A member asked:

Cervical medial branch block with dexa lidocaine gave me 1 day of neck pain relief.after 1day neck pain again.ok to proceed to radiofreq ablation?

2 doctors weighed in across 2 answers

Not yet: The Lidocaine would be expected to wear off in less than a day. The Dexamethasone takes 1-2 weeks to show maximum improvement.

Answered 6/26/2014

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Dr. Paul Grin answered

Specializes in Pain Management

No way!: Be patient. Some times it takes a few weeks for DEXA to get effect. Ablation is a serious procedure with some side effects and no warranties. Rec. see your pain management specialist for medication adjustment (e.g. tramadol, relafen, (nabumetone) Lidocaine 20% patch, etc.) Also cognitive behavior therapy. East-West integration medicine. Take care.

Answered 2/19/2015

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