Evidence map›Paper›PMID 41527621›Full record

ReviewCureus2025

Radiofrequency Ablation for Chronic Pain: Mechanistic Insights and Emerging Innovations.

Courage O Idahor, Sarah Mokobia, Ndidiamaka Ogbonna, Gloria E Eguahon, Oyidia Edema, Chinonye Opene, Osamagbe Osaghae, Ekene Chinedu, Nosa J Oronsaye, Olamide Ogunfuwa and 2 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Courage O IdahorEmergency Medicine, Nottingham University Hospital NHS Trust, Nottingham, GBR.
Sarah MokobiaEmergency Medicine, James Paget University Hospitals NHS Foundation Trust, Gorleston-on-Sea, GBR.
Ndidiamaka OgbonnaFamily Medicine, Edo State University Iyamho, Iyamho, NGA.
Gloria E EguahonFamily Medicine, University of Benin, Benin, NGA.
Oyidia EdemaPsychiatry, University of South Wales, Cardiff, GBR.
Chinonye OpeneFamily Medicine, All Saints University School of Medicine, Roseau, DMA.
Osamagbe OsaghaeInternal Medicine, University of Benin, Benin, NGA.
Ekene ChineduGeneral Medicine, NHS Lanarkshire, Lanarkshire, GBR.
Nosa J OronsayeInternal Medicine, Wexham Park Hospital, London, GBR.
Olamide OgunfuwaEmergency Medicine, Sandwell and West Birmingham NHS Foundation Trust, Birmingham, GBR.
Olaide B SulaimanAccident and Emergency, Mid Cheshire Hospitals NHS Foundation Trust, Crewe, GBR.
Jideofor C OkoyeMedical Education, Mersey and West Lancashire Teaching Hospital NHS Trust, Lancashire, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic pain remains a significant global health burden, with far-reaching consequences for individual well-being, societal productivity, and healthcare resources. Despite advances in pharmacological and interventional strategies, many patients experience inadequate relief or intolerable side effects, underscoring the need for alternative approaches. Radiofrequency ablation (RFA) has emerged as a minimally invasive, targeted therapy for a wide range of chronic pain syndromes, including spine-related disorders, peripheral neuropathic pain, complex regional pain syndrome (CRPS), and refractory cancer pain. This narrative review explores the historical evolution of RFA, tracing its origins from early neurosurgical experiments to its current place in contemporary pain medicine. Mechanistic insights into RFA highlight its ability to disrupt nociceptive pathways at both cellular and molecular levels, with biophysical principles guiding lesion formation and efficacy. The review examines conventional, pulsed, cooled, and bipolar RFA techniques, comparing their effectiveness and indications across pain syndromes. Recent technological innovations, such as advanced image guidance, neuro-navigation, robotic assistance, and regenerative hybrid strategies, are discussed as transformative trends poised to enhance the precision and outcomes of RFA. The safety profile, including immediate and delayed complications, is critically appraised alongside established preventive strategies and management protocols. Evidence from clinical trials, meta-analyses, and professional guidelines is synthesized to inform best practice, while also addressing ethical, legal, and accessibility considerations in diverse patient populations. Collectively, this review underscores the evolving role of RFA in chronic pain management, highlights persistent challenges, and calls for ongoing research to optimize patient selection, procedural safety, and equitable access worldwide.

Indexed as

ablative therapychronic pain managementinterventional pain medicineinterventional pain therapypain modulationpulsed radiofrequency nerve ablationradiofrequency ablation (rfa)

Identifiers

PMID41527621
PMCPMC12790810

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.