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Edmond, OK
A 34-year-old female asked:

63 healthy m chronic back pain. gr 1 spondylolithesis l34&l45+ facet arthritis. bil facet blocks helped but still have bil butt pain. advice?

4 doctor answers7 doctors weighed in
Dr. Mehul Desai
Pain Management 19 years experience
Options: Pain related to spondylolisthesis may be related to lateral recess stenosis, facet pain, central stenosis, discogenic pain or pain from the instability itself. There are multiple options to ascertain which of these is the most likely cause.
Dr. Michael Gofeld
Pain Management 32 years experience
Radiofrequency : If facet blocks helped radiofrequency neurotomy of medial branches may be a long-term solution.
Dr. Ahmad M Hadied
Orthopedic Surgery 49 years experience
Try it agian: You could try the facet injection again or we could try epidural block see if that help.
Dr. Qamar Khan
Pain Management 17 years experience
Generally Good: Radiofrequency procedures work well if a previous facet injection or medial branch block was performed with greater than 75-80% relief that was obtained. As with anything there are failures, but quite low if the block worked well. Risks are the same as with any spine procedure, no different. Rare that you would be worse off afterwards.

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Last updated Oct 4, 2016

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