Dr. Tyler Phillips, Interventional Pain Center in Norman, Oklahoma. demonstrates lumbar RFA coaxial placement with NIMBUS and the value of large volume lesion technology at the 2024 SSF Interventional Pain Medicine Fellow’s Procedure Course.
Dr. Doug Beall, Chief of Radiology Services & Fellowship at Clinical Radiology of Oklahoma City, demonstrates lumbar RFA coaxial placement with NIMBUS and the value of large volume lesion technology at the 2022 SSF Interventional Spine Procedure Course.
Dr. Suzanne Manzi, Co-founder of Performance Pain & Sports Medicine and Host of Pain Diaries, interviewed Bret Boudousquie, CEO of Stratus Medical.
Dr. Johnathan Goree, Director of Chronic Pain Division & Program Director of Pain Medicine Fellowship at UAMS, presents clinical evidence demonstrating the value of NIMBUS and large volume lesion RFA technology for the treatment of pain.
Dr. Chris Lam, Dr. Alexander Escobar, Dr. Usman Latif, and Dr. Samir Sheth participated in the 2022 ASPN Innovation RFA Panel. Discussion included best practice guidelines for radiofrequency ablation for pain, including large volume lesion technologies.
Dr. Chris Lam, Assistant Professor, Anesthesiology, Pain and Perioperative Medicine at KUMC, demonstrates the coaxial lumbar placement with Nimbus at the ASPN Innovation Lab 2022.
Dr. Robert Wright of Sydney Pain Centre (AU), Inventor of the Nimbus RF Multitined Expandable Electrode, presents clinical evidence, detailing advancements in radiofrequency ablation technology culminating in the development of NIMBUS.
Dr. Robert Wright of Sydney Pain Centre (AU), Inventor of the NIMBUS RF Multitined Expandable Electrode, presents on procedure technique with NIMBUS, including lumbar, thoracic, and cervical RFA for pain.
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.
