Radiofrequncy Ablation in Chronic Pain Management. Joel Chang MD. CASE. 67 y/o M Lumbago, facet arthropathy, lumbar spondylolithesis, post-laminectomy Attempted Tx: TENS, PT/ aqua, lidoderm, oxycontin, epidural 2 Lumbar MBBs of L3-S1 with about 1 hour relief each time
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Joel Chang MD
adjustments are also needed with the settings (monopolar needs to be changed to bipolar and off)
- modulates pain processing mechanisms
-selectively disrupts small nerve fibers
- Pulsed RFA associated with increased cFos