Radiofrequency Neurotomy (Ablation): What It Is & How Physiotherapy Supports Recovery

Radiofrequency neurotomy, also known as radiofrequency ablation (RFA), is a minimally invasive procedure used to manage chronic pain by disrupting nerve signals from the affected area. It is commonly performed for facet joint pain, sacroiliac joint dysfunction, and spinal arthritis, particularly in the neck (cervical spine), mid-back (thoracic spine), or lower back (lumbar spine).

At PhysioPM in Townsville, we frequently assist patients recovering from radiofrequency neurotomies, ensuring they regain function, mobility, and strength while they have some relief. While RFA can provide significant pain relief, it is most effective when combined with a structured physiotherapy program that addresses underlying movement issues and promotes long-term recovery.

What to Expect from a Radiofrequency Neurotomy

If you and your doctor decide that radiofrequency ablation is right for you, here’s what you can expect:

1️⃣ Preparation – Your doctor will confirm the pain source using diagnostic nerve blocks before scheduling the procedure. You may need to stop certain medications beforehand.

2️⃣ The Procedure – A thin needle is guided to the affected nerve using imaging (such as fluoroscopy). Radiofrequency energy is then applied, creating heat that disrupts the nerve’s ability to transmit pain signals.

3️⃣ After the Procedure – Some patients experience temporary soreness or a mild burning sensation, but full pain relief can take 2–4 weeks as the nerve stops transmitting pain. Relief can last anywhere from 6 months to 2 years.

4️⃣ Possible Side Effects – Temporary discomfort, numbness, or muscle weakness may occur, but serious complications are rare.

The Role of Physiotherapy After Radiofrequency Neurotomy

While RFA can significantly reduce pain, it does not correct the underlying mechanical issues that may have contributed to your condition. This is where physiotherapy is essential. At PhysioPM in Townsville, we tailor rehabilitation programs to help you move better, regain strength, and prevent recurrence.

🔹 Gradual Reintroduction to Movement – Post-RFA, pain relief may lead to increased activity levels, but sudden overuse can cause flare-ups. A physiotherapist helps guide safe movement progressions.

🔹 Strength & Stability Training – Weak core and spinal muscles can contribute to back and neck pain. A targeted exercise program builds strength and reduces strain on the spine.

🔹 Education on Pain Management – Understanding how to maintain good spinal health, avoid flare-ups, and use self-management strategies ensures long-term relief.

If you’ve undergone or are considering a radiofrequency neurotomy, contact PhysioPM in Townsville to learn how physiotherapy can enhance your recovery and help you move pain-free for longer.