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Ablation for lower back pain L4-5 S1
Spine Health | Last Active: Jul 22 2:49pm | Replies (49)Comment receiving replies
I had RFA in my lower spinal facets last November 2023. It lasted until about 3 weeks ago. Then had steroid injection in the facets last week and they didn’t work.
I have another appointment on Thursday July 25th but I don’t want steroid injections again.
I also have a consultation with a pain surgeon scheduled for Wednesday July 24 for my right sacral ileum (sacroiliac??) joint because steroid injections do not last a week anymore and I desperately want some relief from the pain. Right now I’m surviving the pain on Percocet oxycodone 7.5 Acetaminophen 325 mg one and a half tablets three times a day.
Replies to "I had RFA in my lower spinal facets last November 2023. It lasted until about 3..."
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Marsha, I think they only like to perform RFA every ten months. It might be that the steroid injection was intended to get you through to ten months. I don't know why the injection didn't help, but I do know that they sometimes miss the nerve.
The pain surgeon may be thinking of fusion.
I have trouble with the SI joint and would feel remiss without saying that I get complete relief with chiropractics. It doesn't last, but it's easy and easy to repeat. Some physical therapists are certified to perform the class five thrust adjustment, but I have found a PT that does it effectively, because they do them so seldom.
The SI is a long, slender ragged joint. If y ou over rotate the ileum this joint which barely moves anyway gets stuck and pinches nerves. You might be helped by a sacro-iliac belt. I'm no fan of those.
I've never been able to release my own SI joint, but since you are in pain you might try