Denervation for Chronic Abdominal Pain

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RedAurora
Regular Member


Date Joined Feb 2007
Total Posts : 88
   Posted 5/29/2009 1:46 AM (GMT -7)   
Im seeing a Pain specialist for Chronic Abdominal Pain, short story, I have a transver kidney that floats around in my abdomen causing pain. Im scheduled for a denervation procedure on Tuesday and I would like to know if anyone has had this done and what the pros and cons of the procedure are. They go in and burn the nerves so it destroys them. Did anyone have numb patches afterwards or have trouble walking, did it work on the pain? How long was the recovery. My husband will be there on tuesday and wednesday but then he leaves for 3 weeks for work. is this something that i need him around longer for?
27 yr old, dx with IBS-C October 2007. Currently on Trazedone, phenergren, levsin, percocet for breakthrough pain


Chutz
Veteran Member


Date Joined Jan 2005
Total Posts : 9090
   Posted 5/29/2009 11:29 PM (GMT -7)   
Hi Red!

I wish I had some words of wisdom but this isn't something I'm familiar with. Is this open surgery or laproscopic? If this doc has any sense at all he will be sure and take care of your pain needs. If the surgery is open I would think you will have a weight restriction on lifting. Even with a laproscopic proceedure you may be asked to limit lifting for a few days. Just keep moving though. I remember when I had abdominal surgery years ago and a very large, like 10" incision up my tummy, moving afterwards was miserable. I wanted to hunch over to walk and they kept making me straighten up to walk. This was the years before they were good at pain control. Now days you'll be fine.

Hugs and good luck!
Chutz
Co-Moderator Fibromyalgia & Chronic Pain Forums
~~~
Fibromyalgia, Ulcerative Colitis, Insulin dependent diabetic, PTSD, dermatitis herpetiformus, osteoarthritis and a few other side dishes.
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modelmaker
Regular Member


Date Joined Feb 2009
Total Posts : 168
   Posted 6/1/2009 7:27 AM (GMT 0)   
Hi Red,

I have many nerves treated in my spine over the past 5 years. I don't know about abdominal pain and the location of those nerves but the nerves in the back are accessible by injection using a C-arm flourosope for guidance. I have had both the RF nerve burning and the chemical nerve killing procedures. The RF (radio frequency) attempts to heat or fry the nerves and kill them but they seem to reconnect within 1-2 years, sometimes less. The chemical treatment is permanent. I have only had one that had to be reinjected. The chemical agent used for me was phenol.

This procedure has been quite effective in reducing low back pain as a result of failed back syndrome. The specific nerves were the medial branch nerves near the facet joints. As for numbness, I really don't notice it unless I am having a really bad day with pain all over the back. Then I can feel the numbness at the surface near the injection sites.

As with any denervation procedure, there is always the possibilty of nerves finding new pathways around the denervation area. It can happen but the growth rate of nerves is very slow.

Because there is a topical anesthetic injected to ease the procedure there may be some short term numbness in the legs for a few hours. The real potential risk is killing the wrong nerve. If you kill a motor nerve you are going to have a problem. Make sure you doc is well trained in the procedure and has done a large number of these on other patients. Mistakes here can be tragic but rare.

Hope this helps.

Modelmaker
Degenerative disc disease since 1985, 4 back surgeries, fused from L2-S1, instrumentation. Being treated for chronic pain. Oxycodone 30 mg. IR. Candidate for SCS in the future.

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