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RFA with Arachnoditis and CSF blockage

MetalneckMetalneck The Island of Misfit toysPosts: 1,789
So my pain doctor today ..... After telling him that the minimal amount of pain medication I was on wasn't cutting it .. he said ... well what about SCS to which I replied that SCS is contraindicated in spinal cords with arachnoiditis.  He said well then we can RFA your back L3-L5 ....   explained to him that RFA may relieve some of the emerging nerve pain but will do nothing to repair the bone on bone status of my LS. They also want to fuse my entire cervical spine just for kicks.  One thing the doctor said that caught my ear ..... He literally said "no increase in pain medication with procedures".  Does that sound odd to any of you other brain surgeons out there?? Doesn't that sound like medical blackmail?? Things that make you go HHHmmmph!!  Is there a lawyer in the house??

D
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Comments

  • MetalneckMetalneck The Island of Misfit toysPosts: 1,789
    No RFA'ers have anything wonderful to say about this treatment??  I've heard the bad ..... is there any good??
  • scinmyheartsscinmyheart Posts: 186
    edited 05/23/2017 - 1:01 PM
    I've had two RFAs, but neither one had any long lasting effect either way for me...mine were about 1.5 years apart...I was borderline with the nerve block gauging potential success, but I did not want to be the "problem patient" that refused treatment...but it's a quick way to meet your deductible if you're a ways from it


    it seems as though my clinic is also one that requires a procedure every now and then whether it'll help or not...especially if you need them to continue to keep prescribing...unfortunately, I'm at a more or less maintenance stage right now, but the days of just going in and getting a Rx is long over with...hell, mine wants to go in the opposite direction with that.  I get the feeling that with them cutting dosages, if I mention that I have an increase in pain, they'll be scheduling an epidural or RFA when in fact is in due to being under medicated...they should be ashamed of themselves   

      I hate that I have to keep my mouth shut not knowing what they're writing in my file...I learned about 3 years ago what speaking my mind would get me-and that was a security escort out of the building


    I'm just getting so disgusted with the whole game that's being played now.  As one that will unfortunately be on opiates until I die, I'm very concerned what will be happening 5 years from now...geez, I'm worried every time I walk into the doctor's office (which, for me, is every 2 weeks now with 15 day Rx and close to 2.5-3 hours before getting out)...and they wonder why my blood pressure is always jacked up


    good luck getting things worked out...your stuff going on is a lot more complex than mine is...it is stressful
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  • MetalneckMetalneck The Island of Misfit toysPosts: 1,789
    Thanks for the feedback all !!

  • MetalneckMetalneck The Island of Misfit toysPosts: 1,789
    Love this article:   

    RESULTS:

    For sciatica or prolapsed lumbar disc with radiculopathy, we found good evidence that chemonucleolysis is moderately superior to placebo injection but inferior to surgery, and fair evidence that epidural steroid injection is moderately effective for short-term (but not long-term) symptom relief. We found fair evidence that spinal cord stimulation is moderately effective for failed back surgery syndrome with persistent radiculopathy, though device-related complications are common. We found good or fair evidence that prolotherapy, facet joint injection, intradiscal steroid injection, and percutaneous intradiscal radiofrequency thermocoagulation are not effective. Insufficient evidence exists to reliably evaluate other interventional therapies.

    CONCLUSION:

    Few nonsurgical interventional therapies for low back pain have been shown to be effective in randomized, placebo-controlled trials.

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