Worse Pain after Radiofrequency Ablation

As one of the effective approaches to treating your thyroid nodules that formed a kind of growth, lump or bump in the thyroid gland of your neck, Radiofrequency ablation is a non-surgical and minimally invasive procedure being utilized to lessen the pain at your neck.

Choosing to undertake this treatment procedure means that your thyroid nodule according to the rating system called TIRADS, had been rated into a category that indicates that the nodule needs further evaluation. The Radiofrequency ablation is tailored to help you address pain via the blockage of the pain signals.

A numbing agent will be injected and the painful nerve will be targeted such that thermal energy emitted from radiofrequency waves is utilized to heat and destroy tissue to ensure the nerve no longer transmit the pain signal.

After proper consultation with your healthcare provider to undertake this procedure, you must know that there are post-procedure occurrences that include pains and symptoms. Since a full pain relief is often not immediate, it may be difficult to understand post-procedure symptoms.

Nevertheless, it’s crucial for you to know what symptoms are normal after the procedure and what signs are causes to raise an alarm. This article will be providing a beneficial insight as you read on.

Key Takeaways:

• Temporary pain is common and can last a few days to weeks.
• Pain is often due to inflammation or tissue irritation in the treated area (you can learn more here).
• Cold or warm compresses and over-the-counter pain relievers can help manage discomfort. Consult with your healthcare provider before taking this action (you can learn more here).
• If pain worsens or persists beyond a few weeks, consult your doctor for evaluation.
• For more information, you can also check here.

Worse Pain after Radiofrequency Ablation

Individual patients tend to ask a usual question of why there’s much pain in the aftermath of a radiofrequency ablation procedure. Meanwhile, the key point to hold onto is the fact that there’s a difference between normal post-procedure distress and signs that depict a problem.

Normal post-procedure distress after nerve ablation can include numbness, a tingling or mildly burning sensation, tenderness at the injection site, general discomfort, a sunburn kind of sensation and a few more.

Meanwhile the worse pain after a radiofrequency ablation procedure could occur due to complications that can result into pain which can be a sign of an ineffective procedure or indication that something went wrong during the procedure.

Some of these complications can include some signs of infection most usually at the injection site which comes with some redness, swelling or drainage.

More so, burning pain as a result of an injury to a nerve or tissue that is unable to be rectified by over-the-counter medications can also be a complication and worse pain after radiofrequency ablation.

Worsening pain after a radiofrequency ablation is not normal and it’s important that you report them immediately to your healthcare provider.

Is it Normal to have more Pain after RFA?

Yes, it is normal to experience more pain after radiofrequency ablation (RFA). This is typically due to:

• Inflammation: The treated area may become inflamed as the nerves are disrupted.
• Tissue irritation: Nearby muscles or tissues might be irritated during the procedure.

The increased pain is usually temporary, lasting a few days to weeks, and should gradually subside as the body heals.

When to Be Concerned:

• Sleep becomes difficult. You can learn more about sleep difficulty after RFA here.
• If the pain is severe, persistent, or worsens after a few weeks, it may indicate complications such as nerve damage or infection.
• In such cases, consult your healthcare provider immediately.

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.

Signs of Infection After RFA

Watch for the following signs of infection:

• Redness and swelling around the injection site
• Warmth or tenderness in the treated area
• Pus or fluid drainage
• Fever or chills
• Increased pain that does not improve over time

If you experience any of these signs and symptoms after radiofrequency ablation, contact your healthcare provider immediately.

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)
• Learn more about radiofrequency ablation here

Signs of Infection After RFA

(This is repeated as a critical point)
Keep the injection site clean and monitor for redness, swelling, or unusual pain. Contact your doctor if fever, chills, or other infection signs occur.

If you need more details on any of these topics, let me know!

Conclusion

Always know that the aftermath of a radiofrequency ablation procedure will not relieve you of nerve pain instantly.

Pain relief can take up to one to three weeks and it’s possible that some pain signals aren’t completely blocked even in the aftermath of the procedure.

More so, the level of pain you experience in the aftermath of your ablation can also be dependent on why you had the procedure.

A radiofrequency ablation for Barrett’s esophagus for instance can cause temporary severe chest pain.

Hence, recovery time also differs from one individual to another as dependent on the procedure’s purpose.

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 Medicine, 56(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.