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Medical procedure. To have or not to have. That is the question.
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Feb 12, 2022 09:27:03   #
boberic Loc: Quiet Corner, Connecticut. Ex long Islander
 
jaymatt wrote:
Have you tried a GOOD chiropractor? Sometimes they can do wonders.


YES I am biased. But good and chiropractor do not belong in the same sentence

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Feb 12, 2022 09:32:45   #
jaymatt Loc: Alexandria, Indiana
 
boberic wrote:
YES I am biased. But good and chiropractor do not belong in the same sentence


Matter of opinion, I suppose. I happen to have an excellent one with several certifications who keeps me tuned up amid my old age aches and pains. I know there are some old-fashioned ones around that I wouldn’t let touch me with a 10-foot pole. My gp and my liver specialist both approve of my visits to him.

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Feb 12, 2022 09:49:32   #
kschwegl Loc: Orangeburg, NY
 
I had radiofrequency ablation to remove a cancerous patch on my esophagus 18 months ago. No issues. You'll be under general anesthesia. I'm sure you'll be fine.

Ken S.

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Feb 12, 2022 09:53:07   #
Charles Whittier
 
My wife had back pain for over 20 years and would be treated by a chiropractor with good results. After time it stopped working because of the condition in her back. She was referred to a leading Orthopedic Dr in our area at Rush Hospital. Results were a fusion needed to stabilize the L5-S1 joint that was moving out of position. That was 2012. In 2013 she started having periods of extreme pain in the Sacroiliac that would put her down without warning causing us to call 911 and a trip to the local hospital resulting in a trip to the pain clinic for an injection of steroids and muscle relaxers. This would last for 3-4 months and it would happen again. Each time in screaming pain. Finally, the pain Dr said he wanted to do an ablation. It would work for longer periods and when needed again she would feel it in time without the stabbing pain and give her time to schedule an appointment without the 911 call. The ablation burnt the nerves in the Sacroiliac (the procedure is painful, not from the burning, but from the insertion of the needles needed and the numbing injection. This lasted for about a day and a half but with ice and Tylenol was fine). After that she was fine for 16 months, no pain. She started getting the sensation a few weeks ago and scheduled an appointment for last Thursday and had another one. First day very painful, Friday just uncomfortable, today walking like nothing happened. Our Pain DR is a very very good Dr and we are grateful to have him available when she needs the procedure.
We have heard stories as above about poor nonworking procedures but if the source of pain is correctly found it can be treated with good results. Good luck with your choice.

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Feb 12, 2022 10:00:49   #
markngolf Loc: Bridgewater, NJ
 
sb wrote:
Radio Frequency Ablation, when used for spine pain, is aimed at the nerves that go to the facet joints - the joints between each vertebra. It is not for degenerative disc disease spine pain, although DDD causes the discs to shrink, which then leads to things like bone spurs and arthritic changes in the facet joints - thus the RFA procedure. Sometimes an injection in the facet joints is done first to determine what levels are involved and to make sure that the pain is actually coming from the arthritic facet joint. The RFA only destroys the tiny end nerves at the joint - it doesn't damage the main spinal nerves that come out and allow you to move your muscles and to feel things. Those tiny nerves grow back, but that often takes a year or so - so the procedure does not offer permanent relief, but most of my patients generally were pretty happy with the relief they got. I had a large number of patients who requested a referral for a repeat RFA because the one they had a few years before helped a lot but the pain was coming back. Good luck with it.
Radio Frequency Ablation, when used for spine pain... (show quote)


I had Radio Frequency by a doctor in SC, in 2010. (at the time, I lived in coastal NC). I don't specifically remember the after affects, but I do remember her. She was absolutely gorgeous!!
Mark

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Feb 12, 2022 17:25:22   #
Ferris Loc: South Carolina
 
apacs1 wrote:
I suggest you get medical opinions from physicians. Get a second or even a third opinion. Using information from UHH to make a medical decision is not a great idea - it's like asking your plumber what lens to use in a particular situation.


This is indeed a site primarily for photography, but there are not only physicians on this site who have photography as a hobby, but also people who have had similar problems and the same procedure with their back who happen to have photography as a hobby. The gentleman who reached out was asking for help, and people responded rather selflessly. I imagine the replies gave him a basis for how to ask for more information from his doctor. I agree that a second or third opinion is a good idea. He is on his way to making a more informed and hopefully comfortable decision.

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Feb 12, 2022 17:29:15   #
Ferris Loc: South Carolina
 
kschwegl wrote:
I had radiofrequency ablation to remove a cancerous patch on my esophagus 18 months ago. No issues. You'll be under general anesthesia. I'm sure you'll be fine.

Ken S.


RFA for the esophagus is not the same as RFA for a spinal problem, when you address efficacy and side effects.

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Feb 12, 2022 18:35:37   #
boberic Loc: Quiet Corner, Connecticut. Ex long Islander
 
jaymatt wrote:
Matter of opinion, I suppose. I happen to have an excellent one with several certifications who keeps me tuned up amid my old age aches and pains. I know there are some old-fashioned ones around that I wouldn’t let touch me with a 10-foot pole. My gp and my liver specialist both approve of my visits to him.


Depends upon why you are going. If you need a touchy, feely kinda thing OK But I would never let a chiropractor treat an actual disease, if it was me

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Feb 13, 2022 07:55:05   #
Alafoto Loc: Montgomery, AL
 
[quote=Ferris]
Alafoto wrote:
Later this month I am scheduled to have a procedure called 'radiofrequency ablation' and wonder if any of my fellow hoggers have any experience with this. I have excruciating back pain, partly because I'm 76 years old, but mostly because I didn't take very good care of myself when I was younger. The procedure, as explained to me involves finding the nerves that transmit the pain signal to the brain, then causing a lesion with the use of pulses of high frequency radio waves which blocks the transmission of the pain signals
If any of you have undergone this treatment, I'd much appreciate hearing of your experiences.

I have not had it though it was suggested. I will provide you a quote from “UpToDate,” which is a respected source for review of medical literature.
“ We suggest not using radio frequency denervation in the management of chronic low back pain. The available data are inconsistent and suggest that,compared with placebo, (it) may modestly reduce pain in the short-term; however there does not appear to be clear long-term benefit. When added to a treatment regimen that includes a regular exercise program and psychologic support, radiofrequency denervation provides little additional benefit.”
That being said, it may help some people, for some time. If it can reduce the pain enough that it means you can get by with non-narcotic drugs. My reluctance was based on the above reference and my personal belief is we experience pain for a reason, and that is to warn us to avoid something that may make the underlying problem worse.
Chronic back pain is a major problem. There are a lot of causes, which demand a lot of different solutions.
Good luck.
Later this month I am scheduled to have a procedur... (show quote)


Thank you Ferris for your in depth response and well wishes. I hope you and yours have a safe and prosperous year.

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Feb 13, 2022 08:00:28   #
Alafoto Loc: Montgomery, AL
 
jaymatt wrote:
Matter of opinion, I suppose. I happen to have an excellent one with several certifications who keeps me tuned up amid my old age aches and pains. I know there are some old-fashioned ones around that I wouldn’t let touch me with a 10-foot pole. My gp and my liver specialist both approve of my visits to him.


Actually Jaymatt, I had not thought of a chiropractor. Something more to consider. Thanks for your input.

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Feb 13, 2022 08:07:23   #
Alafoto Loc: Montgomery, AL
 
JohnR wrote:
I had similar treatment of my arthritic knee - first treatment gave me 3 months relief. Second treatment a few weeks later just a few days relief. I've since had a total knee replacement. Also had back pain from degenerated discs which was relieved by having discs fused. I'm also 76 but have always been active - cycling, golf, hiking - still am but now having to have treatment for Prostate cancer. I guess one day I'll give up but not just yet with children, grandchildren and now Great-grandchildren being absolutely wonderful. Good luck & hope your pain is banished. JohnR
I had similar treatment of my arthritic knee - fir... (show quote)


Thanks John. I guess it's true that life is a terminal illness. Best wishes and keep fighting.

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Feb 13, 2022 08:13:23   #
Alafoto Loc: Montgomery, AL
 
Longshadow wrote:
I had RF Ablation done to (inside) my heart, for Atrial Flutter (precursor to Afib).
No problem.

Sorry, never had it for pain control though.


Thanks, Longshadow, for responding. In my internet search I've seen lots of references to the procedure's use in cardiac issues with great results. Congrats on your success.

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Feb 13, 2022 08:35:44   #
Alafoto Loc: Montgomery, AL
 
David Martin wrote:
UpToDate is a well-respected authority and a great source for evidence-based medical guidance.
Sounds like a second opinion might be in your interest.


Have already been there. The second doctor was rather noncommittal. To paraphrase, he said something like, "can't hurt to try."

Thus, my interest in other's experiences. Thanks for responding,

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Feb 13, 2022 08:42:01   #
Alafoto Loc: Montgomery, AL
 
home brewer wrote:
If I understand the physical therapist I use correctly that procedure it is temporary and usually used to reduce pain during physical therapy. The hope is therapy will reduce the long term pain


Thanks for responding. That contradicts the opinion of both doctors I consulted.

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Feb 13, 2022 08:48:26   #
Alafoto Loc: Montgomery, AL
 
apacs1 wrote:
I suggest you get medical opinions from physicians. Get a second or even a third opinion. Using information from UHH to make a medical decision is not a great idea - it's like asking your plumber what lens to use in a particular situation.


I was not asking for medical opinions. I was asking for anecdotal experiences from anyone who might have had the procedure, but thanks for your rather condescending advice.

Incidentally, the plumber recommended the 17-85mm.

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