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Best thing(s) for chronic lumbar pain?
Spine Health | Last Active: 1 hour ago | Replies (5)Comment receiving replies
No, I had a few hours of relief after the injections and
This is what they wrote in my after visit summary:
"Assessment / Plan
Left low back pain individual with diffuse spondylotic changes well as facet arthropathy. We did have a lengthy discussion about his options in the office today. He tells me his pain has been in the left low back mostly with bending standing walking. We will set him up for a left L4-L5 and L5-S1 facet joint intra-articular injection. Given his medical fragility and comorbidities I do not believe he is a candidate for a radiofrequency ablation
sdm
1. Spondylosis of lumbosacral spine without myelopathy
M47.817: Spondylosis without myelopathy or radiculopathy, lumbosacral region
Replies to "@gently No, I had a few hours of relief after the injections and This is what..."
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@mikeb39a
those hours of relief (might) mean that the procedure is effective for you because numbing the area worked. The analgesic wears off after a few hours. You may have increasing relief as the steroid reduces inflammation in the facets, allowing more space for the exiting nerve.
If you are on an anticoagulant, they'd want you to stop before RFA. And that might not be safe for you. Do you know if you've had autoimmune testing. It's only a question because of the "diffuse spondylotic changes" and "facet arthropy,"
There is an autoimmune system called ankylosing spondylitis. In your situation I might want genetic testing for HLA (B27), but that a wild guess without much information.
There are braces for spondylosis. https://www.bostonoandp.com/products/scoliosis-and-spine/boston-brace-3d/