Skip to content
rhizotomy
avatar
cybil53 posted:
Hello,
I was wondering if anyone has had Rhizotomy procedure done and if they had excruciating pain the next day? My husband had part of it done yesterday and was up all night and still no relief!

They had him for a long time so I asked the nurse if everything was alright. She took me back to see him, I was shocked how he looked! The nurse said they had to stop the procedure so they did only part of one side. She went on to tell me when the doc put the needle in his back my husbands leg started to shake uncontrollably and then his blood pressure bottomed out. That explained why he looked like he did.

They took his blood pressure a few times then said they wanted him to walk. The nurse got him up and he tried to walk and down he went. His leg kept giving out on him.

The doc came in and said they would finish that side and do the other side in 2 weeks and he could go home. My thoughts were you have to be kidding! So we came home and his blood pressure keeps going up along with his pain. He is on blood pressure meds and is usually controlled. Also he is numb all around his groin area?

I called the doc this morning told him he is in uncontrollable pain. His answer was this is normal take advil, if he is still in pain on monday I will call a few muscle relaxers in but I don't prescribe pain pills. This is a Pain Specialist he sees.

Any thoughts on this procedure would be appreciated. Have a great weekend!
Cybil
Reply
 
avatar
marjoy5 responded:
I had the procedure done 1 yr. ago. Mine was done from a Dr. at the Neuro Spine Center and he specialized in this and spinal surgery. I had quite a bit of discomfort for a few days. But he gives you pain meds to take. After that 1st week I have had no pain at all. I guess I lucked out.
I had a total of 6 places done. I feel sorry for all the problems your husband is having. I did a lot of research on Drs. qualified to do the procedure. And was blessed to have one right in the area.
I would go to see a Neuro Spine specialist.
 
avatar
cybil53 replied to marjoy5's response:
Marjoy5,

Thank you for your reply now we know it is normal to have pain/discomfort after the procedure. My husbands family doctor called in some pain meds for him and will see him this week. My husband is really unsure about going back to the pain clinic that did the procedure. He will discuss that with his family doc when he sees him next week.
 
avatar
lazydazey responded:
Dear Cybil53,
I am so sorry for what your husband had to go through! I was considering this very same thing, but it turned out I was not a candidate for it; however, the attitude of your husband's doctor sounds disgraceful! If I were in this position I would go to another pain specialist, at least for another opinion. I would have a real problem going to a pain specialist who allowed me to be in that kind of pain and told me to take an advil-good grief! Hoping you find a compassionate doctor (which your current one certainly is NOT) and your husband finds the treatment he needs. God bless.
 
avatar
cweinbl responded:

A Facet Rhyzotomy (a.k.a. Radio Frequency Ablation) requires insertion of very large needles into the thecal area, where spinal nerve roots reside. The slightest error in placement can impinge a nerve root. The procedure itself is very painful; since minimal anesthetic is used (the patient must be alert to respond to questions). If a nerve root was impinged, it can cause very severe pain. Occasionally, the increase in pain can last a very long time. Mine lasted over a year.

The success rate for a rhyzotomy ranges from 40% to 60% (http://www.painphysicianjournal.com/2009/july/2009;12;699-802.pdf ). Worse yet, because the diameter of the needles is so large, the rhyzotomy creates its own track of fibrosis (scar tissue). The fibrosis itself can impinge a spinal nerve root, creating a lifetime of increased pain. My last myelogram resembled a roadmap of New Jersey and the rhyzotomy tracks clearly visualized.

As you will see from the comprehensive study in the link above, rhyzotomy is very painful and has a rather poor record of long-term (12-month) success. It should be one of the last-resort options, like the spinal cord stimulator and the intrathecal infusion pump. Even though a rhyzotomy is called an injection, it is invasive and not without its own morbidity.
cweinbl
csw2@bex.net


Featuring Experts

David N. Maine, MD is the director of the Center for Interventional Pain Medicine at Mercy Medical Center in Baltimore. Maine graduated with a degree ...More

Helpful Tips

TylenolExpert
Overdoses from acetaminophen send thousands of people to the emergency room in the U.S. each year according the Centers for Disease Control ... More
Was this Helpful?
7 of 9 found this helpful

Related News

There was an error with this newsfeed

Report Problems With Your Medications to the FDA

FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.