Radio-Frequency (RF) Procedures

Radiofrequency (RF) energy-based procedures, are performed for chronic pain in a variety of musculoskeletal and neuropathic conditions.

Facet joint and medial branch nerve injections and Radiofrequency in Mumbai are advanced pain management procedures performed with state-of-the-art technology and expertise.

Radiofrequency (RF) energy-based procedures, are performed for chronic pain in a variety of musculoskeletal and neuropathic conditions. They are of two types:

  • Conventional or ablative (nerve burning) – CRF
  • Pulsed (nerve sparing).- PRF

These procedures, particularly facet joint treatments and medial branch nerve radiofrequency in Mumbai, have revolutionized chronic pain management by offering minimally invasive solutions.

The procedure is performed using a radiofrequency generator which can be connected to specialised cannulas and electrodes. Under the guidance of Ultrasonography the targeted nerves are located and the cannulas are placed next to them. The nerve proximity is confirmed using sensory and motor stimulation of it. The radiofrequency procedure is then performed either on the pulsed mode or conventional mode.

The key difference between the two is as follows
  • The temperature and duration at which the radiofrequency energy is transmitted
    • 42 degrees for 8 mins- PRF
    • 80-90 degrees for 90 secs – CRF
  • The pattern of Radiofrequency energy
    • Pulsed manner or discontinuous – PRF
    • Continuous – CRF
  • Result
    • PRF- Neuromodulation and decreased pain carrying signals
    • CRF- Nerve burning and loss of function

Our Medical Experts:

Ashirvad Institute for Pain Management and Research (AIPMR) is a multidisciplinary pain clinic in the heart of Mumbai. Our approach to pain is holistic, with a focus on the patient as a whole with multitargeted treatment of the pain. Our is a dedicated centre for Pain treatment with all the latest technology under one roof. We perform minimally invasive procedures for treatment of pain after we acquire an insight into patients physical and mental condition with a elaborate history taking and physical examination. Every patient with chronic pain has a long story of complaints, worries, fears and apprehensions that accompany the pain. Our approach aims to provide maximum relief from the pain, whilst trying to rehabilitate the patient, improve the functionality and let the patient attain the best Quality of life possible.

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Mechanism of Action:


In Conventional radiofrequency (CRF) a thermal lesion is created to interrupt the function of the nerve.
The application of PRF is based on the delivery of a train of sinusoidal electrical bursts (5–20 ms length) in the radiofrequency range (500 kHz) at a repetitive rate of a few hertz (2–5 Hz). The changes produced by electrical fields are selective for small unmyelinated and lightly myelinated nerve fibers, producing a motor-sparing effect. The pain relief commonly seen after PRF treatment can last up to several months. This effect is due to a neuromodulatory-type process, which alters the synaptic transmission or the excitability of C-fibers. These fibers are responsible for pain and temperature sensations and are involved in most neuropathic pain syndromes

Indications:
  • Radicular pain
  • Facet joint pain (one of the most common indications for medial branch nerve radiofrequency)
  • Occipital neuralgia
  • Trigeminal neuralgia
  • Frozen shoulder
  • Shoulder osteoarthritis
  • Knee osteoarthritis
  • Post Surgical Neuropathy
  • Complex regional pain syndrome
  • Post traumatic neuropathic pain
  • Diabetic Neuropathy
  • Post herpetic Neuralgia
    Migraine
  • Chronic Pelvic Pain
Applications in Cancer Patients:
  • Post Surgical Neuropathy
  • Post Radiation Neuropathy
  • Post Chemotherapy Neuropathy
  • Metastatic tumors involving nerve plexuses
  • Abdominal and Pelvic malignancy

The success rate of facet joint and medial branch nerve radiofrequency procedures in Mumbai has been remarkable, with many patients experiencing significant pain relief lasting 6-12 months or longer. These procedures are performed under strict sterile conditions using advanced imaging guidance, ensuring precise targeting and optimal outcomes.

Complications:


Although both techniques have been reported to be effective (pulsed and ablative RF), there are some limitations more related to the ablative RF, such as failure to completely denervated the nerve, disrupt nociceptive sensation, worsening of symptoms due to aberrant neuronal regeneration, neuroma formation, and reduced motor function, neuritis, paresthesia and deafferentation pain syndrome.

What Our Patients Say

I truly thank the Ashirvad Team to take care of my mom while treating her with Love and the needling sessions. They r so so good. I will recommend the patients to visit the Ashirvad clinic without a second thought. Thank you Team Ashirvad for all your help and co ordination. Thank you very much doctor n sisters at Ashirvad Pain Relief Clinic.

Sharmin Bhamla

I have been visiting Ashirvad Pain Clinic since more than a decade & wouldn't want to go anywhere else. The clinic has remained almost unchanged all these years and just when I was preparing myself to suggest to Dr Vas about the space crunch & the clutter within the confined space there...

Jyothy Kumar

After epidurals and surgery for slipped disc in the US, I was still in pain and bedridden. After I returned to India, I went to Ahirwad. Two months later I was back to work in US – painfree! Now two years later, I don’t know what pain is. With a full active life.

Ameesh, (Back Pain)

In Dec 2019 my left knee was a problem, I went back to her, again she has treated me. This time as I was 79yrs, I have a little trouble at times becoz of my age. Dr. Lakshmi is too good, I recommend any one who is advised Knee Replacement , please go to her, she will put you right. GOD BLESS HER ALWAYS !

Assumption Dias

I had post chikungunya forearm muscular pain. It was consistent and upon movement of palm use to pain a lot. The pain was over two months and after 7 seatings in Ashirvad pain management therapy under guidance of Dr.Vaz; the pain completely subsided.

Sunil Bapat

As you all are aware the side effects of cancer medication disrupts normal life. Fortunately, I came to Ashirvad Pain Relief Clinic and very glad to inform that the quality of my life has drastically improved. I got relief from irritable bowel syndrome

Narmada Muralidhar

Ashirvad Institute for Pain management and Research

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PAIN CAMP

For underprivileged patients

Conditions Treated

  • Chikungunya and Post Covid Pains
  • Back, neck and shoulder pain
  • Migraine, Vertigo, Facial Pain
  • Male and female pelvic pain
  • Cancer related pains
  • Joint pains

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9869029391

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Consultation at INR 200/- only & 50% off on treatment.
Consultation at INR 200/- only & 50% off on treatment.