Sacroiliac Joint and Facet Rhizotomy

Facet and sacroiliac joint conditions can be very painful. If the pain does not subside with chiropractic care, physical therapy, medication and other non-invasive treatments, injections may be considered. Rhizotomy involves placing a cautery probe into the joint. When the tip of the probe is heated, it cauterizes tiny nerve fibers in the joint. Depending on the response to these injections, rhizotomy may be considered. Results of the procedure may not be permanent, but generally last much longer than injections. Rhizotomy is the same as a denervation or neurotomy procedure.


Conditions Treated with Rhizotomy

Rhizotomy is used to treat painful facet joints and sacroiliac joints.

Before Facet Rhizotomy Treatment

Once you have decided to have the Sacroiliac Joint or Facet  rhizotomy, the following events take place:

  • You may be asked to have a medical exam.
  • You may be scheduled for a chest X-ray, EKG and blood work.
  • You may be asked to have a neurological or psychological examination.
  • If you take aspirin or anti-inflammatory medications daily, stop taking them at least one week before the rhizotomy.
  • If you take prescription medications or other medications, ask your doctor how soon before your rhizotomy surgery you should stop taking them.
  • You will check into the hospital the morning of your rhizotomy. Do not eat or drink anything after midnight prior to your surgery.
  • If you are on routine medications for heart or blood pressure, you can take your medication as usual the morning of your surgery with a sip of water.

During Facet Rhizotomy Treatment

  • You will be placed on your side or on your stomach and supported with pillows to make you comfortable.
  • The skin in the area to be treated will be cleaned.
  • A local anesthetic will be used to numb the area.
  • Fluoroscopy, a method used to make images, will be used as the physician passes the needle into the facet joint (or sacroiliac joint).
  • A temperature-monitored electrode will be moved into the area of the joint.
  • The activated electrode deadens sensory nerves.
  • The entire procedure usually takes 30 to 60 minutes.

After Facet Rhizotomy Treatment

  • You will be in a recovery room for about 30 minutes.
  • It is important that you have someone to drive you home.
  • Activity should be restricted for approximately two weeks; during that time, there may be some pain from muscle spasm.

At our clinic, we properly determine the root cause of your pain.

Our specialists exclusively make use of new techniques for evaluating pain.

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We are a Pain Management Center in Manhattan, NY. We provided a one-on-one experience, using state of the art equipment, and proven techniques that reduce pain quickly and enable a return to normal function. With our services, we aim to ensure complete well-being of patients with a holistic approach.

At our clinic, we properly determine the cause of discomfort, plan strategies and suggest therapies, accordingly. Our main aim is to ensure the complete well-being and health of patients; therefore we use several holistic treatments that stimulate the ability of the body to repair the damaged area.

Our holistic treatments are extensively utilized in the form of an alternate to pain medications and surgeries in various musculoskeletal conditions, as it focuses on permanently treating the root cause of the pain. Our holistic treatments include: Prolotherapy, PRP (Platelet Rich Plasma), Sarapin Therapy, Zeel Therapy, and Stem Cell Therapy.

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