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Real members of MyChronicPainTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

I was diagnosed that it's my sacroiliac nerve that has been my arch nemesis. The doctors want to do the radio frequency lesion on the nerve but I am a bit worried. Any feedback is appreciated.

July 16
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A MyChronicPainTeam Member

I had the ablation on my back. They put lidocaine first and that helps. It was a little uncomfortable but the benefits helped so much. I did get where it felt like a sunburn in my back and down my legs. The benefits from not having pain is greater than the discomfort. When I lived in LA area I would get shots in my back and hips it hurts a lot more than the ablation. They gave me lidocaine for my ablation. Before I got the ablation the doctor gave me a trial run of lidocaine first to see if could work.

July 21
A MyChronicPainTeam Member

I don't have diabetes but I have had numerous radio frequencies on my lumbar nerves. It's painful. My next pain clinic doctor said not to have any more of them (I had already planned on never having one again) because it just disperses the pain.

July 21
MyChronicPainTeam

Worrying about a new procedure is completely understandable β€” especially when it involves a nerve that's been causing so much trouble! Radiofrequency ablation (RFA) for sacroiliac (SI) joint pain is a well-known procedure used when other treatments haven't provided enough relief.

Here's what is generally known about the Show Full Answer

Worrying about a new procedure is completely understandable β€” especially when it involves a nerve that's been causing so much trouble! Radiofrequency ablation (RFA) for sacroiliac (SI) joint pain is a well-known procedure used when other treatments haven't provided enough relief.

Here's what is generally known about the procedure and recovery:

- Post-procedure soreness is common and can last anywhere from a few days to a few weeks
- Pain relief typically begins within 1–3 weeks as the nerve settles down
- Relief duration can last anywhere from 6 months to 2 years or more, though results vary person to person
- Some people feel worse before they feel better β€” this is normal and temporary

A few important things to discuss with your doctor beforehand:

- Your full medical history, including any other conditions you manage
- What pain management plan will be in place right after the procedure
- Signs of complications to watch for, such as increased swelling, infection, or unusual symptoms Many MyChronicPainTeam members have shared experiences with spinal and nerve-related procedures, including some who noted mixed results. Asking your care team specifically about success rates for SI nerve procedures and having a solid post-procedure pain plan in place can really help ease the anxiety going in.

You're asking all the right questions β€” that's a great sign!

July 16

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