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, lioness

@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

@andilynn, I would encourage you to consider some pain management doctors. I’ve had years of experience with them, and found that though two were not good, two have been terrific. Here in Florida we unfortunately had the “pill mill” epidemic where greedy doctors were doling out opiates without making sure the patients were not substance abusers. Since the crackdown on these doctors I’ve found that there are anesthesiologists and M.D.’s who are most reputable and truly care for their patients. I found the two good doctors through contact with a support group of chronic pain patients. They were extremely knowledgeable about the doctors to avoid especially. The group had guest speakers who were professionals and my BEST pain management doctor was one of those speakers. She saved me. Don’t give up! Help is out there.

REPLY
@barbara94

@andilynn, I would encourage you to consider some pain management doctors. I’ve had years of experience with them, and found that though two were not good, two have been terrific. Here in Florida we unfortunately had the “pill mill” epidemic where greedy doctors were doling out opiates without making sure the patients were not substance abusers. Since the crackdown on these doctors I’ve found that there are anesthesiologists and M.D.’s who are most reputable and truly care for their patients. I found the two good doctors through contact with a support group of chronic pain patients. They were extremely knowledgeable about the doctors to avoid especially. The group had guest speakers who were professionals and my BEST pain management doctor was one of those speakers. She saved me. Don’t give up! Help is out there.

Jump to this post

Thank you Barbara! I will try to find someone reputable within driving distance.

Liked by barbara94

REPLY
@barbara94

@andilynn, I would encourage you to consider some pain management doctors. I’ve had years of experience with them, and found that though two were not good, two have been terrific. Here in Florida we unfortunately had the “pill mill” epidemic where greedy doctors were doling out opiates without making sure the patients were not substance abusers. Since the crackdown on these doctors I’ve found that there are anesthesiologists and M.D.’s who are most reputable and truly care for their patients. I found the two good doctors through contact with a support group of chronic pain patients. They were extremely knowledgeable about the doctors to avoid especially. The group had guest speakers who were professionals and my BEST pain management doctor was one of those speakers. She saved me. Don’t give up! Help is out there.

Jump to this post

I live in Iowa and go to Mayo in Rochester. Where did you go for pain rehab

REPLY

I had a few weeks of physical therapy in Sandusky, Ohio. It failed so we had to stop. That was back in September.

REPLY

There is no Pain Rehab. at MAYO how shocking ! ! !

REPLY
@elizabethbryant

There is no Pain Rehab. at MAYO how shocking ! ! !

Jump to this post

Hello @elizabethbryant. I understand you may be looking for information regarding Pain Rehabilitation at Mayo Clinic. The Clinic calls its Pain Rehabilitation a Center and not a Clinic, which may have contributed to the confusion. It took me a minute to find it as well. Here is the link to Mayo Clinic’s Pain Rehabilitation Center, http://mayocl.in/2iIMpuJ.

Liked by Jamie Olson

REPLY

@predictable Good evening Martin I have the same back problems as everyone here plus a L2 fracture in 05 it now has my whole left side worse including burning nerves . About 5 yrs ago I also have bone on bone in my thumbs the rheumatologist then injected my left thumb with hyloronic acid it still doesn't hurt I don't know if they can put that in the back joints but it would be wonderful if they could. I just had a cortisone injection in sacroiliac The Dr. wants to give me one in my arthritic knee also for my muscle spasms on left side of back trigger point injection its lidocaine . Waiting for referrel to come through I wonder how long that will last .

REPLY
@lioness

@predictable Good evening Martin I have the same back problems as everyone here plus a L2 fracture in 05 it now has my whole left side worse including burning nerves . About 5 yrs ago I also have bone on bone in my thumbs the rheumatologist then injected my left thumb with hyloronic acid it still doesn't hurt I don't know if they can put that in the back joints but it would be wonderful if they could. I just had a cortisone injection in sacroiliac The Dr. wants to give me one in my arthritic knee also for my muscle spasms on left side of back trigger point injection its lidocaine . Waiting for referrel to come through I wonder how long that will last .

Jump to this post

Well @lioness, it appears that you and your doctor are working together toward better conditions in your joints. Literature suggests that hyaluronic acid is a good option in many cases, working as a pain killer, tissue rejuvenator, and lubrication proponent. If you have confidence in your doctor, you'll take measured steps toward solutions. For me, avoiding the surgical knife was a primary goal, and so far that's worked! Martin

REPLY
@predictable

Well @lioness, it appears that you and your doctor are working together toward better conditions in your joints. Literature suggests that hyaluronic acid is a good option in many cases, working as a pain killer, tissue rejuvenator, and lubrication proponent. If you have confidence in your doctor, you'll take measured steps toward solutions. For me, avoiding the surgical knife was a primary goal, and so far that's worked! Martin

Jump to this post

@predictable Surgery is out if the question for me as well I'm glad I changed to this new pain Dr In the beginning he suggested the spinal cord stimulator since he knows that's not an option he is working with me now You do have to be your own advocate

REPLY

Has anyone had facet Ablation done? I have had 6 spinal injections within the past year and none have worked. My Dr wants to send me to pain management and possibly do facet ablation. I was just wondering if it works and what to expect. Is it a painful procedure? How long did the results last? Any information would be greatly appreciated.

REPLY
Please login or register to post a reply.