A Radio Frequency Ablation is a procedure where high frequency radio waves are used to generate heat and “burn a nerve”. This does not require a high level of heat so you might feel some warmth but not a burning sensation, or you may not feel anything at all. All nerves regenerate over time, so the results will not last forever, however, some patients experience pain relief for 6 months to a year.
Facet injections are injections of medications into the actual facet joints. Facet joints are located between each set of vertebrae in the spine from the neck to the tailbone. Facet joints allow each vertebra to move against the vertebra just above and just below it. There are many other technical names for facet joints.
An Epidural Steroid Injection (ESI) is a simple, safe, and effective non-surgical treatment that involves the injection of a steroid medication similar to cortisone into the Epidural Space of the spine. The epidural space is the portion of the spine where inflamed nerves are located. The intent of this procedure is to reduce inflammation and therefore relieve pain. An Epidural Steroid injection (ESI) is a minimally invasive technique used to relieve a variety of painful conditions, including chronic pain anywhere in the spine.
A ganglion impar block is a procedure used to reduce some of the symptoms of chronic pelvic or rectal pain by blocking nerve impulses. The ganglion impar is a structure located at the level of the coccyx.
The Medial Branch Block is a diagnostic procedure. It is used to evaluate whether you would benefit from a Radio Frequency Ablation, or a “burning of the nerves”, which may be the cause of your pain. The doctor will apply betadine to your back, and inject a numbing agent into each of the sites. Next, he will insert needles to inject a numbing agent around the nerves to see if this helps or takes your pain away. The series of test injections are done with a numbing agent called Lidocaine or Bupivacaine. These injections may take 20-30 minutes to perform.