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Radiofrequency Ablation

Dr Hussein Mousa on January 31, 2017 at 2:34 pm
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    • HUSSEIN MOUSADr Hussein Mousa
      Member
      Joined: Aug 25, 2015
      Posts: 1
      #5273

      Dear Colleagues,
      I have had patient’s that complain about pain due to needling after radiofrequency ablasion. This occurs especially after median nerve block for facet joint of the neck and lumbar region. How do I resolve this?
      -Dr.Hussein I.Mousa
      FIBMS, AANS, ATLS neurosurgeon

      • Gabor B RaczGabor B Racz
        Participant
        Joined: Mar 28, 2016
        Posts: 30
        #5274

        Hello Dr. Mousa,
        I stopped using sharp needles. They are like microtomes and cut. If localized tenderness may try re-injecting. If it is like sunburn reassure the patient.Cryolysis does not cause neuritis. Incomplete RF does cause neuritis. If block works try to repeat lesion but with a blunt (Racz-Finch needle) or if you have a cryo machine try it. Ultrasound guidance and local injection will make this more commonly used in the future.
        Best Regards
        -Gabor B. Racz, Professor and Chairman Emeritus

        • Sarfaraz KhanSarfaraz Khan
          Participant
          Joined: Dec 4, 2014
          Posts: 0
          #46234

          Reactionary neuritis after a radiofrequency lessening is reported in majority of the cases. Injecting steroid at each location before withdrawing the RF needle and flushing the needle trach with lidocaine while withdrawing may help reduce post procedural pain.
          Thanks
          Sarfaraz Khan, MD, FIPP

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