What are the side effects of radiofrequency rhizotomy?

Answered by Douglas Hiatt

The side effects of radiofrequency rhizotomy (RFA) are generally rare and low in risk. However, as with any medical procedure, there are potential complications that can occur. It’s important to be aware of these possible side effects before deciding to undergo RFA.

1. Nerve damage: Although rare, there is a small risk of permanent nerve damage during RFA. The procedure involves heating the targeted nerve to disrupt its ability to transmit pain signals. In some cases, this may inadvertently damage surrounding nerves, leading to sensory or motor deficits. However, skilled and experienced physicians can minimize this risk by accurately targeting the intended nerve and closely monitoring the procedure.

2. Increased pain: While the goal of RFA is to provide pain relief, there is a possibility that the original pain may worsen after the procedure. This can occur if the nerve regenerates or if there is incomplete destruction of the targeted nerve fibers. It’s important to have realistic expectations and discuss potential outcomes with your healthcare provider before undergoing RFA.

3. Infection: Infection at the needle insertion site is a potential complication of RFA, although it is uncommon. Strict sterile techniques are followed during the procedure to minimize this risk. If you notice any signs of infection such as increased pain, redness, swelling, or drainage at the site, it’s important to contact your healthcare provider promptly.

4. Bleeding: Another uncommon complication is bleeding at the needle insertion site. The risk of significant bleeding is low, but it’s important to inform your healthcare provider if you are taking any blood-thinning medications or have a bleeding disorder. They can take appropriate precautions to minimize the risk of bleeding.

5. Other rare complications: In very rare cases, other complications such as allergic reactions to local anesthetics or nerve injury resulting in muscle weakness or paralysis may occur. However, these complications are extremely uncommon and are usually associated with procedural errors or underlying medical conditions.

It’s important to note that the overall risk of complications from RFA is low, especially when performed by experienced healthcare professionals. Your healthcare provider will discuss the potential risks and benefits of the procedure with you in detail, taking into account your individual circumstances and medical history.

It’s also worth mentioning that personal experiences with RFA can vary. Some individuals may experience significant pain relief and minimal side effects, while others may have a different outcome. It’s essential to have open and honest communication with your healthcare provider throughout the process to ensure the best possible outcome and to address any concerns or questions you may have.