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Radiofrequency Ablation (RFA): The Questions Patients Actually Ask — Answered by Physicians

Radiofrequency Ablation (RFA) generates some of the most repetitive phone calls in any pain management practice: how long relief lasts, why pain can flare first, and when to schedule the repeat. PrepQ, a patient-education platform built by physicians and operated by PrepQ LLC, maintains 102 physician-written answers about radiofrequency ablation (rfa) as part of a library of more than 7,500 answers covering 700-plus procedures across 14 specialties. Practices that subscribe to PrepQ give their patients a dedicated phone number to text or call at any hour, and the platform replies instantly with content the practice's own clinicians have reviewed and approved in advance. Questions outside the approved library are referred back to the office, and any message that suggests urgent symptoms is directed to 911 or the practice instead of being answered by software. The result: patients arrive prepared, day-of cancellations drop, and staff stop repeating the same radiofrequency ablation (rfa) instructions dozens of times a week.

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Real radiofrequency ablation (rfa) questions from our physician-reviewed library

A sample of the 102 radiofrequency ablation (rfa) answers in PrepQ's library. Before any practice goes live, its own clinicians review and approve every answer — and can customize each one to their protocols.

Am I a candidate for knee cooled RFA?
Candidates typically have chronic knee osteoarthritis pain that has not responded adequately to physical therapy, oral medications, or cortisone injections, and who are not surgical candidates or wish to delay knee replacement. Diagnostic genicular nerve blocks confirming the joint nerves as the pain source are usually required first.
Can cervical RFA cause weakness in my arms?
Arm weakness is rare with cervical RFA. The medial branch nerves targeted are small sensory/motor nerves supplying the facet joints and nearby small muscles, not the nerve roots that control arm strength. If you develop new arm weakness after the procedure, call your doctor right away.
Can cervical RFA help my headaches?
If your headaches originate from the upper cervical facet joints (a condition called cervicogenic headache), cervical RFA at C2-C3 can significantly reduce headache frequency and intensity. Your doctor should have confirmed this as the source through diagnostic blocks before recommending RFA.
Can cryoablation be repeated?
Yes — because the nerve regrows fully, cryoablation can be repeated when pain returns. There is no strict limit on repetitions. Many patients use periodic cryoablation as an ongoing pain management strategy, especially if they want to avoid permanent ablation.
Can I go home after lumbar RFA?
Yes — lumbar RFA is an outpatient procedure. You will need a driver to take you home and should plan to rest for the remainder of the day. Most patients feel well enough to return to light activities the next day.
Can I take pain medications the day of lumbar RFA?
Take your regular medications with a small sip of water on the morning of the procedure, unless instructed otherwise. Do not take sedating medications beyond what is prescribed — these can interact with the procedural sedation. Confirm your specific medication plan with your care team beforehand.
Do I need to stop blood thinners for lumbar RFA?
Whether to stop a blood thinner before lumbar RFA depends on the specific medicine, why you take it, and your bleeding risk. Never stop a blood thinner on your own, as that carries its own risk. The doctor who prescribes it, along with your pain team, will tell you whether to hold it and the exact timing for stopping and restarting that's right for you.
Do I need to stop my blood thinners before my Basivertebral Nerve Radiofrequency Ablation?
This procedure is classified as INTERMEDIATE bleeding risk under ASRA guidelines. Never stop or change any blood thinner on your own — whether a hold is needed, and for how long, depends on your specific medication and health history. Tell your care team about every blood thinner, aspirin product, or supplement you take, and follow the exact instructions they give you at your pre-procedure call. If you have not received instructions, call the office before your procedure.
Do I need to stop my blood thinners before my Cervical Radiofrequency Ablation?
This procedure is classified as INTERMEDIATE bleeding risk under ASRA guidelines. Never stop or change any blood thinner on your own — whether a hold is needed, and for how long, depends on your specific medication and health history. Tell your care team about every blood thinner, aspirin product, or supplement you take, and follow the exact instructions they give you at your pre-procedure call. If you have not received instructions, call the office before your procedure.
Do I need to stop my blood thinners before my Greater Occipital Nerve Radiofrequency Ablation?
This procedure is classified as INTERMEDIATE bleeding risk under ASRA guidelines. Never stop or change any blood thinner on your own — whether a hold is needed, and for how long, depends on your specific medication and health history. Tell your care team about every blood thinner, aspirin product, or supplement you take, and follow the exact instructions they give you at your pre-procedure call. If you have not received instructions, call the office before your procedure.

Your staff answers these 102 questions by phone. PrepQ answers them by text, instantly.

PrepQ gives your pain management practice a dedicated number patients text or call 24/7. Physician-written answers, approved by your doctors, delivered in English and Spanish — with urgent messages escalated to your office or 911, never improvised. HIPAA-compliant, BAA provided, no EHR integration required.