Radiofrequency lesioning is a procedure using a specialized machine to interrupt nerve conduction in a semi permanent basis. The procedure disrupts nerve conduction and may reduce pain.
How is it done?
A local anesthetic is given. Special needles are then inserted into the affected areas. The physician will use fluoroscopy (a specialized x-ray) to guide the needles. Electrical stimulation is done before any lesioning. This may produce a buzzing or tingling sensation. You may also feel your muscles jump. You will be somewhat awake during this time in order to pinpoint the areas to be lesioned. Electrical current is then used to disrupt the affected nerves.
Initially there will be soreness for about a week or so. Ice packs can be used to relieve some discomfort. You should see a decrease or relief of pain.
How long will it take?
Forty-five minutes to a couple of hours.
Following the procedure.
Most often you can go home in about 30-60 min. You will need someone to drive you home and care for you for the first 12 hours after your procedure. Written instructions will be sent home with you.
The day of your procedure.
You are expected to arrive on time for your procedure. Bring a responsible adult driver with you because you will be receiving medications and this could impair your ability to drive. Please take your regularly scheduled blood pressure and heart medications with a sip of water as you normally would.
After you arrive, you will be asked to sign in and complete any paperwork as needed. You will then be taken to the PreOp area. At this time, a nurse will ask you some questions and have you sign your consent forms. It is imperative that you, the patient, inform the nurse of any changes in your history and/or physical, such as a recent flu or have any health problems that might affect your procedure. Inform the staff if you are allergic to betadine.
Coumadin – Coumadin must be stopped prior to your procedure. You MUST consult with your prescribing physician for appropriate directions BEFORE stopping this medication.
Aspirin – Stop aspirin for seven (7) days prior to your scheduled procedure. If you are taking aspirin for your heart, speak with your cardiologist BEFORE stopping this medication.
Diuretics (water pill) – Take AFTER your procedure.
Insulin – Take 1/2 of your prescribed insulin dosages the morning of your procedure. For afternoon procedures, drink 4-6 ounces of juice with morning insulin. Please bring insulin with you on the day of your procedure.
Other Prescribed Medications – Take your prescribed morning medications with a sip of water the day of procedure.
Ride: A Responsible Adult Companion MUST drive you home and aid in your care after your procedure.
DAY OF PROCEDURE:
PRE-OP – Check in one (1) hour before your procedure time. Late arrival may necessitate cancellation.
ID and Insurance – Bring a picture I.D. and all applicable insurance cards (including co insurance). Please check with your insurance company for deductible/ co payment amounts.
DRESS – Wear loose comfortable clothing. Do not wear eye contacts, please wear your glasses instead.
BELONGINGS – Do not bring anything of value.
STERILITY OF PROCEDURE AREA – You should shower or bathe the evening before or the morning of your procedure.
Types of Procedures include:
Caudal Epidural Steroid Injection with or without Fluoroscopy
Cervical Epidural Steroid Injection with or without Fluoroscopy
Lumbar Epidural Steroid Injection with or without Fluoroscopy
Thoracic Epidural Steroid Injection with or without Fluoroscopy