The Advanced RF Lab at ASPN was led by outstanding interventional pain medicine faculty at the W Hotel in Scottsdale Arizona from December 7th and 8th.

SCOTTSDALE, Arizona, Dec. 7, 2019 /— Nimbus participated in ASPN’s first annual Emerging Therapies Hands On Lab that was led by outstanding interventional pain medicine faculty at the W Hotel in Scottsdale Arizona on December 7th and 8th. The American Society of Pain and Neuroscience is an excellent organization who are dedicated to advancement in the fields of Pain and Neuroscience to improving patient outcomes, education, research, and innovation. The lab is a part of their expansion to demonstrate modern pain medicine treatments on cadavers with rotations amongst the different labs. 

Nimbus had the opportunity to participate in the advanced radiofrequency for pain cadaveric lab sessions. The faculty and participant engagement was outstanding and focused on RF for knee, hip, thoracic, and sacroiliac joint procedural applications.

Background:

Radiofrequency neurotomy (RFN) can be an effective treatment for patients with chronic neck pain and cervicogenic headaches resistant to conservative care. However, the degree and duration of pain relief after RFN is dependent upon the thoroughness of target nerve coagulation.

Case Report:

This is a case of a 37-year-old patient with debilitating neck pain and headaches following a motor vehicle accident. Successful local anesthetic block of the third occipital nerve (TON) confirmed pain of C2-C3 facet joint origin. An initial RFN treatment of the TON, using standard 18G electrodes in bipolar mode, resulted in complete symptom amelioration for 8 months. Repeat RFN, using the same electrode configuration, was unsuccessful in alleviating the severe neck pain and headaches, and produced no demonstrable sensory loss in the distribution of the TON. RFN was then performed using the NIMBUS® electrosurgical RF multitined expandable electrode, which provides a larger zone of coagulation in volume than standard RFN electrodes even when used in bipolar configuration.

Conclusion:

The NIMBUS procedure resulted in successful coagulation of the TON with sensory loss in the TON distribution and reinstatement of palliative relief.

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