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rhyzotomy

janiskijjaniski Posts: 679
edited 06/11/2012 - 7:24 AM in Chronic Pain
Has anyone had a rhyzotomy recently? I had several in 2001 when they actually burned the nerve endings. They were not successful. I understand that now it is done by "stunning" the nerves. It was a very painful procedure then and I am wondering if the new procedure is less painful. If anyone has had it please let me know what it is like!! Thank you.

Jani }:)

14 surgeries including laminectomy (L4/L5), 360 fusion L4/L5, fusion L1-L5, many cortisone injections and 2 (failed) rhyzotomys.
L4/L5 laminectomy, L4/L5 360 fusion with instrumentation, L1 to L5 fusion, L5/S1 fusion w/ disc replacement, left and right SI joints fused.
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Comments

  • I had one done in january of 2008,it wasnt painfull having it done,i was sedated ,it was painfull for about one month afterwards....
  • I had one done two weeks ago and the other side done 2 days ago. It wasn't bad. I had the option of conscious sedation, which I accepted the first time, but it made me feel really awful so this week I had it without and it wasn't really a big thing. A bit of discomfort but it really didn't last long. I had L3-S1 done on each side.
    I must add that I have faith in my pain doctor's ability and trust him to do a great job while causing as little discomfort as possible.
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  • ...

    Has it worked for anyone ??
  • meandmyback said:
    ...

    Has it worked for anyone ??
    Yes it did work for my nerve pain.....
  • Thanks for the input. I am scheduled for L5/S1 Nov 10 (both sides). I have a good pain doc and he has done many cortison injections so hopefully he is as good at the rhyzotomy.
    L4/L5 laminectomy, L4/L5 360 fusion with instrumentation, L1 to L5 fusion, L5/S1 fusion w/ disc replacement, left and right SI joints fused.
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  • I think the rhizotomy helped. However, I also have sacroiliac joint pain on both sides. That pain was and still is more severe. I am waiting for approval for SI joint neurolysis, my doc says he uses alcohol injections.
    So it is hard to judge at this point how my relieve I have obtained from the rhizotomy. All in all, it feels as if I have less pain.
  • All three were bilateral; the first two were L1 to S1 and my SI joints (as well as cortisone injections in the SIJ) - I only got about six weeks of good relief, but it was like heaven after the pain I'd been dealing with. The last one was a year ago, and I had segments of my C and T spine as well as L1 to S1 and SI joints. I had great relief with my C spine, my T spine went absolutely crazy and I still have major neurological issues there, but I got about six months of relief that time with my lumbar spine.

    My NS does it under a general anaesthetic. The pain upon waking went through the roof....I won't pretend it was easy, but once they could settle that down, I used ice packs and only needed a couple of anti-inflammatories to settle it down through that evening.

    I have no regrets about any of the surgeries, though I could certainly do without the T-spine pain, numbness and tingling!

    Good luck whatever direction you take.

    Tracy
  • had 4 rhizotomys and they have always worked well for me.
  • I wouldn't mind trying this rhizotomy. I wonder if it would help in my case L5-S1 herniated disc. I wonder why it hasn't been offered yet? Is it the pain management Dr. who does this. Thanks. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • Yes it is the pain doc who does it. It is also referred to as a facet ablation.
    L4/L5 laminectomy, L4/L5 360 fusion with instrumentation, L1 to L5 fusion, L5/S1 fusion w/ disc replacement, left and right SI joints fused.
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