Dr. Jordan Sudberg Explains Radiofrequency Lesioning: A Cutting-Edge Treatment at Pain Clinics
Chronic pain is a complex and often debilitating condition that affects millions of people around the world. For many individuals, conventional treatments like medications, physical therapy, or injections may not provide long-lasting relief. This is where advanced pain management techniques, such as radiofrequency lesioning, come into play.
Dr. Jordan Sudberg, a leading pain management specialist, frequently employs radiofrequency lesioning at pain clinics to help patients suffering from persistent pain conditions. In this post, Dr. Sudberg explains what radiofrequency lesioning is, how it works, its benefits, and what patients can expect during and after the procedure.
What Is Radiofrequency Lesioning?
Radiofrequency lesioning (RFL), also known as radiofrequency ablation (RFA), is a minimally invasive procedure that uses radio waves to generate heat and disrupt nerve function. The goal is to reduce or eliminate pain signals being sent from specific nerves to the brain.
Dr. Jordan Sudberg describes it this way:
“Radiofrequency lesioning is a highly effective way to target and ‘turn off’ pain signals at their source without the need for extensive surgery.”
The technique is primarily used for chronic pain conditions such as arthritis, facet joint pain, nerve injuries, and certain neuropathies.
How Does Radiofrequency Lesioning Work?
The procedure involves delivering radiofrequency energy through a specialized needle inserted near the targeted nerve. The energy creates a small, controlled lesion—essentially a tiny burn—that interrupts the nerve’s ability to transmit pain signals.
Step-by-step overview:
- Patient Preparation: Patients are typically positioned comfortably, and local anesthesia is administered at the injection site to minimize discomfort.
- Imaging Guidance: Using fluoroscopy (live X-ray) or ultrasound, Dr. Sudberg accurately guides the needle to the precise location of the nerve responsible for the pain.
- Testing: Before lesioning, the doctor stimulates the nerve with a low electrical current to confirm the correct placement by reproducing the patient’s pain briefly.
- Radiofrequency Energy Delivery: Once confirmed, radiofrequency waves heat the nerve tissue, creating the lesion.
- Completion: The needle is removed, and the site is cleaned and bandaged.
“Because the lesion is targeted and small, the surrounding tissues remain unharmed,” explains Dr. Sudberg.
Who Can Benefit from Radiofrequency Lesioning?
Not all chronic pain patients are candidates for radiofrequency lesioning. Dr. Sudberg emphasizes that a thorough evaluation is essential.
Typical candidates include those suffering from:
- Facet joint pain: A common source of neck and lower back pain caused by arthritis or injury to the small joints between vertebrae.
- Chronic knee or hip pain: Often related to osteoarthritis.
- Peripheral nerve pain: Such as occipital neuralgia or certain neuropathies.
- Failed back surgery syndrome: Patients who have persistent pain after spinal surgery.
- Sacroiliac joint pain: Pain originating from the joint connecting the lower spine to the pelvis.
“Radiofrequency lesioning is best suited for patients who have responded well to diagnostic nerve blocks or other conservative treatments but need longer-lasting relief,” says Dr. Sudberg.
Benefits of Radiofrequency Lesioning
Radiofrequency lesioning offers several significant advantages compared to other pain management options:
1. Minimally Invasive
With only a small needle insertion, the procedure avoids the risks and recovery time associated with open surgery.
2. Long-Lasting Pain Relief
While nerve blocks may provide temporary relief lasting weeks, radiofrequency lesioning can extend pain relief for six months or longer.
3. Reduced Need for Medications
Many patients reduce their reliance on opioids or other painkillers after successful radiofrequency lesioning, minimizing side effects.
4. Quick Recovery
Most patients can return to daily activities within a few days.
5. Improved Quality of Life
By reducing pain, patients often experience better sleep, mobility, and mental well-being.
“For appropriate candidates, radiofrequency lesioning can be a game-changer,” Dr. Sudberg emphasizes.
What to Expect Before, During, and After the Procedure
Before the Procedure
Dr. Sudberg recommends patients:
- Discuss all medications with their physician; some blood thinners may need to be paused.
- Arrange for transportation home, as some sedation may be used.
- Avoid eating or drinking for a few hours before the procedure, depending on sedation plans.
During the Procedure
The procedure is typically performed in an outpatient pain clinic and takes about 30 to 60 minutes. Patients lie comfortably while Dr. Sudberg uses imaging to guide the needle.
Because local anesthesia is used, discomfort is minimal. Some patients receive light sedation for relaxation.
After the Procedure
Patients may experience mild soreness or numbness around the treatment site, which usually resolves within a few days.
Dr. Sudberg advises:
- Avoid strenuous activity for 24-48 hours.
- Use ice packs to reduce discomfort if needed.
- Follow up with physical therapy or rehabilitation to maximize results.
Most patients notice pain relief within days to weeks, with effects lasting months.
Potential Risks and Side Effects
Like any medical procedure, radiofrequency lesioning carries some risks, although serious complications are rare.
Potential side effects include:
- Temporary numbness or tingling
- Minor bleeding or bruising at the injection site
- Infection (rare)
- Nerve damage (extremely rare)
Dr. Sudberg highlights:
“We take every precaution to minimize risks. Careful patient selection and image-guided precision are key.”
Integrating Radiofrequency Lesioning Into Comprehensive Pain Management
Dr. Jordan Sudberg views radiofrequency lesioning not as a standalone cure but as part of a holistic pain management plan.
Such plans may include:
- Medications to control inflammation and pain
- Physical therapy to strengthen muscles and improve function
- Lifestyle changes like weight management and ergonomic adjustments
- Psychological support to address the emotional impact of chronic pain
“Our approach is to tailor treatments to each patient’s unique needs and goals,” says Dr. Sudberg.
Who Should Consider Consulting a Pain Specialist?
If you suffer from chronic pain that interferes with daily life and haven’t found lasting relief with conservative treatments, scheduling an evaluation with a pain management specialist like Dr. Jordan Sudberg can open new avenues.
“Early intervention and accurate diagnosis are critical to effective pain control,” Dr. Sudberg stresses. “Radiofrequency lesioning may be an ideal option for many, but only a thorough examination can determine that.”
Final Thoughts
Radiofrequency lesioning represents an exciting advancement in minimally invasive pain relief, offering hope to patients trapped in chronic pain cycles. Thanks to experts like Dr. Jordan Sudberg, this procedure is becoming more accessible and effective, improving countless lives.
If chronic pain is affecting you or a loved one, don’t hesitate to explore your options. Modern pain clinics provide innovative treatments tailored to your needs—starting with a consultation and thorough evaluation.
