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?

Liked by kayelle, robbi

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!

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?

Thank you for your reply Justin. So far, I’ve only discussed this with my neurologist. I had an MRI that showed the problem. My dr. gave me shots in the lower back that didn’t help and in fact, caused more pain. He’s referring me to someone else to determine if ablation will help. I’ve read about it and it concerns me that I may be worse. I know what I’m dealing with currently, fear of the unknown is what I’m worried about. My neuro doesn’t think this is a surgical case fortunately.

@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!

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Thank you for your reply and recommendation Lynette. I am so grateful to hear from someone who has a positive spin on the procedure.

@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.

@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.

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Thank you for your information Predictable. I’m glad you found someone sharp who was able to diagnose and help you. My facet joint problem is evident on my past two MRIs…worse now than two years ago. I hope to find help with my issue soon.

@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?

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Yes please, I am in a similar boat, not sure ablation is for me, I know I have facet joint pain as we did the diagnostic injection with anestethic, (i can not have steroid as I have Osteoporosis)….also i have been prescribed Lyrica, which helps me a lot to get through a night of less pain at least.

@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?

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Kayelle, I was given steroids three times in the past few months and it helped for a few days at best. I take Lyrica twice a day for peripheral neuropathy. I’m glad your finding some relief with it. Let’s keep in touch if we learn any more about our back problem.

@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.

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Predictable, May I ask what your symptoms were?

@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.

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I had unremitting lower back pain for about three months before my primary sent me to spinal for examination. Pain ranged from the back of my pelvis up to the lower lumbar and down to my butt. Walking and stretching had little effect. MRI showed arthritic conditions in the lower lumbar, so PT put me on the stretching table to loosen up the vertebrae. That was just the wrong thing to do, since my problem involved the sacroiliac joint; inflammation there increased after the stretching. So I dismissed spinal and my primary arranged for an anti-inflammatory injection with another specialist. That fixed it.

@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.

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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.

@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?

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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.

@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!

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@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

@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!

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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.

@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.

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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.

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