Radiofrequency Ablation and Cryoneurolysis

For most people, chronic pain is a symptom of a more serious underlying health problem. It is a condition that affects millions of people at any given time. When left untreated, chronic pain can be disabling and painful and can significantly impact our quality of life. It can also be debilitating and affect people’s ability to work or participate in regular daily activities.

North Shore Headache and Spine is run by top New York board-certified anesthesiologist and pain management physician, Frank Ocasio, MD. Dr. Ocasio is a highly specialized physician that can temporarily target the main nerve delivering pain signals to eliminate pain and improve mobility. The goal of chronic pain management is never to destroy or limit function but to improve the condition so that patients can perform simple daily tasks. Treatments can often help patients return to a regular workout routine, improve blood flow and sleep, and have an overall higher quality of life.

Two treatments that North Shore Headache and Spine in Huntington, NY, offers to target chronic pain are radiofrequency ablation and cryoneurolysis.

What Is Cryoneurolysis?

Cryoneurolysis is a nerve-blocking technology to help reduce chronic pain due to nerve damage. The treatment leverages innovative freezing technology to eliminate pain and encourage healthy nerve growth.

How is cryoneurolysis performed?

North Shore Headache and Spine performs cryoneurolysis with the Lovera device. The special hand-held tool delivers nitrous oxide through a closed-end needle to create a cold zone around the nerve, usually around -88 degrees Celsius. The process results in pain relief without permanently damaging nerves. To ensure the freezing device is only targeting the identified nerve, ultrasound or x-ray guidance is used for precision accuracy.

Dr. Ocasio is a skilled physician with more than 15 years of experience. He uses an ultrasound to map out nerves in the target area and identify precise nerves and locations where pain needs to be addressed or “turned off” with cryoneurolysis while leaving healthy nerves to function normally.

What can I expect from my results?

Cryoneurolysis is not a permanent solution but can help patients significantly reduce pain once the treatment ends and continue with a more active lifestyle. After the procedure, cryoneurolysis can last up to three months.

What is radiofrequency ablation?

Radiofrequency ablation (RFA) is a pain management treatment that uses heat to destroy tissue and prevent pain signals from being sent to the brain. RFA treatment is ideal for patients with long-term conditions in the back, neck, or arthritic joints that have not responded to other therapies.

Pulsed RF vs. Thermal RF

Pulsed and thermal RF are ways to perform RFA. Pulsed RF generates temperatures around 40 degrees Celsius to target damaged nerves. This method can be more preservative of the nerve and surrounding tissue for long-term health and regrowth. Pulsed RF also offers longer results ranging from six months to a year. Thermal RF, also known as conventional RFA, generates temperatures around 80 degrees Celsius.

How is this procedure performed?

RFA uses radio waves to heat and destroy a small area of nerve tissue to provide relief from chronic pain. A small hollow needle is placed into the target nerve during the procedure, and an electrode is placed on the needle to send radio waves directly to the nerve. The heat produced from the radio waves burns the damaged nerve and blocks pain signals.

Wallerian degeneration is a process that nerves undergo after RFA to stop signals from transmitting to the brain. Radiofrequency treatments use electricity to apply heat and produce a similar degeneration of the damaged nerve.

What can I expect from my results?

Patients can expect to feel sore at the treatment site for several days but can return to normal daily activities after two days of rest. Results vary by patient and condition, but many patients have lasting results for one year. RFA is not a permanent solution and can be repeated for continued results.

Schedule a Nerve Ablation appointment today

Contact us to schedule a consultation and learn more about nerve ablation.

Why Choose North Shore Headache and Spine?



With our in-office diagnostic imaging, dozens of innovative treatments, and full regenerative medicine service offerings, we are able to examine, diagnose, and treat patients experiencing chronic pain all under one roof.


Integrative Philosophy

Instead of masking symptoms with a quick-fix approach, we focus on every lifestyle aspect to determine the root causes of pain and develop non-narcotic solutions.



Our team values each and every one of our patients. We understand the toll that chronic pain takes on your physical and mental health, and we’re committed to listening to your concerns and creating the right treatent plan for you.

Pain Management Treatment Options

North Shore Headache and Spine offers the latest modalities for pain treatment, including, but not limited to:

Intracept Basivertebral Nerve Ablation

The Intracept Procedure is a minimally invasive treatment that targets the basivertebral nerve, which is often responsible for lower back pain.

Central and Peripheral Stimulation

Central and peripheral nerve stimulation involves using electric devices to disrupt pain signals from damaged nerves.

Nerve Blocks

A nerve block delivers a combination of medication and an anesthetic directly into the space surrounding a damaged nerve to quickly relieve pain.

Epidural Blood Patch

An epidural blood patch treatment involves drawing the patient’s blood and re-injecting it into the epidural space to “patch” the tear or leak in the dura of the spine.

Epidural, Steroid, and Trigger Point Injections

Steroid injections, including epidurals and trigger point injections, introduce anti-inflammatory medications into your area of pain to simultaneously alleviate chronic pain and treat inflammation.

5 Star Rated Practice

Thousands of New Yorkers Trust North Shore Headache and Spine

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