Your physician will confirm your diagnosis and, if you are a good candidate, present radiofrequency ablation as a treatment option. The physician will ask you questions about allergies, medical history and any medications or supplements you are taking.
Radiofrequency ablation is a non-surgical, minimally invasive procedure that uses a heat lesion to ablate the nerve and interrupt pain signals to the brain. It can provide lasting relief for people with chronic pain, especially in the lower back, neck, and arthritic joints.
First, you’ll lie on your stomach or back on an x-ray table. The physician will numb an area of your skin with a local anesthetic where your procedure will be performed.
Then, he or she will:
Most patients have some pain relief after radiofrequency ablation, but the amount varies by cause of pain and location. The relief can last up to 12 months.8
Adverse effects of thermal radiofrequency ablation can include bleeding, infection, needle placement induced nerve damage, and burns caused by incorrect grounding pad placement. However, adverse effects and complications of thermal neurolytic therapy are exceedingly rare. Speak with your physician about specific side effects and risks for your RFA treatment.
Typically, after the procedure, most patients go home the same day, and can resume regular activities, the next day. Follow your doctor’s instructions regarding activity, diet and medications.
Your physician has selected NIMBUS to provide the best possible care for you. NIMBUS provides a large volume lesion, which removes the uncertainty of treatment with the goal to provide a better result. NIMBUS is routinely used in the spine, sacrum, knee, and other areas of the body.
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Antecedentes:
La neurotomía por radiofrecuencia (RFN) puede ser un tratamiento eficaz para pacientes con dolor de cuello crónico y cefaleas cervicogénicas resistentes a los cuidados conservadores. Sin embargo, el grado y la duración del alivio del dolor tras la RFN dependen de la exhaustividad de la coagulación del nervio diana.
Informe de un caso:
Éste es el caso de un paciente de 37 años con dolor cervical debilitante y cefaleas tras un accidente de tráfico. Un bloqueo anestésico local satisfactorio del tercer nervio occipital (TON) confirmó que el dolor tenía su origen en la articulación facetaria C2-C3. Un tratamiento inicial de RFN del TON, utilizando electrodos estándar 18G en modo bipolar, produjo una mejoría completa de los síntomas durante 8 meses. La repetición de la RFN, utilizando la misma configuración de electrodos, no consiguió aliviar el intenso dolor de cuello y las cefaleas, y no produjo ninguna pérdida sensorial demostrable en la distribución del TON. A continuación se realizó la RFN utilizando el electrodo expandible multidireccional de RF electroquirúrgico NIMBUS®, que proporciona una zona de coagulación de mayor volumen que los electrodos de RFN estándar, incluso cuando se utiliza en configuración bipolar.
Conclusión:
El procedimiento NIMBUS dio lugar a una coagulación satisfactoria del TON con pérdida sensorial en la distribución del TON y restablecimiento del alivio paliativo.
