Many people dealing with chronic back pain or nerve-related discomfort consider spinal nerve ablation and wonder, “Is spinal nerve ablation safe?” or “Should I get a nerve ablation for back pain?” While spinal nerve ablation (also called radiofrequency ablation, or RFA) can provide temporary relief by disabling pain signals, it comes with significant risks and long-term concerns that patients should be aware of before proceeding.
At Unity Chiropractic Wellness, located in Midtown Manhattan near Grand Central Terminal and Murray Hill, we specialize in non-invasive, natural treatments for chronic back pain, nerve pain, and joint dysfunction—helping patients find lasting relief without the risks of nerve ablation.
What Is Spinal Nerve Ablation?
Spinal nerve ablation (radiofrequency ablation, or RFA) is a minimally invasive procedure in which heat generated by radio waves is used to damage or destroy specific nerve fibers that transmit pain signals. This is done by inserting a needle into the affected area and using an electrical current to burn or disable the nerve, preventing it from sending pain messages to the brain.
Doctors typically recommend spinal nerve ablation for:
• Chronic lower back pain or neck pain
• Facet joint pain (arthritis-related pain in the spine)
• Sacroiliac (SI) joint pain
• Pain that has not responded to steroid injections or other treatments
While this procedure does not fix the underlying cause of pain, it can temporarily reduce pain for 6–12 months by blocking the affected nerve’s ability to transmit pain signals.
Why You Should Think Twice Before Getting Spinal Nerve Ablation
1. Spinal Nerve Ablation Does Not Fix the Root Cause of Pain
Spinal nerve ablation only interrupts pain signals—it does not address the underlying problem that is causing pain in the first place.
• If pain is due to poor posture, joint misalignment, or muscle imbalances, ablation does not correct these issues.
• Many patients experience pain returning once the nerve regenerates (usually within 6–12 months).
• Some patients develop new pain in different areas as the body compensates for nerve damage.
Alternative: Chiropractic adjustments, postural corrections, soft tissue therapy, and movement rehabilitation can target the root cause of pain for long-term relief.
2. Nerve Regeneration Can Lead to Worse or Different Pain
A common misconception is that nerve ablation permanently eliminates pain. In reality, nerves regenerate over time—and when they do, pain can return worse than before or in a different pattern.
• Regenerating nerves may form abnormal connections, leading to neuropathic pain, burning sensations, or hypersensitivity.
• Some patients develop rebound pain, where discomfort intensifies after the nerve regrows.
• Nerve damage can cause new issues with mobility and muscle coordination.
Alternative: Spinal decompression, chiropractic care, and nerve mobilization techniques can relieve nerve pain naturally without the risk of abnormal nerve regrowth.
3. Muscle Weakness and Instability Can Develop Over Time
Spinal nerves do more than just transmit pain signals—they also play a crucial role in muscle function and coordination. When a nerve is ablated:
• Nearby muscles may weaken due to lack of proper nerve signals.
• Spinal instability can develop if the affected muscles are no longer supporting movement properly.
• The body may compensate with poor posture or muscle overuse, leading to pain in other areas.
For example, if facet joint nerves in the lower back are ablated, the surrounding muscles may no longer receive proper feedback, leading to poor spinal stability and increased injury risk.
Alternative: Chiropractic rehabilitation, core strengthening exercises, and movement training can improve spinal stability and nerve function without causing weakness.
4. Nerve Ablation Can Lead to Scar Tissue and Chronic Inflammation
When a nerve is burned or destroyed, the damaged area may develop scar tissue, which can create new problems over time.
• Scar tissue can irritate surrounding nerves, leading to chronic inflammation and new sources of pain.
• In some cases, the formation of excessive scar tissue can compress adjacent nerves, causing additional discomfort.
• Scar tissue from multiple ablations may limit spinal mobility and flexibility.
Alternative: Soft tissue therapy, myofascial release, and spinal adjustments can improve nerve function and reduce inflammation without creating scar tissue.
5. Risk of Nerve Damage and Long-Term Complications
While nerve ablation is often marketed as a “safe” procedure, there are risks involved, including:
• Permanent nerve damage leading to chronic pain
• Altered sensation (numbness, tingling, or hypersensitivity)
• Increased risk of developing complex regional pain syndrome (CRPS)
• Potential for misdiagnosis—ablating the wrong nerve may not provide relief
Some patients who undergo multiple ablations report feeling worse over time due to nerve degeneration and dysfunction.
Alternative: Chiropractic care, nerve gliding techniques, and postural corrections can help relieve pain without permanently damaging nerves.
Safer Alternatives to Spinal Nerve Ablation
If you’re looking for long-term relief from chronic back pain or nerve pain, consider these non-invasive, natural options instead of ablation.
1. Chiropractic Adjustments for Spinal Alignment
Misalignments in the spine can compress nerves and cause chronic pain. Chiropractic adjustments help by:
• Restoring proper joint motion to reduce nerve irritation.
• Relieving pressure on the spine to allow for natural healing.
• Improving posture and mobility to prevent recurring pain.
2. Spinal Decompression Therapy
For herniated discs, sciatica, or spinal stenosis, spinal decompression therapy can:
• Create space between vertebrae to relieve nerve compression.
• Improve blood flow and nutrient delivery to the spine.
• Reduce pain naturally without damaging nerves.
3. Soft Tissue Therapy (Graston Technique, Myofascial Release)
Many cases of nerve pain are due to tight muscles or fascial adhesions. Soft tissue therapy can:
• Break down scar tissue and adhesions.
• Reduce tension in surrounding muscles to relieve nerve pressure.
• Improve circulation and tissue healing.
4. Corrective Exercises and Nerve Mobilization
Instead of disabling nerves, improving their function is a better long-term solution. Chiropractic rehabilitation and nerve mobilization exercises can:
• Restore healthy nerve movement and flexibility.
• Improve muscle activation and coordination.
• Prevent compensatory movement patterns that lead to pain.
5. Anti-Inflammatory Nutrition and Lifestyle Changes
Chronic inflammation exacerbates nerve pain. A diet rich in:
• Omega-3 fatty acids (fish, walnuts, flaxseeds)
• Turmeric and ginger (natural anti-inflammatory herbs)
• Magnesium and B vitamins (support nerve health)
Can naturally reduce pain and inflammation.
When to Seek Chiropractic Care Instead of Nerve Ablation
Consider chiropractic care first if you experience:
• Chronic lower back, neck, or nerve pain.
• Pain caused by herniated discs, sciatica, or spinal misalignment.
• Concerns about long-term nerve damage or weakness.
• A desire to treat the root cause rather than masking symptoms.
At Unity Chiropractic Wellness, we focus on natural, long-term pain relief strategies that support nerve health without the risks of ablation.
Final Thoughts: Is Spinal Nerve Ablation Worth the Risk?
While spinal nerve ablation may provide temporary pain relief, it comes with significant risks, including nerve damage, scar tissue formation, and long-term complications. Instead of disabling nerves, chiropractic care offers a safer, long-term solution by addressing the root causes of pain and nerve dysfunction.
If you’re experiencing chronic back pain or nerve pain, schedule an appointment at Unity Chiropractic Wellness today! Conveniently located in Midtown East near Grand Central Terminal and Murray Hill, we’re here to help you heal naturally and move pain-free.