Stratus® Medical recently supported the WAPMU Master’s Course in Tampa

Tampa, Florida, January 30, 2023 /— Stratus® Medical recently participated in the WAPMU Tampa Master’s Course. The Nimbus RFA session was attended by over 30 interventional pain management specialists. This lab was supported to provide hands on training by expert faculty using Nimbus in spine and large joint applications in the cadaver lab. Thank you to Dr. Neal Rakesh, attending in the chronic pain division of Memorial Sloan Kettering, who expertly demonstrated the use of Nimbus during the radiofrequency session.

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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