Spinal stenosis and ablations

Posted by kris27 @kris27, Aug 15, 2023

Hello, I have been having ablations for years with good luck but lately they are not lasting as long and they are not relieving as much pain. Have any of you experienced this? If so, what else have you tried besides surgery?
Thank you
Kris

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Profile picture for krgquinlan @krgquinlan

I had the nerve block in the office all they gave me was lidocaine first two nerve blocks were awful. But it's over. Thank you for your input I appreciate it.

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a nerve block is an epidural which is not an RFA (radio frequency Ablatia). The epidural is an injection to give pain relief from inflammation or it is diagnostic to determine if that is the area your pain comes from. If you are relieved of your pain then they will schedule the RFA.
I had an epidural when I was delivering my son, I agree it was horrid!!! but I've had them again later for a variety of pain relief in my spine. Not bad at all! I think you should talk to them.
One time I had an RFA and it was super painful so they use twilight sleep but I have to find a driver. Maybe the nerves are "knocked out" now so I have no difficulty at the injection site. Good luck!

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Profile picture for tdstaley @tdstaley

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.

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Could you explain the stem cells and if they helped? Thanks.

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Profile picture for megc @megc

I had my lumbar ablation yesterday and as soon as the IV medication wore off, I was in excruciating pain. it was so intense. All I could do was walk back-and-forth in my house. I could not find a comfortable position whatsoever. I had a few pills of Dilaudid left from my lumbar fusion surgery and took one of those, and it offered me enough relief that it took the edge off the pain and I could get comfortable and keep water and food down.
Today, my back is still very sore, numb, I’m still having a lot of pain and am limited in the ways that I can move (bending, stretching, turning etc) even more so than before the ablation.
My doctor told me to expect to feel this way over the next few weeks. He also said it would take 5 to 6 weeks to feel any pain relief from the ablation.
Did you experience what I went through post ablation? How long did that last, and how long did it take for you to feel any pain relief from the ablation?

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I was very sore after the ablation for sure yes. I was also very stiff. For me it lasted about 3 weeks of one and off pain. Every one is different so don’t get discouraged but the ablation did not help me.

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Profile picture for loriesco @loriesco

a nerve block is an epidural which is not an RFA (radio frequency Ablatia). The epidural is an injection to give pain relief from inflammation or it is diagnostic to determine if that is the area your pain comes from. If you are relieved of your pain then they will schedule the RFA.
I had an epidural when I was delivering my son, I agree it was horrid!!! but I've had them again later for a variety of pain relief in my spine. Not bad at all! I think you should talk to them.
One time I had an RFA and it was super painful so they use twilight sleep but I have to find a driver. Maybe the nerves are "knocked out" now so I have no difficulty at the injection site. Good luck!

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When I had a nerve block it was not an epidural. The doctor put 6 needles in my back to determine area of pain. The first two were painful he said they were the most tender. The other 4 were fine. I did have an epidural prior to this to see if it would relieve my pain and it did not. Then that was the need for the nerve block. I am 3 days out from my RFA and I'm feeling the site they went into my back. So far so good. I go for my right side in 2 weeks. Hopefully I will be done.

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Profile picture for krgquinlan @krgquinlan

When I had a nerve block it was not an epidural. The doctor put 6 needles in my back to determine area of pain. The first two were painful he said they were the most tender. The other 4 were fine. I did have an epidural prior to this to see if it would relieve my pain and it did not. Then that was the need for the nerve block. I am 3 days out from my RFA and I'm feeling the site they went into my back. So far so good. I go for my right side in 2 weeks. Hopefully I will be done.

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It is a little confusing to me. I've had epidurals. I've had targeted injections to figure out which nerves need to be "ablated." RFA's eliminate my referred pain and in my case were never used to get rid of my back pain.
When I was young I'd get off the table and go back to work. (40) now I am 67 and I can very achy in my lumbar for up to a week. Sometimes there is no recovery needed. By now, I've had so many injections over the years the nerves are probably too frightened to grow back, ha!
RFAs are for facet joint spinal stenosis. But I had degenerative disc disease and disc compression and a whole lot of back lumbar back needing surgery in 2018. I had a fantastic orthopedic surgeon at UCSD. He gave me my life back in spades! The rest of my back is degenderating around the small fusion he did. Only a matter of time until I have to return. However - I get decades of relief from referred front leg/thigh pain from the RFA - only the heat works on me - not the pulse. I'm repeating that. Sometimes they have to do it again in a few months but it lasts decades. (the nerves can regenerate). I'd rather do that then icky cortisone injections.

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Profile picture for bannisterkl @bannisterkl

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

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3 ablations? They hurt huh?! How long to not feel like death because of being post-op?

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Profile picture for krgquinlan @krgquinlan

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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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!

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Profile picture for krgquinlan @krgquinlan

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

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Profile picture for megc @megc

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!

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In my case, the ablation procedure was easier than any of the four injections I had prior (steroids-twice, facet joint injections and median branch block) and the recovery was very quick- just a couple days.

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Profile picture for krgquinlan @krgquinlan

I had my RFA 3 days ago. I thank you for the anesthesia reminder. I asked them not to start till I was out I kept telling them I'm still awake. I'm feeling pretty good. Hope it works have right side done in 2 weeks. Thank you.

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I'm glad it went well!

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