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the idea of RFA is brilliant that you put an electrode in and you burn the pain fiber and thereby silence it the reality of RFA is very different three out of four patients get relief but almost all of them will have the pain come back within three to six months essentially all of them by one year well why does it pain come back the pain comes back because the when you burn so-called burn the nerve the nerve isnamp;#39;t cut and itamp;#39;s able to recover and once the nerve recovers the pain comes back and sometimes itamp;#39;s even worse than it was originally one thing thatamp;#39;s true about radiofrequency ablation is really true about spine surgery in general every time you have it the probability of doing well just goes way down so youamp;#39;ve got one chance to make a really to have a really really good ablation procedure if the pain comes back after that which it does virtually every time in my mind it really doesnamp;#39;t make sense to keep going back and having more
