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

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Lumbar Radiofrequency Neurotomy

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  • 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.

    Pain Management Procedure - Radiography

    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

    1660 EAST 14th St. Ste 202, Brooklyn, NY, 11229  Tel: (718)336-5123, (718)336-5064 Fax:(718)336-5137  info@freeofpain.org

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