If you have been scheduled for a radiofrequency ablation, you probably have a lot of questions. Hopefully, this article will make it more clear.
Yes. X-ray guidance is used for accurate needle placement. Whenever any needle is placed in the body there is the risk of infection, allergic reaction, local tissue breakdown, nerve injury, and paresis; but fortunately these complications are very rare for this type of procedure. You may experience some nerve irritation, which causes pain or stiffness.
Radiofrequency ablation is used to disable the medial branch nerves that supply the small posterior joints on either side of the spine called the facet joints. These joints may be the cause of your pain.
The nerves that are destroyed may regenerate in 12-24 months. During this time physical therapy will help the muscles around these joints become stronger, so when the nerves do regenerate you will not have the intensity of pain as you do now. If you have a recurrence of your pain, the procedure can be repeated.
The radiofrequency is done by inserting a thin needle using x-ray guidance to the area precisely next to the facet joint. Once in place, radio waves are used to produce heat. This heat will destroy the nerves ability to produce pain. It takes about 90 seconds at each needle site once the needle is in place. This will not destroy any nerves that control the muscles or sensation of the neck or back.
The surgery center will have you stay approximately 60 minutes after your procedure to make sure you are safe to go home. You should not drive for the rest of the day and do not do any heavy lifting or strenuous activities. Dr Carmichael will decide how many days he would like you to take off of work.
You may experience a mild increase in your pain or stiffness of the neck. If this occurs it will subside within 30 days after the procedure. Dr Carmichael will most likely provide you with a prescription of Lyrica or Neurontin to help with this discomfort.
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