What is radiofrequency ablation?

PRF pain treatment

Radiofrequency ablation (RFA) is a medical procedure used to treat certain conditions by using electrical energy to create heat and destroy targeted tissue. This technique is commonly employed in the treatment of various medical conditions, including certain types of tumors, abnormal tissue growth, and chronic pain.

In the context of pain management, RFA is often used to relieve pain arising from the joints or nerves. Here’s how the procedure generally works:

  1. Identification of Targeted Area: The healthcare provider identifies the specific area causing pain, usually a nerve or a joint.
  2. Imaging Guidance: Imaging techniques such as fluoroscopy or ultrasound may be used to guide the placement of a special needle or electrode to the targeted area.
  3. Application of Radiofrequency Energy: Once the needle or electrode is in the correct position, radiofrequency energy is delivered to the tissue. The energy generates heat, which causes controlled damage to the nerve or tissue that is transmitting pain signals.
  4. Interrupting Pain Signals: By creating this targeted damage, RFA interrupts or “ablates” the pain signals traveling from the affected area to the brain. This can provide relief from chronic pain.

The effects of radiofrequency ablation are not always permanent, and the duration of pain relief can vary from patient to patient. Some individuals may experience relief for months or even years, while others may require repeated treatments.

RFA is considered a minimally invasive procedure, meaning it generally involves only small incisions or insertion points. It is often performed on an outpatient basis, and patients may experience minimal discomfort during and after the procedure.

It’s important to note that radiofrequency ablation is just one of several pain management techniques, and its suitability depends on the specific condition and individual patient characteristics. As with any medical procedure, potential risks and benefits should be thoroughly discussed between the patient and their healthcare provider.

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Dr. Angela Dastouri

Director of the Pain Program

MD, FRACGP, DCH, MPH, FPS

Dr Angela Dastouri is an experienced General Practitioner and Director of the Pain Program at PainAid Specialists, with a special interest in chronic pain, pain management and injury-related conditions.

Dr Dastouri works collaboratively with Specialist Pain Medicine Physicians, allied health clinicians and hospital teams to support the delivery of coordinated, multidisciplinary care. She has particular experience in the management of patients with workplace injuries, motor vehicle accident injuries, musculoskeletal conditions and persistent pain.

As part of the PainAid multidisciplinary team, Dr Dastouri also assists Specialist Pain Medicine Physicians with interventional pain procedures in hospital and day-surgery settings. She provides post-procedure clinical follow-up in conjunction with the treating Pain Medicine Specialist, supporting continuity of care, monitoring of recovery and coordination of ongoing treatment.

Dr Dastouri has undertaken training in Focused Psychological Strategies and Cognitive Behavioural Therapy (CBT), complementing her medical practice with an understanding of the psychological and behavioural factors that can influence persistent pain and recovery.

Her approach emphasises the integration of medical, psychological, functional and rehabilitative care, with treatment tailored to each patient's individual circumstances and recovery goals.

 

 

 

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Dr. Adam Mir

Fellowship from the Faculty of Pain Medicine (FFPMANZCA) and a Master of Pain Medicine from the University of Sydney.

Dr. Adam is a Fellowship-trained Pain Medicine Specialist with a Fellowship from the Faculty of Pain Medicine (FFPMANZCA) and a Master of Pain Medicine from the University of Sydney. He is dedicated to the comprehensive management of chronic pain across all age groups.

Dr. Adam trained in adult pain medicine at Liverpool Hospital, Nepean Hospital, and the Department of Pain Medicine, and completed additional training in paediatric chronic pain. He currently serves as a Staff Specialist at St George Public Hospitals (NSW Health), and is a Visiting Medical Officer (VMO) at Liverpool Public Hospital, St George Private, Sydney Southwest Private, Holroyd Private, Norwest Private, and Nepean Private Hospitals.

He adopts a whole-person, multidisciplinary approach rooted in the socio-psycho-biomedical model, utilising both pharmacologic and interventional techniques. These include:

  • Nerve blocks
  • Radiofrequency neurotomy
  • Platelet-Rich Plasma (PRP) therapy
  • Spinal cord stimulation
  • Extra Corporal Shockwave Therapy (ECSWT)

He also completed advanced training in Virtual Reality Therapy for chronic pain and mental health disorders in Barcelona, Spain, and has further qualifications in Focused Psychological Strategies, Cognitive Behavioural Therapy (CBT), and Clinical Hypnosis.

Qualifications:

  • FFPMANZCA – Fellowship, Faculty of Pain Medicine, ANZCA
  • MMed (Pain Medicine) – University of Sydney
  • MD – Medical Doctor
  • Diploma in Child Health – The Children’s Hospital at Westmead
  • Certificate in Opioid Treatment (Methadone/Suboxone) – Australian Chapter of Addiction Medicine
  • Certification in ECSWT – Extra Corporal Shockwave Therapy
  • Focused Psychological Skills (FPS), CBT – Australian Society for Psychological Medicine
  • Clinical Hypnosis – The College of Medical Hypnosis

Languages Spoken:

English, Persian (Farsi), Dari

 

 

 

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