Stratus® Medical recently participated in the American Society of Pain and Neuroscience

MIAMI, Florida, July 15, 2023 /— Stratus® Medical recently participated in participated in the American Society of Pain & Neuroscience in Miami, Florida, July 14-16. Excellent presentations, including the panel: Alternative RFA Techniques for Back Pain moderated by Dr. Helen Blake, MD, MBA and Dr. Jay Grider; with panelists Dr. Christopher Lam, Dr. Magee Guirguis, Dr. Christopher Kim, Dr. Tory McJunkin, Dr. Anne Christopher, and Dr. Maxim Eckmann. Dr. Christopher Lam discussed the use of the multifidus sparing lumbar medial branch technique that was introduced by Dr Marc Russo.

CS1Vilims BD, Block JE. Effective management of recurrent trauma-induced neck pain with radiofrequency neurotomy using the Nimbus electrode. ASIPP. 2024;8(3):65-70.

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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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