Welcome, Friend!

It looks like you're new here. If you want to get involved, click one of these buttons!

advertisement
Veritas-Health LLC has recently released patient forums to our Arthritis-Health web site.

Please visit http://www.arthritis-health.com/forum

There are several patient story videos on Spine-Health that talk about Arthritis. Search on Patient stories
Protect anonymity
We strongly suggest that members do not include their email addresses. Once that is published , your email address is available to anyone on the internet , including hackers.

Notice
All discussions and comments that contain an external URL will be automatically moved to the spam queue. No external URL pointing to a medical web site is permitted. Forum rules also indicate that you need prior moderator approval. If you are going to post an external URL, contact one of the moderators to get their approval.
Attention New Members
Your initial discussion or comment automatically is sent to a moderator's approval queue before it can be published.
There are no medical professionals on this forum side of the site. Therefore, no one is capable or permitted to provide any type of medical advice.
This includes any analysis, interpretation, or advice based on any diagnostic test

CERVICAL RHIZOTOMY

LORIANNLLORIANN Posts: 4
edited 06/11/2012 - 7:31 AM in Neck Pain: Cervical
I just had a cervical facet rhizotomy 5 days ago. I think the DR. ablated C4, 5 and 6 (where I have disc bulges) and facet hypertrophy. My usual pain went away almost 100% (between spine and shoulder blade)right side. But 4 days after the procedure I started experiencing something strange that has never occurred before. The back of my right skull is really tender almost like a line of pain starting at the base of my skull extending to the top back of head on the right side. My Dr's office is closed I so can't talk to anyone there until tomorrow. Ibuprofen seems to help. The only RX I got was for a muscle relaxer (Amrix) which doesn't seem to help much. Just wanted to know if anyone has experienced this or if I should be concerned.

advertisement

Comments

  • Ive had many rhizotomys done in the cervical level and i have always had alot of pain afterwards. Once I had no feeling on the back of my neck but extreme pain. I had faith in the rhizotomy for awhile, but the post op pain isnt worth it to me anymore. I hope it gets better, you may just be sore with spasms. The Dr. could never do anything for my soreness after the procedure, just meds.
  • I had one side done on my neck on the 15th I have the same pain as I had before but I was told that it will be about 3 weeks before the pain should improve. I am having the other side next wednesday. I am on the same meds as before this and was told that they would see how much improvement this will give me. They are also planing to do the lower part of my back in the future. I have cancer and I am hoping this will help me. I will post my results in the future
  • I remember being told that pain free feeling could be a good sign. But unfortunately it is ususally followed by an increase in pain for 1-3 weeks.


    The nerves are a little upset with being messed with, it will take some time for them to calm down.
    is what iwas told.

    I remember being very sore and painful after it was done. I have had 3 done on my cervical area. C2-7 one side at a time - it helped ROM but did not addres the pain thru shoulders and between the shoulder blades.

    hope that this can help you
    pfm
  • I am scheduled for a CR on 29 July. I was told I would not receive any meds for relaxing or pain management during the procedure. Has anyone been given any type of meds before the procdure? I am very nervous about going through with this procedure after reading mnay comments on the net.

    Eric
  • I have had several of these done, all without pre-meds. They are uncomfortable for a few days afterwards, but not terribly so.

    "C"
  • I have been told it CR takes 30-90 minutes. Can anyone here please let me know what you experienced and how long it took. Thx Eric
  • It all depends on how long it takes the doc to locate the right area. Basically the appointments they schedule for these types of procedures are 60-90 minutes. That allows for all the prep and post procedure paperwork.

    "C"
  • Thanks for the info. My first 2 treatments with the steroid injections were very painful and lasted 30 minutes. They even caused flash backs from my car accident. Hopefully I will get through this and return to living without chronic pain........... E
  • Had my first CR procedure done 29 July 09. Doctor provide many shots of freezing and completed a total of 6 burns to nerves at C2 & C3. Had some good meds from my other doctor so spent the first night sleeping. Since then the pain at the back of my neck and left side of my head have been excrutiating. As long as I apply an ice back the pain is bearable. Ibuprophine has been useless and only made me feel sick to my stomach. It is now 4 Aug and I am still in pain but the tenderness and pain level appear to be decreasing. The facial nerves are still painful but from my understanding the burn treatment can take up to 4 weeks to feel the full effects. I was asked by the doctor if I would be willing to have a second CR done in 3-6 months. I said yes the day I had it done but I think I will wait and see how this one helps.
  • I just wanted to let ya'll know that my cervical rhizotomy lasted a whole 3 months. I am very disappointed because I was miserable for about 2 weeks after the procedure. I am tired of pain. I believe I have tried everything. I have an appt with a surgeon next week for a consultaton for ACDF. I am getting depressed and cry myself to sleep because I hurt so bad. I am done with injections and rhizotomies. I am upset because i think the pain management dr. got carried away with the rhizotomy. It was my understanding he was only going to do 1 or 2 levels level, but it turns out that he did all levels so that after the rhizotomy I had shooting pain up the back of my head which i had never experienced before. I think the DR must have hit the occipital nerve and got overagressive with the the rhizotomy. If anyone has an opinion please post a comment. I have done PT, chiropractor, massage, tens unit, tons of trigger pt injection, epidural injections, inverter table, lots of hot baths, ice, biofreeze, bengay, heating pad advil, alleve, tramadol, hydrocodone,Darvocet, flexeril, amirix, skelaxin, baclofen, robaxin, lyrica, neurontin, zanaflex. Nothing seems to help. I have been diagnoses with herniated discs c3-7 with facet hypertrophy. I have lots of pain between my spine and shoulder blade only on the right side. When the pain gets really bad the back of my right arm throbs and my hand tingles and hand grip gets week. Myelogram done 1 year ago showed no compression, so the surgeon did not recommend surgery at that time. Called PM dr to get more pain pills and they want to see me first to give me botox. But now I am leary about going back after the rhizotomy problem and occipital neuralgia. Any opinion or advice would be appreciated.
  • Lorian~
    I can't give you specific clinical advice just my own story. But I can empathize with you! I'm having one of those zero days as well and was just thinking about all the things Ive tried very similar to your lengthy list. Sometimes I feel like others and ourselves are implying we're not trying hard enough... not doing something enough, haven't found the right doctor, medication, therapy, treatment or need to try a new gimmick, blah, blah blah...it gets old and demoralizing AND costly-- $ and time.

    Like you, I beleive my new doctor might be suggesting a rhizotomy if he determines I have facet pain coming from a specific joint level. I had an injection earlier this week which did help the pain for a couple of hours. They did not use steroids. Unlike my previous pain docs at two other facilities, this doc has a more specific way of mapping the pain generators or at least I thought so. Previously I'd had two series of injections that included steroids. They used my xrays/scans to determine which levels to inject. My new doctor mainly determines where to inject by my complaints of where I'm feeling the pain. Of course he still reviewed my imaging etc. In the course of our intial eval he took the time to hear my lengthy complicated story and see me on the whole. He came across more competent than most and certainly understanding of me and my problems. He even demonstrated specific exercises he wanted me to do. Bottomline, this doctor even told me that basically the previous docs had done too much at once during the previous injections which did not allow them to narrow down the problem and come up with a solution that might have a half way decent outcome. This has left me continuing to struggle with pain inspite of a huge effort to get better control. Thus I identify with you.

    Perhaps you can talk to your doctor about your disappointment. Did the doctor explain why he performed the rhizotomy at so many levels? My new doc wrote a book called "What to Do For A Pain In The Neck. The Complete Program For Neck Pain Relief" by Jerome Schofferman. Its available on Amazon is for patients ---its not a text book for doctors but its not condescending eitehr. Like you, I don't have spinal cord compression. Many docs rule out surgery as a potential benefit to neckpain when there is no compression and especialy if there is no arm pain. But after reading Dr S's book this little rule of thumb docs tend to follow isn't always true. It seemed like Dr S doesn't make those types of generalizations and works hard to nail down the pain generator in the first place so he can better determine if a procedure or therapy will be worthwhile. At anyrate, I'm anxious to follow up after this injection to see what he suggests next.

    Anyway, before you get the botox maybe you need to find out if they've made any cognitive errors along the way. This can be very helpful for your relationship with the doctors going forward with your care. Especially if you are contemplating surgery. That's my mode right now. A big part of my precautions stems from serious complications after a another type of surgery and a huge cascade of problems 5 years ago. Although my doctors were following a standard of care, cognitive errors happened along the way and I live with the outcome everyday.

    All the best,
    Bridgie
  • I had a choice from the doc when we decided on the procedure. I opted to get meds. It was done in a surgical center, and they gave me Versed. Ask for that option.....
  • I am curious to find out if you ever got a diagnosis and treatment. Also, did any of your docs conside RSD (chronic regional pa syndrome as part of your diagnosis?
    Angela Jasik
  • BeachBoundBBeachBound Posts: 1
    edited 08/10/2015 - 7:16 PM
    Does anyone know if it is ok to have both sides done at once?

    Why deal with two recoveries? I would rather just get it over with. Dr. is saying they split them two weeks apart, but I think this is crap and I should be able to get them done together.

    Welcome to Spine-Health
    Please click on link for helpful information! ~moderator, savage
  • claireparkercclaireparker Posts: 3
    edited 08/10/2015 - 7:15 PM
    LORIANN said:
    I just had a cervical facet rhizotomy 5 days ago. I think the DR. ablated C4, 5 and 6 (where I have disc bulges) and facet hypertrophy. My usual pain went away almost 100% (between spine and shoulder blade)right side. But 4 days after the procedure I started experiencing something strange that has never occurred before. The back of my right skull is really tender almost like a line of pain starting at the base of my skull extending to the top back of head on the right side. My Dr's office is closed I so can't talk to anyone there until tomorrow. Ibuprofen seems to help. The only RX I got was for a muscle relaxer (Amrix) which doesn't seem to help much. Just wanted to know if anyone has experienced this or if I should be concerned.
    Welcome to Spine-Health
    Please click on link for helpful information! ~moderator, savage
    Claire Parker
  • I had both sides done at the same time. Agree.. get it over with!
    BeachBound said:
    Does anyone know if it is ok to have both sides done at once?

    Why deal with two recoveries? I would rather just get it over with. Dr. is saying they split them two weeks apart, but I think this is crap and I should be able to get them done together.
    Claire Parker
  • Yes! My doctor gives me Versed in an IV for relaxation and helps you forget the process also. You should definitely get something! That is wack not having anything to help you. It is a bit of an aggressive procedure, not going to lie. I would look into another doc if they are not willing to give you a sedative.
    Anonymous said:
    I am scheduled for a CR on 29 July. I was told I would not receive any meds for relaxing or pain management during the procedure. Has anyone been given any type of meds before the procdure? I am very nervous about going through with this procedure after reading mnay comments on the net.

    Eric
    Claire Parker
  • I live in SA and was diagnosed with degenerative discs, bulging discs and various other names in 2008. I have been undergoing Rhizotomy's since 2008 almost every 2nd year. It is my miracle cure. I go in with headache, bordering migraine and neck and muscle pain and come out feeling like a million dollars. I trust in Rhizotomy's and will do them over and over again. It is painless as you are under heavy sedation when they perform it. I love them and will never stop unfortunately, my medical aid has decided they will no longer pay for them so I am left back at square one with utter desperation trying to find the next best thing. According to my neurosurgeon, my discs havent bulged enough to perform surgery to cut bulge off or replace the discs so I must just suffer. He has prescribed Lyrica 150mg morning and night which is for nerve pain and it does work but it is a temporary solution to an ever deteriorating problem. He also prescribed Mertiron which is an anti-depressant to work in conjuction with the Lyrica to ease the pain. They work together and I do feel better.
  • Hi BeachBound, absolutely. It is minimally invasive surgery. They go in with needles using radio frequencies and zap the nerves causing the pain. It is not sore and neither is there a recovery period. (Only 2 puncture wounds). My comments on Lorrains post is: I live in SA and was diagnosed with degenerative discs, bulging discs and various other names in 2008. I have been undergoing Rhizotomy's since 2008 almost every 2nd year. It is my miracle cure. I go in with headache, bordering migraine and neck and muscle pain and come out feeling like a million dollars. I trust in Rhizotomy's and will do them over and over again. It is painless as you are under heavy sedation when they perform it. I love them and will never stop unfortunately, my medical aid has decided they will no longer pay for them so I am left back at square one with utter desperation trying to find the next best thing. According to my neurosurgeon, my discs havent bulged enough to perform surgery to cut bulge off or replace the discs so I must just suffer. He has prescribed Lyrica 150mg morning and night which is for nerve pain and it does work but it is a temporary solution to an ever deteriorating problem. My last Rhizotomy was done December 2013 where he did all C's and a few Lumbar discs as well. The lumbar was only painful due to the needles having to push through the muscle tissue but that isnt a pain I would complain about or have to take pain killers for. It went away after 5 days.
  • I live in SA and was diagnosed with degenerative discs, bulging discs and various other names in 2008. I have been undergoing Rhizotomy's since 2008 almost every 2nd year. It is my miracle cure. I go in with headache, bordering migraine and neck and muscle pain and come out feeling like a million dollars. I trust in Rhizotomy's and will do them over and over again. It is painless as you are under heavy sedation/anaesthesia when they perform it. I love them and will never stop unfortunately, my medical aid has decided they will no longer pay for them so I am left back at square one with utter desperation trying to find the next best thing. According to my neurosurgeon, my discs havent bulged enough to perform surgery to cut bulges off or replace the discs so I must just suffer. He has prescribed Lyrica 150mg morning and night which is for nerve pain and it does work but it is a temporary solution to an ever deteriorating problem. December 2013 I had C's done and L's. Came out again, painfree. Cannot perform these whilst awake and wouldnt recommend it.
advertisement
This discussion has been closed.
Sign In or Register to comment.