I recently started seeing a pain management doctor for chronic lower back pain. Ive had MRIs and xrays done and i was told i have very minimal arthritis in my s1 l5 area. He said it looks pretty good and normal other than what the mri showed. Last week the pain doctor did diagnostic injections in my facet joints, nothing but long acting numbing medication. I had that injections on thursday and was in extreme pain the following 3 days followed by moderate pain for 2, and im sill a bit sore from it today.. one week later. I was in so much pain that i went to the ER on saturday because i was worried the injections did some damage. I feel okay, but the pain management nurse called today and said the doctor wanted to do radiofrequency ablation on my s1 l5 facets. She went ahead and scheduled me for TOMORROW morning at 7AM. My concerns are that its been 1 week since I got injections that caused me severe pain, im 26 years old and he wants to do RFA on me. I've read a TON of horror stories from this procedure and not sure if its worth the risks. The pain doc said the reason I was in so much pain following those injections is because I tensed up during and after it. The doctor hasnt really told me anything about this procedure other than it kills the nerves so they stop sending signals to the brain. Im very worried about having this done and im considering calling first thing in the morning and backing out.
Why does he want to do this if my MRI looks "okay" and I had such a horrible reaction to the diagnostic injections? Are there any potential long term affects from RFA? Could they make me worse? Would steriod injections be another option? Any help at all would be great to have right now. Thank you!