Pulse radiofrequency (PRF) treatment is a non-invasive procedure that uses radiofrequency energy to target specific areas of the head and neck that are believed to be involved in the development of migraines. There are various ways to do this. Some non-medical personnel will use a small, handheld device that emits a pulse of radiofrequency energy to the targeted area. This energy is thought to disrupt the activity of certain nerves that are involved in the pain pathway of migraines. The more targeted way that is recommended involves placing special needles under ultrasound or fluoroscopy guidance to target the nerves accurately.

PRF treatment is typically performed on an outpatient basis and is done under some sedation. You may sleep during the procedure, but will still react and give feedback to pain if required. Some people may experience mild discomfort during the procedure, but it is generally well-tolerated.
PRF treatment is considered a relatively new treatment option for migraines, and more research is needed to determine its effectiveness. However, preliminary studies have suggested that it may be effective in reducing the frequency and severity of migraines in some people. Pulse radiofrequency can work really well, but it may need to be repeated if the effects wear off. How well it works and how long it lasts really differs from person to person. It won’t work for everyone, but is very safe to perform, and is certainly worth trying if you have been suffering from headaches and migraines and medications don’t work for you.
It’s important to emphasize that PRF treatment is not recommended for everyone, and it’s important to consult with a qualified healthcare professional to determine if it’s an appropriate treatment option for you. Also remember that there are a lot of devices that purportedly does radiofrequency treatment and it can get confusing fast. The one that has more evidence and research done on is pulse radiofrequency done with special needles or probes placed next to nerves, not the ones that are simply placed on the skin.