Signs of Infection After RFA (Radiofrequency Ablation)

Radiofrequency Ablation (RFA) is a minimally invasive procedure used to treat various conditions, such as chronic pain and certain cancers. While complications are rare, infection can occur and should be addressed promptly.

Understanding the signs of infection is essential for early intervention and preventing severe complications. Here are the key symptoms to watch for after undergoing RFA.

Key Takeaway:

  • Infections after RFA are rare but require immediate attention.
  • Key symptoms include redness, swelling, discharge, fever, and severe pain.
  • Prompt medical intervention can prevent serious complications.
  • For more information, check here and here.

Signs of Infection After RFA (Radiofrequency Ablation)

Radiofrequency Ablation (RFA) is generally considered a safe procedure. However, like any invasive treatment, there is a risk of infection. Recognizing the signs of infection early is crucial to prevent complications.

1. Redness Around the Site

  • Persistent redness that spreads beyond the treated area.
  • Warmth to the touch, indicating inflammation.

2. Swelling

  • Unusual or increasing swelling around the incision or treatment site.
  • Accompanied by discomfort or tightness.

3. Pain

  • Severe or worsening pain that is not relieved by prescribed medication.
  • Pain extending beyond the expected recovery discomfort.

4. Discharge

  • Yellow, green, or foul-smelling discharge from the treatment site.
  • Crusting or excessive moisture around the area.

5. Fever

  • A temperature above 100.4°F (38°C).
  • Chills or sweats accompanying the fever.

6. Fatigue

  • Unexplained tiredness or weakness.
  • Feeling unwell beyond the normal recovery process.

7. Tender Lymph Nodes

  • Swollen and tender lymph nodes near the treated area.
  • Could indicate a systemic response to infection.

8. Delayed Healing

  • The incision or puncture site taking longer than expected to close.
  • Persistent irritation or failure to scab over.

9. Spreading Red Streaks

  • Visible red streaks radiating from the treatment site.
  • This could indicate a serious infection requiring immediate attention.

10. Increased Heart Rate

  • A consistently high heart rate or palpitations.
  • Can signal systemic inflammation or infection.

How Long Does It Take for Nerves to Die After Radiofrequency Ablation (RFA)?

After RFA, the targeted nerves are typically disrupted or destroyed immediately during the procedure. However, the effects may take 1–3 weeks to fully manifest as the nerve loses its ability to transmit pain signals. Over time, nerves can regenerate, usually after 6–12 months, but the duration varies depending on the individual and the treated area.

Leg Numbness After Radiofrequency Ablation

Temporary numbness in the leg can occur after RFA due to irritation or inflammation near the treated nerve. It is usually short-term, lasting a few days to weeks. Persistent or worsening numbness may indicate nerve injury or complications and should be evaluated by your doctor.

Massage After Radiofrequency Ablation

Avoid massages or applying pressure directly on the treated area for at least 1–2 weeks after the procedure. Once the area heals, gentle massage can help improve circulation and reduce tension, but always consult your doctor before starting.

Worse Pain After Radiofrequency Ablation

It is possible to experience increased pain after RFA. This can be caused by:

  • Inflammation in the treated area as the nerves are disrupted.
  • Irritation of nearby tissues or muscles.

This pain is usually temporary, lasting a few days to a few weeks. To manage the discomfort:

  • Use over-the-counter pain relievers (consult your doctor first).
  • Apply cold or warm compresses to the area.

If the pain worsens or persists beyond a few weeks, consult your healthcare provider, as it may indicate complications.

Radiofrequency Ablation Uses

RFA is commonly used for:

  1. Chronic Pain Management:
    • Lower back pain
    • Neck pain
    • Arthritis-related joint pain (e.g., knees, hips)
  2. Varicose Veins Treatment:
    • Closure of problematic veins
  3. Tumor Treatment:
    • In some cases of liver, kidney, or lung cancer
  4. Heart Rhythm Disorders:
    • Correcting arrhythmias like atrial fibrillation

Radiofrequency Ablation Side Effects

Common side effects:

  • Temporary pain or discomfort at the treatment site
  • Mild swelling or bruising
  • Numbness or tingling
  • Burning sensation or hypersensitivity in the treated area

Rare but serious side effects:

  • Infection
  • Nerve damage
  • Weakness in the surrounding muscles
  • Increased pain (rare and usually temporary)
  • For more details about the side effects of radiofrequency ablation, check here.

Conclusion

While infections after Radiofrequency Ablation (RFA) are uncommon, it’s important to be vigilant for any signs of complications. If you notice symptoms such as unusual pain, redness, swelling, or fever, seek medical attention right away. Early detection and treatment can help ensure a smooth recovery and prevent more serious issues.

Reference

  1. Reddy AT, Goyal N, Cascio M, Leal J, Singh K. Abnormal Paresthesias Associated With Radiofrequency Ablation of Lumbar Medial Branch Nerves: A Case Report. Cureus. 2023 Feb 19;15(2):e35176. doi: 10.7759/cureus.35176. PMID: 36960266; PMCID: PMC10030159.
  2. Abd-Elsayed A, Loebertman M, Huynh P, Urits I, Viswanath O, Sehgal N. The Long-Term Efficacy of Radiofrequency Ablation With and Without Steroid Injection. Psychopharmacol Bull. 2020 Oct 15;50(4 Suppl 1):11-16. PMID: 33633413; PMCID: PMC7901125.
  3. Li, R. bin, Zhang, J. dong, Cui, X. ran, & Cui, W. (2024). Insomnia is related to long-term atrial fibrillation recurrence following radiofrequency ablation. Annals of Medicine56(1). https://doi.org/10.1080/07853890.2024.2323089.
  4. Yian Chen, Julie H. Y. Huang-Lionnet, Steven P. Cohen, Radiofrequency Ablation in Coccydynia: A Case Series and Comprehensive, Evidence-Based Review, Pain Medicine, Volume 18, Issue 6, June 2017, Pages 1111–1130, https://doi.org/10.1093/pm/pnw268.
  5. Joh JH, Kim WS, Jung IM, Park KH, Lee T, Kang JM; Consensus Working Group. Consensus for the Treatment of varicose veins: an evidence-based analysis. Ont Health Technol Assess Ser. 2011;11(1):1-93. Epub 2011 Feb 1. PMID: 23074413; PMCID: PMC3377553.
  6. Puntumetakul R, Saiklang P, Tapanya W, Chatprem T, Kanpittaya J, Arayawichanon P, Boucaut R. The Effects of Core Stabilization Exercise with the Abdominal Drawing-in Maneuver Technique versus General Strengthening Exercise on Lumbar Segmental Motion in Patients with Clinical Lumbar Instability: A Randomized Controlled Trial with 12-Month Follow-Up. Int J Environ Res Public Health. 2021 Jul 23;18(15):7811. doi: 10.3390/ijerph18157811. PMID: 34360103; PMCID: PMC8345381.
  7. Cabanas-Valdés R, Boix-Sala L, Grau-Pellicer M, Guzmán-Bernal JA, Caballero-Gómez FM, Urrútia G. The Effectiveness of Additional Core Stability Exercises in Improving Dynamic Sitting Balance, Gait and Functional Rehabilitation for Subacute Stroke Patients (CORE-Trial): Study Protocol for a Randomized Controlled Trial. Int J Environ Res Public Health. 2021 Jun 19;18(12):6615. doi: 10.3390/ijerph18126615. PMID: 34205457; PMCID: PMC8296367.
  8. Deutsch SB, Krivitsky EL. The impact of yoga on atrial fibrillation: A review of The Yoga My Heart Study. J Arrhythm. 2015 Dec;31(6):337-8. doi: 10.1016/j.joa.2015.05.001. Epub 2015 Jun 6. PMID: 26702311; PMCID: PMC4672029.
  9. Rodriguez BC, Leal S, Calvimontes G, Hutton D. Cost-Effectiveness of Radiofrequency Ablation for Supraventricular Tachycardia in Guatemala: Patient outcomes and economic analysis from a low-middle-income country. Value Health Reg Issues. 2015 Dec;8:92-98. doi: 10.1016/j.vhri.2015.06.002. Epub 2015 Sep 25. PMID: 26543802; PMCID: PMC4629636. Retrieved from here
  10. Gervacio GG, Kimwell MJM, Fadreguilan EC, De Guzman DC, Gabriel EA, Tolentino CS, David GRS. Cost-utility analysis of radiofrequency ablation versus optimal medical therapy in managing supraventricular tachycardia among Filipinos. J Arrhythm. 2023 Feb 21;39(2):175-184. doi: 10.1002/joa3.12833. PMID: 37021027; PMCID: PMC10068937. Retrieved from here
  11. Leggett LE, Soril LJ, Lorenzetti DL, Noseworthy T, Steadman R, Tiwana S, Clement F. Radiofrequency ablation for chronic low back pain: a systematic review of randomized controlled trials. Pain Res Manag. 2014 Sep-Oct;19(5):e146-53. doi: 10.1155/2014/834369. Epub 2014 Jul 28. PMID: 25068973; PMCID: PMC4197759. Retrieved from here
  12. Lee YK, Im M, Cho H. An intervention study of a combined intervention of positioning and hand massage in patients undergoing radiofrequency catheter ablation. Nurs Open. 2023 Mar;10(3):1404-1414. doi: 10.1002/nop2.1390. Epub 2022 Sep 25. PMID: 36161778; PMCID: PMC9912443. Retrieved from here
  13. Westcott WL. Resistance training is medicine: effects of strength training on health. Curr Sports Med Rep. 2012 Jul-Aug;11(4):209-16. doi: 10.1249/JSR.0b013e31825dabb8. PMID: 22777332.
  14. Murali N, Turmezei T, Bhatti S, Patel P, Marshall T, Smith T. What is the effectiveness of radiofrequency ablation in the management of patients with spinal metastases? A systematic review and meta-analysis. J Orthop Surg Res. 2021 Nov 6;16(1):659. doi: 10.1186/s13018-021-02775-x. PMID: 34742319; PMCID: PMC8571892.
  15. Ankur Khanna, Nigel Knox, Nitin Sekhri, Septic Arthritis Following Radiofrequency Ablation of the Genicular Nerves, Pain Medicine, Volume 20, Issue 7, July 2019, Pages 1454–1456. Retrieved from here
  16. Gazelka HM, Knievel S, Mauck WD, Moeschler SM, Pingree MJ, Rho RH, Lamer TJ. Incidence of neuropathic pain after radiofrequency denervation of the third occipital nerve. J Pain Res. 2014 Apr 10;7:195-8. doi: 10.2147/JPR.S60925. PMID: 24748815; PMCID: PMC3986282.
  17. Nakagomi R, Tateishi R, Mikami S, Wake T, Kinoshita MN, Nakatsuka T, Minami T, Sato M, Uchino K, Enooku K, Nakagawa H, Asaoka Y, Shiina S, Koike K. Infectious complications related to radiofrequency ablation of liver tumors: The role of antibiotics. PLoS One. 2021 Nov 19;16(11):e0259641. doi: 10.1371/journal.pone.0259641. PMID: 34797828; PMCID: PMC8604344.
  18. Byrnes K, Wu PJ, Whillier S. Is Pilates an effective rehabilitation tool? A systematic review. J Bodyw Mov Ther. 2018 Jan;22(1):192-202. doi: 10.1016/j.jbmt.2017.04.008. Epub 2017 Apr 26. PMID: 29332746.

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