Radiofrequency Ablation (RFA) Treatment

Are You Suffering From Persistent Backache?

Backache is one of the commonest reasons to visit a doctor. Most cases of backache tend to resolve after taking painkillers and a few days of rest. However, there are some cases where the backache persists for months.

In patients who suffer from chronic backache which do not improve after a course of physiotherapy, radiofrequency ablation of the spine is recommended

With over a decade of experience in non-invasive treatments, Dr. Marcus Ling is dedicated to helping patients find lasting relief and cure from back pain.

If your condition requires urgent attention please call 62652388 to arrange a consultation. You will receive professional advice on:

How to manage your back pain for immediate relief.
Types of back pain that can be managed and cured without surgery.
Minimally invasive options for chronic cases.
Insurance advice and options, where applicable.

Request a Consult

If your back pain is affecting your day-to-day life I can help. Click the button below or call 62652388 to arrange a detailed assessment.

Ask Dr. Marcus Ling

Common Causes of Chronic Backache

Annular tears in intervertebral disc – When the outer part of the spinal disc tears, it can cause pain and discomfort.
Facet joint related pain – Degeneration or arthritis of the facet joints is a leading cause of chronic back pain. These joints can become inflamed and transmit persistent pain signals – often effectively treated with radiofrequency ablation (RFA).
Irritation of spinal nerves – Medial branch nerves that carry pain signals from the facet joints may become overactive, resulting in long-lasting back pain.
Degenerative changes of the spine – Age-related wear of spinal joints and discs can alter spinal mechanics and lead to ongoing discomfort, especially during movement or prolonged standing.

What is Radiofrequency Ablation

Radiofrequency Ablation (RFA) is a minimally invasive pain management procedure used to treat chronic back and neck pain caused by irritated or overactive spinal nerves. It is commonly recommended for patients with facet joint–related pain who have not achieved lasting relief from conservative treatments such as medication or physical therapy.

During the procedure, a thin needle-like probe is precisely guided to the targeted nerve using imaging technology. Controlled radiofrequency energy is then delivered through the probe, generating heat that disrupts the nerve’s ability to transmit pain signals to the brain. The nerve itself is not removed; instead, its pain pathway is interrupted.

The procedure is performed without the need for general anaesthesia, and patients are typically discharged on the same day and can return to normal activities within a short period. Pain relief may last up to two years, depending on individual conditions and nerve regeneration.

By targeting the source of pain rather than masking symptoms, radiofrequency ablation offers a safe, effective, and long-lasting option for managing chronic spinal pain.

How is Chronic Back Pain Diagnosed?

To determine the cause of your back pain, your doctor will take a detailed approach, gathering important information about your symptoms, medical history, and any activities or injuries that might have contributed to the pain.

Physical Examination:

Your doctor will assess your posture, movement, and strength to evaluate how the sciatic nerve and surrounding muscles are functioning.

X-ray:

An X-ray helps detect issues with the bones of the spine, such as fractures, bone spurs, or signs of spinal degeneration that may be putting pressure on the sciatic nerve.

MRI (Magnetic Resonance Imaging):

An MRI provides detailed images of the soft tissues, including discs, muscles, and nerves, helping to identify conditions like herniated discs, which can compress the sciatic nerve.

CT Scan (Computed Tomography):

A CT scan allows us to visualize the bones more clearly.

RFA of Facet Joints

In patients with backache from facet joint arthropathy, radiofrequency ablation to the facet joints denervates the medial branch nerve and brings about pain relief.

RFA of Disc

In patients with backache from annular tears, radiofrequency ablation to the damaged annulus denervates it and brings about pain relief. It also stabilises the disc and potentially seals the tear.

Back Pain Treatment

While many people find relief with at-home remedies, more serious cases of back pain may require professional treatment like RFA. There are several options, ranging from non-surgical methods to surgery, depending on the severity of the condition.

Non-surgical

Non-surgical treatment options are often the first step in managing sciatica. These methods aim to reduce pain, improve mobility, and prevent the condition from worsening. Common non-surgical treatments include:

Physical Therapy: Working with a physical therapist can help you perform specific exercises to relieve pressure on the sciatic nerve and strengthen muscles that support the spine.

Steroid Injections: Corticosteroid injections around the affected nerve root can provide temporary relief by reducing inflammation.

Medications: In addition to pain relievers, your doctor may prescribe muscle relaxants or nerve pain medications to manage discomfort.

Surgical

Surgery for chronic back pain is typically considered when non-surgical treatments have not provided relief, or if there is severe nerve compression that risks permanent damage.

Spinal Decompression surgery is typically considered when non-surgical treatments have not provided relief, or if there is severe nerve compression that risks permanent damage. Spinal decompression surgeries, including microdiscectomy and laminotomy, are common options for relieving pressure on the sciatic nerve

Insurance Partners

We work closely with trusted insurance partners to make your treatment seamless. Contact us, and we’ll guide you through the process at every step of the way.

Back Pain Specialist in Singapore

Dr. Marcus Ling is a Senior Consultant Orthopaedic Surgeon with a special focus on minimally invasive and motion-preserving spinal surgery. A dedicated clinician and educator, he has led advancements in spinal care while mentoring future surgeons. Known for his compassionate approach, he prioritises patient well-being, ensuring expert, personalised treatment for every individual. Dr. Ling is also one of the few surgeons that can perform awake spinal fusion without the need for general anaesthesia. This approach minimises downtime, allowing patients to be discharged within 24 hours of surgery when possible.

Why Choose Dr. Marcus Ling?

Minimally Invasive Treatments
Dr. Marcus Ling is trained and specialises in keyhole techniques that encourage quicker recovery, reduce pain, and lessen disruption to your life.
Caring Approach
Dr. Marcus Ling listens to your concerns and takes the time to explain all your treatment options, ensuring you feel informed and supported every step of the way.
Insurance Assistance
We guide you through the insurance process, making sure you have the support you need for a smooth and stress-free experience.

    
 
 
       Posted on Google  
   
   Amy Poh Sim Tay 
 
 
 
 Trustindex verifies that the original source of the review is Google. From my very first consultation to the post-operation follow-up, the experience has been outstanding and excellent. Dr Marcus Ling is a top notch surgeon who provided a clear and comprehensive explanation of my condition and the procedure, so I was fully informed and reassured at every step. He is exceptionally caring and thoughtful about his patients’ well being throughout and that genuine concern is truly commendable. I am also grateful  to his nurses, who were supportive, efficient, most polite and professional.
  
 
      Posted on Google  
   
   Margaret Ng 
 
 
 
 Trustindex verifies that the original source of the review is Google. I first saw Dr Marcus Ling for sciatic nerve pain on my left leg. It was impacting my daily life as I could not sit or walk for long without feeling pain in my left leg. Dr Marcus first went through my MRI and X-ray scans to determine the cause of the pain. After confirming that it was due to a compressed nerve, he went through the various treatment options with me. He was clear in explaining the pros and cons of each option, as well as the risks involved. I opted for radiofrequency ablation procedure. I recovered well after the procedure and 1 week post procedure, the pain is largely gone. I am very thankful to Dr Marcus for his care throughout the process. It is such a relief to be pain-free again, and I would definitely recommend him to anyone experiencing similar issues.
  
 
      Posted on Google  
   
   Autumn (*) 
 
 
 
 Trustindex verifies that the original source of the review is Google. Dr Marcus Ling is very caring and attentive towards his patient. He always has a warm smile. He will suggest different treatment options to the patient. He explains every treatment process clearly to the patient before deciding which option to choose. I am grateful to Dr Marcus Ling for his professional skills and help me regain my health. Thank you, Dr Marcus Ling 😊
  
 
      Posted on Google  
   
   Woon WeeKoon 
 
 
 
 Trustindex verifies that the original source of the review is Google. Extremely grateful to Dr. Marcus Ling for the excellent care he provided throughout my spine surgery journey. I underwent L4/L5 decompression, instrumentation and fusion, and from the first consultation to my post-operative follow-ups, Dr. Ling was professional, patient, and reassuring. He took the time to explain my MRI findings, the surgical options, the risks and benefits, and answered all of my questions thoroughly, which gave me confidence in proceeding with the operation. The surgery was successful, and my recovery has been progressing well. Throughout my follow-up visits, Dr. Ling has been attentive, caring, and meticulous in monitoring my healing. He never made me feel rushed and always listened carefully to my concerns, offering practical advice and reassurance. I would highly recommend him to anyone seeking a skilled and caring spine surgeon.
  
 
      Posted on Google  
   
   wanying chan 
 
 
 
 Trustindex verifies that the original source of the review is Google. Had my cervical spine disc replacement surgery with Dr. Marcus Ling. Very confident doctor with Impressive surgical skills. Surgery is spot on with an impressive team ( seen them very briefly in OT just before I got knocked off but  can really feel their synergy) and recovery is rather fast too. 2 weeks post surgery, feeling great. Long way to go but I already look forward to my next long distance hut to hut trek. ☺️ Thanks doctor and his team, nurses and admin included, for the job well done. Highly recommended.
  
 
      Posted on Google  
   
   ChoonChuen Seet 
 
 
 
 Trustindex verifies that the original source of the review is Google. Dr Marcus is thorough and caring. I have a successful surgery on the rotator cuff repair with him. Thank you.
  
 
      Posted on Google  
   
   Yet yen Yan 
 
 
 
 Trustindex verifies that the original source of the review is Google. Dr Marcus Ling was consulted on low back pain. It was evident that he tries his best to bring value to his patients and recommends the most appropriate treatment under his skillful hands
  
 
      Posted on Google  
   
   Ivan Bien 
 
 
 
 Trustindex verifies that the original source of the review is Google. I had a good and positive experience with Dr. Marcus Ling for my treatment. I was diagnosed with a slipped disc and had to undergo a microdisectomy. He explained the surgery required and provided the necessary information for me to make the decision. I'm grateful that the surgery was successful and relieved of the sciatica pain.

Get in Touch

Reach out to our team today to explore your orthopaedic options, schedule an appointment, and start your journey towards enhanced health and mobility.

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ADDRESS:

Gleneagles Hospital
6A Napier Road #03-43/44
Gleneagles Annex Block
Singapore 258500

CONTACT

Tel: 6265 2388
Mobile: 9816 0730

OPERATING HOURS:

Mon to Fri : 9.00am – 5.00pm
Sat : 9.00am – 12.00pm
Closed on Sunday and Public Holidays