Painful treatments are over! Today we have several approved painless methods and therapies so that no one needs to worry about going to the doctor anymore.
Of course, the pain treatments providing the treatment needs to have the necessary specialist knowledge and the appropriate technical equipment at hand. In our practice we offer a choice between different anaesthetic methods:
You will see:
The most common method of pain relief is the traditional use of 'on demand' intramuscular opioid or NSAI injections. Better pain relief can be obtained with newer techniques such as epidural, local opioids, anasthetics, steroids and patient controlled analgesia. However, some techniques such as pre-emptive analgesia have not been fully evaluated and others, such as infiltrating local anaesthetic into wounds, may not reduce the patient's analgesic requirements. Patients should be counselled before surgery because an explanation of what to expect, and other simple measures, may reduce their analgesic needs.
Radiofrequency neurotomy (also called radiofrequency ablation or lesioning) is a minimally invasive procedure that can provide lasting relief to those suffering from facet joint pain. In fact, multiple clinical studies show that radiofrequency neurotomy significantly reduces pain severity and frequency for 1 to 2 years in the majority of patients.
Flexibility is the skill that enables us to perform the movements in a big range in the joints. The maximum development of flexibility is not necessary. The most significant is the mobility of the dorsal segment of the spine, the hip and the shoulder joints. The factors that affect flexibility are:
Facet joints are found on both sides of the spine. Each is about the size of a thumbnail. Cervical facet joints are named for the vertebrae they connect and the side of the spine where they are found. The right C3-4 facet joint, for example, joins the 3rd and 4th vertebrae on the right side. Facet joints not only connect the vertebrae, but they also guide the spine during movement.
Therefore, a review of spinal anatomy is important to understand the causes of back pain, neck pain, and sciatica (leg pain), and evaluate treatment options.
Cervical facet joint pain is the result of joint dysfunction, either due to injury or irritation. Pain from an irritated cervical facet joint may range from simple muscle tension to more severe pain. Depending on which facet joint is affected, the pain may occur in an area from the head down to the shoulder blades.
If you have pain in one or more of these areas when you turn your head, and it has lasted longer than a few months, you may have cervical facet pain.
During this procedure, an anesthetic and a steroid are injected into one or more of the cervical facet joints. The injection can be used to diagnose and/or treat. If the injection temporarily lessens your pain and helps you move your neck better, then your doctor will know which facet joint is causing the pain. A steroid is used to treat inflammation inside the facet joint.
The procedure may or may not be done with intravenous sedation to help you relax. If you are very anxious, you may want to request sedation by talking to your doctor prior to the day of the procedure. Sedation will require that you fast for four hours prior to the procedure. If you will not be having sedation, we recommend that you eat a normal meal prior to the procedure. A local anesthetic will be used to numb the skin. The doctor will then insert a thin needle directly into the facet joint. If at any point in time the procedure becomes painful, you should let the doctor know as he can use more anesthetic to numb the painful area. Fluoroscopy, a type of x-ray, will be used to ensure the safe and proper position of the needle. A dye will also be injected to make sure the medicine will go into the correct spot. Once the needle is in the correct location, an anesthetic and a steroid will be injected.
You will be monitored for approximately 30 minutes after the procedure. Before you leave the clinic, you will be given discharge instructions. Please keep track of your pain as this will help your doctor determine the next step in treatment. It is normal to feel better immediately after the procedure. This is the effect of the anesthetic. It will most likely wear off a few hours after the procedure. This is normal. It may be caused by the needle irritation or by the steroid itself. Steroids normally take two to three days to begin working, but can take as long as one week. You should be able to return to work the day after the procedure.
Depending on the number of irritated joints and the amount of inflammation, an injection can offer several months of pain relief. If there is no underlying bone or joint problem, one injection could bring long-term pain relief. If your pain is caused by irritation of more than one area, only some of your symptoms may be helped by one injection.