This comprehensive hardcover textbook, spans 100+ pages, covering a range of radiofrequency ablation for pain techniques using the NIMBUS Multitined Expandable Electrode. It includes detailed guidance on treating lateral atlantoaxial joint, cervical, thoracic, lumbar, sacroiliac joint, shoulder, knee, and hip pain.
Designed as a practical resource for clinicians, the book provides a thorough procedure overview, diagnostic insights, and patient positioning techniques. Step-by-step instructions are accompanied by fluoroscopic imaging to enhance understanding, and each chapter includes recommended reading for further study. Additionally, the book offers background information and frequently asked questions about the NIMBUS Multitined Expandable Electrode, making it an essential reference for professionals in the field.
This expertly curated volume is a must-have reference for professionals seeking to enhance their knowledge and proficiency in radiofrequency ablation techniques for pain management.
Contributors
Author:
Robert E. Wright, MD, DABPM, FIPP, FFPMANZCA
Resolve Pain, Sunshine Coast, Queensland, Australia
Editor:
Aaron K. Calodney, MD, DABA, FASA, FIPP, ABIPP
Precision Spine Care, Tyler, TX, USA
Preface:
Marc Russo, MBBS, DA (UK), FANZCA, FFPMANZCA
University of Newcastle/Hunter Pain Specialists
School of Medicine and Public Health
President, International Neuromodulation Society
Chapter Reviewers
Cervical (C2 ventral plexus, TON-C7):
Helen Blake, MD, MBA
Pain & Rehabilitation Specialists, Chesterfield, MO, USA
President, The Society of Women Innovators in Pain Management
Thoracic:
Gurbir Kaur, MBBS, DNB Anesthesiology, FFPMANZCA
Nepean Hospital, Sydney, Australia
Michael Veltman, MBBS, FANZCA, FASE, FFPMANZCA PainScience, Joondalup, Australia
Lumbar:
Dawood Sayed, MD
University of Kansas Medical Center, Kansas City, KS, USA
Vice Chairman, American Society of Pain and Neuroscience
Dorsal Sacroiliac Joint:
Serge Nikolic, MD, FRCA, FFPMRCA
NHS & St Bartholomew’s Hospital, London, UK
Shoulder:
Dan T.D. Nguyen, MD
Neuroradiology & Pain Solutions of Oklahoma, Edmond, OK, USA
Genicular:
Zachary L. McCormick, MD, FAAPMR
University of Utah, Salt Lake City, UT, USA
Hip:
Jaspal (Ricky) Singh, MD
Weill Cornell Medicine, New York, NY, USA
English English 
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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.
