once the needle is properly placed, the nerve will be numbed. Radiofrequency energy will then be used to diffuse the pain signal of the branch. This is often repeated at more than one level of the spine.

Is radiofrequency ablation painful?

The procedure is generally well tolerated. The treatment area is numbed before the probe is placed. Mild soreness afterward is common but temporary.

How soon will I notice improvement?

Some patients notice improvement within one to two weeks, while others may take up to four weeks to experience full relief.

Is radiofrequency ablation covered by insurance?

Coverage for radiofrequency ablation depends on your specific insurance plan and medical history. Many plans do cover it when conservative treatments and diagnostic injections have not provided lasting relief, but every policy is different. Our team checks your benefits before any procedure and explains exactly what to expect, including any out-of-pocket costs, so there are no surprises. If something isn’t covered, we’ll talk through self-pay options and flexible plans so you can still move forward with care.

Schedule a Radiofrequency Ablation Consultation in Phoenix, AZ

Contact Premier Pain Management Arizona in Phoenix (Maryvale), Mesa, or Queen Creek to schedule a consultation and determine whether RFA is appropriate for your pain management plan.