Hey everyone, I thought I would let you know that so far, my recovery from the Radio Frequency Neurotomy is going fairly well. I had some strong muscle cramping yesterday, and i have had some weakness on the left side of my body (as the proecedure was done on the left medial branch nerves), but so far nothing so bad to keep me from going out of the house and getting things done. I still can only tolerate short car rides, so that its probably my biggest limitation. Walking is fine, though I was told I have a bit of a limp while walking, which is probably from one side of the body being a little weaker then the other. Sitting is also still a challenge, so at the moment, lying down or going for a nice walk seem to be the best as far as keeping my pain levels down. There is a slight sun-burn like feelings radiating from about 1.5 inches away from one of the needle sites but this again is tolerable.
It should be noted that the slight burning feeling and trouble sitting on surfaces outside of vehicles is from today as I have not taken any pain medication at all. Yesterday, I took the max dosing of my medication and with the exception of a few pain episodes, it did very well to control my pain even while sitting (errr except in vehicles). Don't worry, I will take my meds latter today, but I need to see how my body feels without them so that I can see what symptoms I have and keep track of it, before I cover it up with pain meds.
For those of you who wanted more information on the "lite" version of RFN i received, heres some information: Pulsed RF (PRF) utilizes brief 'pulses' of high-voltage RF (300 kHz) electric current to produce the same voltage fluctuations in the region of treatment that occur during conventional RF treatment, but without excessive heating that might produce tissue coagulates. The heat generated is instead dissipated between pulses. PRF produces a transient inhibition of evoked synaptic activity and classic thermal RF (TRF) produces a lasting inhibition. Both TRF and PRF treatment induce distance-dependent tissue destruction under the stimulating needle, but the effect is more pronounced with TRF. These findings suggest that the acute effects of PRF are more reversible and less neurodestructive in nature than the TRF mode, even in normothermia conditions. Proposed pulsing is 20 ms, temperature should be less than 42°C and voltage less than 60 kHz.
MRI revealed a bulging disc w/gel lost at L5 and showed the bulge touching nerves, causing sciatica. Diagnosed w/ Arthritis which is responsible for joint inflamation pain. Treatment: Nucynta 50-150 mgs every 6 hours (schedule II narcotic, Mu Opoid agonist and NE reuptake inhibitor), Celebrex 100 mgs, Klonopin .5, Epidurals, Radio Freq nuerotomy (sept 8th, 2010)