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Can Radiofrequency Neurotomy Be Performed After Administering Local Anesthesia?

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Posted on Mon, 9 Nov 2015
Question: I am having nerves burnt (radiofrequency) around l5 s1 because I have degeneration in lower back and disc is compressing my nerves. will this help and also can I do local anesthesia or do I have to go under. Thanks
doctor
Answered by Dr. Dr. Rovena (6 hours later)
Brief Answer:
detailed below.

Detailed Answer:
Hello,

Welcome to Healthcare Magic.

I read carefully your query.

This procedure is called Radiofrequency Neurotomy.It uses radiofrequency waves to heat the tip of a needle to destroy specific nerves.This way ,these nerves can't send anymore pain signals.

This is a minimally invasive procedure and it is done under local anesthesia and mild sedation.You probably will be asleep during the procedure due to the sedative agent,but you won't need general anesthesia.
You can go home that day or the next day.The back area might be sore for 1-2 weeks but you doctor can prescribe you something for it.
You should experience a full relief of pain 2-4 weeks after the procedure and most likely you won't have a recurrence of pain.

Hope it helps.
Kind regards,
Dr.Rovena Murati
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (19 hours later)
Thanks. I had the right side radiofrequency Cryptanalysis in right lower back. Tomorrow is left side. Is this different than the neurotomy or is that the same thing? I had to do local anesthesia since I drank coffee this morning. Thanks
doctor
Answered by Dr. Dr. Rovena (5 hours later)
Brief Answer:
it is the same

Detailed Answer:
Hello again.

Yes,this is the same procedure and it is done under local anesthesia.

I wish you all the best.

Take care.
Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (18 hours later)
Thanks. I had radiofrequency on left lower back today. Found out that I have bone on bone. Will radiofrequency help with my nerve problem and back problem? Is there anything else I can do to help? Thanks in advance
doctor
Answered by Dr. Dr. Rovena (24 hours later)
Brief Answer:
detailed below

Detailed Answer:
Hello again.

I apologize for the delay in answering your query.

This procedure (Radiofrequency Ablation or Neurotomy ) is used to relief the pain caused from different back problems.It is used to help patients with chronic back pain.This procedure affect the nerves which transmit pain signals.It doesn't affect other structures like bones.So it won't cure the problem itself ,just will stop the pain caused from this condition.

Hope it helps.
Kind regards,

Dr.Rovena
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rovena (30 hours later)
Thanks again. I know it will take a couple of weeks for the nerves to stop bothering me, right? Should I use ice or heat where the nerves that r bothering me since I had the rf? Also, what is good to help with bone on bone in lower back?
doctor
Answered by Dr. Dr. Rovena (17 hours later)
Brief Answer:
detailed below.

Detailed Answer:
Hello again.

I really apologize for the delay.

The pain will improve few days after the procedure and you can wait a full relief after few weeks.
Usually ice is used the day of the procedure and the day after.After that you can use heat pads or warm compresses to ease the discomfort.

Regarding your problem of bone on bone ,it depends on the grade of the condition ,your symptoms.Usually conservative therapy is recommended ,exercises to strength back muscles,medications like NSAIDs (Ibuprofen ,Naproxen,Celexocib ) to reduce inflammation and pain,steroid injections etc.
The last thing to be done is surgery ,which consist in fusion on the affected vertebrae.
You need to discuss with your treating doctor the best treatment option for you .

Take care.
Dr.Rovena
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. Rovena

General & Family Physician

Practicing since :2013

Answered : 1243 Questions

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Can Radiofrequency Neurotomy Be Performed After Administering Local Anesthesia?

Brief Answer: detailed below. Detailed Answer: Hello, Welcome to Healthcare Magic. I read carefully your query. This procedure is called Radiofrequency Neurotomy.It uses radiofrequency waves to heat the tip of a needle to destroy specific nerves.This way ,these nerves can't send anymore pain signals. This is a minimally invasive procedure and it is done under local anesthesia and mild sedation.You probably will be asleep during the procedure due to the sedative agent,but you won't need general anesthesia. You can go home that day or the next day.The back area might be sore for 1-2 weeks but you doctor can prescribe you something for it. You should experience a full relief of pain 2-4 weeks after the procedure and most likely you won't have a recurrence of pain. Hope it helps. Kind regards, Dr.Rovena Murati