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Spinal stenosis and ablations

Chronic Pain | Last Active: Oct 31, 2025 | Replies (141)

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I'm scheduled for ablation for my lower back L4-5 S1. I have severe spinal stenosis. I'm in constant pain hurts to stand and put weight on my left leg. My left side is the worst. Just wondering others experience with this procedure. The nerve block to determine the area of pain I just about flew off the table. I'm 75 yrs of age.

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Replies to "I'm scheduled for ablation for my lower back L4-5 S1. I have severe spinal stenosis. I'm..."

I had radio frequency ablation for cervical stenosis and facet joint syndrome (severe). After ablation on both the left and right side of my upper spine and at multiple levels I have had much improvement. All of the pain is not gone but things are much better. I hope you get similar results.

I have similar pain and I'm scheduled for a stimulator in a few wks. Two pain docs told me an ablation would not help my condition

Just make sure they give you enough anesthetic because it is a painful procedure.

It works pretty well for 6 Mos to a year. I had three

I about flew off the table as well with the nerve block. And the bigger problem was it after taking the block I kept falling down. Even in the dressing room. So I really couldn’t test very well if it eliminated the pain.

I also had the ablation and it really didn’t bother me at all (take a Xanax first), but the ablation did zero for me.

I’m having a lumbar ablation today and was wondering if those who have had one can let me know if the recovery is painful, and how long does the recovery take?
Thank you!

I had ablation performed in 2022…L4/5 area. This was the last treatment prior to fusion in June 2023. The ablation lasted nearly 8 mos. It was heaven! Unfortunately, when it wore off…it was significantly worse than pre treatment. Had corticosteroids, stem cells, Prolotherapy, PT, ablation and fusion. I still have some pain, but it’s better. I think you will be amazed, but know it doesn’t last forever.

Thank you all for your comments they helped me to get through this. I had the nerve block in the doctor's office I screamed. It was very painful told the doctor to stop. He was very kind and helped me get through the to the end. I was very nervous going forward with the RFA.

If your diagnostic test relieved your pain then go for it! Why aren't they giving you local anesthesia for the pain?! that's crazy. There is too kinds of ablation: heat and pulse. The pulse does not work on me. the heat does great!!! My first one lasted 15 years. It takes a couple of tries sometimes. But it was SO great. My last one's 15 years later meant it was time for surgery. I am SO thankful they were there for me. I have severe stenosis.

You are asleep silly. Doesn't hurt!
The first Doctor I saw wanted to do "twilight", which is only partial anesthesia. I screamed!!

I changed Doctors. Nothing to it!

Can someone please tell me what an ablation is and how it works?