Radiofrequency Ablation (RFA) and Physiotherapy

What RFA involves

Before ablation, a pain physician usually performs diagnostic nerve blocks to confirm the pain is coming from the targeted joint. If the block gives good short-term relief, a needle is guided by X-ray to the nerve, and radiofrequency energy heats it enough to stop it transmitting pain signals.

Relief, when it works, typically lasts months. The nerves can regrow, so the procedure is sometimes repeated.

Where physiotherapy fits

RFA reduces pain but doesn't change strength, movement habits or fitness. The months after a successful procedure are the best time to build those up. We work on trunk and hip strength for spinal pain, quadriceps strength for knee pain, graded activity and a long-term self-management plan.

Before referral, many people improve enough with physiotherapy that they don't need the procedure. We can help you work out whether that's likely in your case.

What to expect afterwards

Some soreness is common for a few days to two weeks. Your pain physician will advise when to start or resume exercise, usually within the first week or two.

Frequently asked questions