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RF Ablation
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georgia888 posted:
Hello All,
Of late there's been much chatting on the subject of RF Albation. Has anyone had it done with Osteoarthritis as the culprit for their pain?

Which doctors are qualified to perform this procedure? I thought I read once where a physiatrist is the one to see for this.

As always, thank you for the input.

georgia
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trs1960 responded:
Just had one done yesterday. This is my fourth. The first time they couldn't get the probe through the crushed vertabrae so it didn't work. The second time I had some success. The third time I had fantastic results. The fourth time was 24 hours ago and I'm still sore!

I think (not sure) that usually a pain managment doctor trained to perform the RF Ablation does them. Mine have all been from Anesthesiaologists that are PM specialist, but I don't know if the extra training is limited to any one type of doctor?

My opinion of the procedure is: If PT and other treatments such as steroid injections don't give you releif it's worth giving it a try. Prior to the RF Ablation you will have to undergo an Anelgesic never block which will test to see if you are a good candidate for the RF procedure.

Talk to your doc and listen to him.

Tim
 
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georgia888 replied to trs1960's response:
Thanks, Tim. Good luck with your most recent treatment.

georgia
 
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Debsbears responded:
Hi georgia I have had many done due to facet disease after the injections the pain came back - Mine were done through the anesthesiologist / pain management specialist.
 
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georgia888 replied to Debsbears's response:
Hi Debsbears,
In other words, your treatment was not successful? Where is your pain?

Thanks for replying!

georgia
 
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Debsbears replied to georgia888's response:
georgia I wouldn't say it was unsuccessful, the facet injections are what didn't work. That is why they did the RFA's. My RFA's were done for my facets and that pain is gone.

The pain that I have now is in my hips and SI joints due to Ankylosing spondylitis or from what I understand it is called osteoarthritis. I also have severe tendonitis in both my knees and ankles. I can't forget my RSD is acting up in my right ankle as well complicating things right now.

I am sorry but I never heard of the Drs doing RFA's for osteoarthritis, where or what part of the back to they do that?
 
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georgia888 replied to Debsbears's response:
Sorry to hear of your pains, Debsbears. My doctor's office is offering RFA on the Osteoarthritis in my lumbar spine. I also have Fibromyalgia so it may be difficult locating the right area(s) to treat. The way I feel, I'd authorize them to do the entire lower back.

How long have you been pain-free?
 
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Debsbears replied to georgia888's response:
With the RFA's about 6 yrs.
 
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trs1960 replied to Debsbears's response:
RFAs are on the nerve ganglion. If you look at a branch on a tree you often see a knot where the tree leaves the trunk. The ganglion is where a nerve branch leaves the spinal cord. This is importnt as CNS injuries rarely heal while periphial nerves often do. The ganglion, being inbetween behaves thusly. It may never heal (pain free forever) or it may heal back rather soon. Everyone is different and it depends on how well the probe is placed and how much nerve is burnt.

Lots of variables...damn human body.

Tim
 
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trs1960 replied to trs1960's response:
Here's a description from Wikipedia. While Wikipedia is not guarenteed to be accurate, this reconciles with all that I've read.
http://en.wikipedia.org/wiki/Ganglion

Tim
 
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georgia888 replied to trs1960's response:
Thank you,Tim, for all the helpful info. I'm really leaning towards having it done.

georgia
 
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georgia888 replied to Debsbears's response:
6 yrs is great news! I understand with some lucky ones, the results could prove permanent. I hope you fall into that group.


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