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Anyone ever had a facet rhizotomy?????



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No. 10
from Kally55PA
Old Jun 22, 2009, 09:27 PM

Default Re: Anyone ever had a facet rhizotomy?????
Khouriya, make sure you have a facet block first to make sure it's the facets that are causing your pain. I feel your pain!
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No. 11
from Kally55PA
Old Jun 22, 2009, 09:29 PM

Default Re: Anyone ever had a facet rhizotomy?????
thanks for the response Maggie. sounds like a nice practice you work in ... wish i was closer! I'm in Western Mass.
I have definetly found each pain clinic to be very different.
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No. 12
from maggiernpainnurse
Old Jun 23, 2009, 07:38 AM

Default Re: Anyone ever had a facet rhizotomy?????
Originally Posted by khouriya View Post
I had it done and it made no difference. The doctor said he wants to try the two nerves just below but needs to wait 6 weeks. In the meantime, back to the Darvocet!

I am curious how many and what nerves did he do did the rhizotomy on. Also when you had your last facet joint injection did he use steroids or just lidocaine? If steroids were used it could have given false impression of a pain generator was found by giving relief in that area from the steroids. I am so sorry it didn't work for you, our patients get great relief from them. But as Kally said they have to make sure the facet joint is the pain generator.
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No. 13
from khouriya
Old Jun 23, 2009, 12:58 PM

Default Re: Anyone ever had a facet rhizotomy?????
Originally Posted by Kally55PA View Post
Khouriya, make sure you have a facet block first to make sure it's the facets that are causing your pain. I feel your pain!
Yes, I did have that done. I think I have a weird body!
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No. 14
from khouriya
Old Jun 23, 2009, 01:02 PM

Default Re: Anyone ever had a facet rhizotomy?????
Originally Posted by maggiernpainnurse View Post
I am curious how many and what nerves did he do did the rhizotomy on. Also when you had your last facet joint injection did he use steroids or just lidocaine? If steroids were used it could have given false impression of a pain generator was found by giving relief in that area from the steroids. I am so sorry it didn't work for you, our patients get great relief from them. But as Kally said they have to make sure the facet joint is the pain generator.
He just did two, but now he suspects that the bottom two below those are the culprits. I don't know what he used for the facet blocks, but I'll ask. Thank you for the information...I appreciate it!
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No. 15
from FixAsh
Old Jul 01, 2009, 08:18 AM

Question Re: Anyone ever had a facet rhizotomy?????
Maggie, you seem extremely helpful. I like my Pain doc's nurses, but i don't think they are as knowledgable as you seem. Do you have input on this....
Since I had a mere 2-3 days of success in my Facet Joint injections, my doctor decided that Ablation was the next step. (Injections in C2-4 & Occipital nerve block for the neuralgia, also diagnosed with cervical spondylosis & am hypermobile) Anyway, the ablations were done a week ago. (C2-4 and Occipital nerve) At first I was VERY sore, now dealing with crazy spasms. He warned that I may feel as though my scalp is burned for a few weeks. That the pain would be worse than the pain after Facet Injections. I've not gotten to any burning yet. I'm wondering if that means this won't 'take'. I'm so desperate for what we do to be effective. He says that in my case, the pain is chronic by now- injury happened year & half ago. But the Facet injections (with the steroids in them) worked for a couple of days, we are on the right path, correct? So, it seems that this should work as well.
My question is, How does it feel when it works? If I don't feel that, is it because its the wrong approach or is it that it may take another go at it due to the age of the injury? Today, I'm having the spasms and a little burning in the back, but it is the normal deep burning pain, not the sensitive surface kind he spoke of in my head. It seems as though my normal pain before any treatment is definitely still here if not accentuated. Surely what we're doing is working, right? I don't want this to be given up on...
Thanks so much for any ideas & for what you do.
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No. 16
from maggiernpainnurse
Old Jul 01, 2009, 01:41 PM

Default Re: Anyone ever had a facet rhizotomy?????
Just because you didn't get the relief you thought you would get doesn't mean it was wrong. You may actually got relief from what he did but with that pain taken care of another area that was mask will now be the primary pain generator. Also if you are having muscle spasms that will keep the pain level elevated. Ice on 15 minutes off 15 minutes will help also alternating it with moist heat works for some. I think if you can get the spasms under control you will have some relief. Are you taking any muscle relaxers? How long are you out from you ablation? Hope that helps some, keep me informed. Maggie
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