Facet ablation

Posted by andilynn @andilynn, Dec 12, 2016

I'm wondering if anyone has had ablation in the lumbar region. I have a bone on bone situation at L5. It seems that everything that's attempted such as injections or physical therapy just makes me have more pain. My neurologist said I'm not a surgical case and this ablation may help. He gave me Voltarin to apply three times/day to try. It doesn't seem to do anything. I have pain all around the sacrum especially in the early hours of the morning. Lately I've had more symptoms in the daytime too. This is only since I had a couple injections in the lower back. Anyone else out there with this issue?

Interested in more discussions like this? Go to the Spine Health Support Group.

@predictable

@andilynn, I'm not responding to your main problem as you reported it, but to your mention of pain around your sacrum. Perhaps my experience with that problem can be helpful to you. Check it out at https://connect.mayoclinic.org/discussion/partner-with-undiagnosed-back-pain/ under my name near the top of that discussion.

What you'll find is that, for several months, I could find no physician or medical professional who knew how to address my problem. They followed the play-book for lower back problems, offering physical therapy, pain injections, and surgery -- none of which were applicable. Apparently American medicine is not widely aware of inflammation of the sacroiliac joint(s), which turned out to be my problem. Thanks to my primary care physician (who is smarter than the average PCP) my problem was identified, then confirmed when anti-inflammatory injections into the joint(s) ended the pain three years ago. Read my report, then consider whether to ask your medical team about this possibility.

Jump to this post

PT was horrific for me too - I was so much worse after that. This all started in October of 2015 with pain to the right and left of the sacrum during the night (worse in early a.m.). I still have that, but also discomfort in the day now - not constant, but daily. Did you have the night pain? That was all I had for over a year.

REPLY
@JustinMcClanahan

Thank you @lynettegable for jumping in so quickly and offering your insight to @andilynn.

I would also like to invite @ladyjane85, @medic7054, and @shellsk24 who all discussed having a facet ablation and various degrees of success in the reduction of pain as a result.

@andilynn, did your provider discuss with you how long he or she thought the injections would take to work? You mentioned that your neurologist said you are not a candidate for surgery, does that mean you have not had an ablation? Are you wondering what other members have experienced so that you can make a better decisions to pursue an ablation?

Jump to this post

Ok, its been a challenging year with having been on sulfazlazine and then enbrel and then later told I didn't even have Ankylosing Spondilitis (happy about that) ..GOODNESS knows what those awful drugs have done to my body, but never the less i am lucky, now to find out why the pain (what i thought was As)...I am hesitant (now) to do facet joint ablution as I have been told (now) that i need! Would love to keep in touch. Everyone has their own medicine but sometimes we hit the right spot for each other anyways. Hope the steroids keep working. I am told i am on low dose Lyrica eg 2 times 75 mg, am happy to take more later when i need it.

REPLY
@lynettegable

I have had ablations done on L4 L5 S1 at Mayo clinic and they have really helped. It takes about 2 weeks for me to have relief and i repeat them about every 6 months. My nerves grow back faster but they tell me it is different for everyone. I would highly recommend doing it!

Jump to this post

@lynettegable  I also was given a radio frequency ablation in lumbar and S joint for pain that I have had for 25+ years. Have had many injections thru the years and many meds which cause horrible side effects or do nothing. So, too many allergies in history. Ablation supposed to work within 8 weeks, and altho I had psyched myself up that this last procedure would work, it did not. For some it can last for a year until the nerves that were burned grow back. I am at my wit's end - passed back and forth between neurologist and pain mngmnt dr. They have nothing else up their sleevGreat to read that some of you can take the meds and procedures and they help.......@ladyjane85 <br>

REPLY
@lynettegable

I have had ablations done on L4 L5 S1 at Mayo clinic and they have really helped. It takes about 2 weeks for me to have relief and i repeat them about every 6 months. My nerves grow back faster but they tell me it is different for everyone. I would highly recommend doing it!

Jump to this post

Ladyjane85,
I am sorry to hear that you've had bad results with your treatments. I'm in the same boat so far. I'm hesitant to have anything else done for fear of creating new problems. I wish you healing.

REPLY
@predictable

@andilynn, I'm not responding to your main problem as you reported it, but to your mention of pain around your sacrum. Perhaps my experience with that problem can be helpful to you. Check it out at https://connect.mayoclinic.org/discussion/partner-with-undiagnosed-back-pain/ under my name near the top of that discussion.

What you'll find is that, for several months, I could find no physician or medical professional who knew how to address my problem. They followed the play-book for lower back problems, offering physical therapy, pain injections, and surgery -- none of which were applicable. Apparently American medicine is not widely aware of inflammation of the sacroiliac joint(s), which turned out to be my problem. Thanks to my primary care physician (who is smarter than the average PCP) my problem was identified, then confirmed when anti-inflammatory injections into the joint(s) ended the pain three years ago. Read my report, then consider whether to ask your medical team about this possibility.

Jump to this post

No night pains @andilynn. Just steady relentless sore-to-move kind of back pain. I think I got some relief lying down, as I recall.

REPLY
@predictable

@andilynn, I'm not responding to your main problem as you reported it, but to your mention of pain around your sacrum. Perhaps my experience with that problem can be helpful to you. Check it out at https://connect.mayoclinic.org/discussion/partner-with-undiagnosed-back-pain/ under my name near the top of that discussion.

What you'll find is that, for several months, I could find no physician or medical professional who knew how to address my problem. They followed the play-book for lower back problems, offering physical therapy, pain injections, and surgery -- none of which were applicable. Apparently American medicine is not widely aware of inflammation of the sacroiliac joint(s), which turned out to be my problem. Thanks to my primary care physician (who is smarter than the average PCP) my problem was identified, then confirmed when anti-inflammatory injections into the joint(s) ended the pain three years ago. Read my report, then consider whether to ask your medical team about this possibility.

Jump to this post

I understand Predictable. I guess my problem is not the same.

REPLY
@lynettegable

I have had ablations done on L4 L5 S1 at Mayo clinic and they have really helped. It takes about 2 weeks for me to have relief and i repeat them about every 6 months. My nerves grow back faster but they tell me it is different for everyone. I would highly recommend doing it!

Jump to this post

So sorry to hear nothing works for you (yet!). We are each so different. Thanks for sharing.

REPLY

I have tried nerve root ablation twice for low back pain. My very experienced pain management doctor did it. She is an anesthesiologist. She was terrific in the preliminary diagnostic part of the procedure, and found the exact cause of my pain. She showed me on the scan the exact nerve! I knew she was correct because when she touched it I felt the pain, so I was extremely hopeful. But after waiting two weeks I felt no relief. Didn't work for me. I do know that it does work for some. I tried it again several months later. Same result. It is not at all horrible to go through and I would eagerly try a third time if that stupid nerve would stop my horrific pain! But now I'm back on strong meds. Exercise helps me if it gets blood flow to the area, SO swimming and stationary bike helps. I have to be careful about lying down too much. Though it initially relieves the pain, too much will weaken my core muscles and pain worsens. Learned this the hard way. Hope this helps someone!

REPLY

@andilynn I had ablation done in my lumbar spine about 4 years ago. I was having shooting pains across the back and often down to the groin. The ablation worked wonderfully. I should have it done again, but I have so much else going on in my cervical spine as far as pain, I just don't want to go!
When I had it done it was by a spinal surgeon/anesthesiologist. He was very through walking me through the procedure. I also had many epidurals done by him in my cervical and thorasic spine.
Are you still thinking of having it done?

REPLY

Hi Sandytoes14. My neurologist recommended that I see a pain management specialist for possible ablation. These doctors are not highly recommended in our town and I'm afraid of being worse off than I already am. I will ask my oncologist in January if he can recommend someone at the Cleveland Clinic should I decide to proceed. It's encouraging that you had good results!

REPLY
Please sign in or register to post a reply.