Pain Management Procedure - Lumbar Radiofriquency Neurotomy


		Pain Management Procedures

	Dmitri Petrychenko Pain Management Office offers following procedures (to view description of the procedure, click on the name below):

Caudal steroid injection Celiac Plexus Block Cervical Epidural Steroid Injection Dekompressor Discectomy Discography Facet joint injection Femoral Nerve Block Intradiscal Elektrothermal Therapy Intrathecal Pump Implant Lumbar Epidural Steroid Injection Lumbar Radiofrequency Neurotomy Lumbar Sympathetic Block Lumbar Transforaminal Epidural Steroid Injection Percutaneous Disc Nucleoplasty Peripheral Nerve Block RACZ Caudal Neurolysis Sacroiliac Joint Steroid Injection Spinal Cord Stimulator (SCS)/Implant Stellate ganglion block Trigger Point Injection Vertebroplasty

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	Lumbar Radiofrequency Neurotomy


	This Page in Russian

This pain management procedure, which is also called radiofrequency rhizotomy, is used to reduce or eliminate pain in spinal facets. Pain signals travel through medial nerve branches. Light electrical discharge is used to cut off the nerve, which innervates painful facet joint. This short, minimally invasive procedure is held under local anesthesia. A tube-like needle, called cannula is introduced with the help of fluoroscope near appropriate medial nerve branch.

A radiofrequency electrode is inserted through the cannula. To make sure that electrode is in correct position, a small electric signal stimulates current site. If the stimulation causes only pain without other muscular effects, then the electrod is in right position. To cut off the nerve electricity is conducted through the electrode, which warms up the nerve. After on eneurotomy is complete, physician may repeat the procedure for one or more nerves. At the end of the procedure both cannula and electrode are removed.

During a week after the procedure the pain may increase, but by the end of the months the patient will be fully relieved. Successful radiofrequency neurotomy may last longer than steroid block.

Possible side-effects are comparable with side-effects of a simple injection: patient may have allergic reactions, bacterial infection or bleeding, which occurs rarely.

It is obligatory to inform your physician about pregnancy or the use of ‘blood thinning’ medications


	Dmitri Petrychenko, M.D., 1660 East 14th Street, second floor, Suite 202, Brooklyn, NY 11229, Tel: (718) 336-5123 info@freeofpain.org


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