Experience with Radio Frequency Ablation procedures?
Hello. First, I should mention that this is my first post to the group.
I have had neuropathic pain issues in my feet for many years made worse by surgeries that have resulted in scar tissue that has formed around the nerves. Over the years I have become diabetic (Type 2), although, it has always been considered well controlled. However, I recently had a skin biopsy performed which indicated that I did not have the clinical definition of neuropathy since the nerve cell counts were well within normal ranges. The biopsy did show "small anoxal swellings in the epidermis and sub epidermis." My doctor said this condition is often a forerunner of nerve cell loss and is correlated to patients experiencing burning pain. Ultrasound scans have also found scar tissue in the areas that I experience the burning nerve pain.
I am hoping to hear from anyone who has tried one of the Radio Frequency wave ablation procedures to reduce neuropathic foot pain or knows of any literature on the subject.
Thanks
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TENS units versus BIO-WAVE units. Anyone tried the BIO-WAVE?
PRP was suggested by Mass. General Hospital, a top hospital in the US, and provided by their affiliate, Spaulding Rehab. An MD there has done thorough studies. It is not "alternative" or on the fringe at all, though insurance does not yet cover it. After 10 years of pain and setting records for PT/week at college, my kid finally found relief with PRP. It is a form of prolotherapy.
I too am scheduled for S1 ablation. I have both ostoarthritis and rheumatoid arthritis. Had ablation for L5 as doctor believed that was where the pain originated. Did not work, so now he is doing the S1. Said if this did not work there is nothing else. So many comments here mentioned "get ahead " of the pain. My question is what are each of you using for the pain? I use Tramodol.
I had an RFA performed about 6 weeks ago on my lower back. It didn't help, I think it made the pain a little worse.
I have had an ablation three times over the years on both sides of my neck(C3-5), also my lower back (L4-6), but there is no ablation for SI only selective nerve injection. We go around my back in a circle, since they can only do one side of the neck at a time. I just got done with the left side of my neck. So now we see how long I can go without any pain. Time before I was pain-free for 31/2 years before we started again. But now Medicare has changed its rules. If it has been over two years, you get to start all over again with two faucet procedures before you and can have the ablation done. Even though you have had it done several times before. So now if you are still pain-free at two years, we have to order the procedure and do it again before the two years are up. This is so stupid or medicare will not pay. My only problem with ablation is my neck. It affects my muscles so that my head does not want to be upright. My head always wants to fall forward because my muscles are so stretched. I do exercises but not much help. I do take tramadol every now and then. If you are given a faucet injection this is only good for maybe 4 hours. It is only a test injection to see if the pain goes away.
I also have my thumbs and shoulders injected every three and my left foot every four months. I am losing all my cushions between my bones. So I have a lot of bone on bone joints and my motion is not great. I hope this answers some questions you may have. KLH
Thanks for taking the time to respond.
I had it for c4/c/5 and c5/c6 after three facet blocks. I had no recovery time I was fine and I drove home from NYC to NJ. My doctor gave no anesthesia at all. Unfortunately for me the facet blocks and the ablation did not work and I had surgery.
Sorry to hear you ended up having surgery. So far ablation has worked for me. C3-5 and L4-6 on both sides. Last time it lasted 31/2 years. Just started around again. But now Medicare will pay if performed every two years, pain or not. According to my docs, facets are used only to test to see if you still have pain. They only last maybe 4-6 hours. I have also had selective nerve injections and they work, for nerves that can not be burnt. What kind of surgery did they perform and has it helped. I hope the results were good. KLH
Thanks for the reply. If you have any questions I can help with, please send a comment. KLH
Hi, I hope this helps but my docs will not do radio ablation on my SI only selective nerve injections. But will do ablation on L4-6 and selective nerve injections in the caudal area. KLH