Top
30
Doctor insights on: Rhizotomy

Share
Dr. Qamar Khan
45 Doctors shared insights

Rhizotomy (Overview)

A rhizotomy is a procedure used to destroy nerve endings to prevent pain signals being sent to the brain. There are a variety of ways to accomplish this. Sometimes a doctor will use heat or chemicals to destroy the nerves. This is used for people who have not responded to more conservative pain treatments such as over the counter medicines or physical therapy.


1

1
What is a rhizotomy?

What is a rhizotomy?

To: Cut the nerve: Rhizotomy literally means [nerve] 'root' (rhiz) 'cut' (otomy). The goal of a facet rhizotomy, either neck (cervical) rhizotomy or back (lumbar) is to provide pain relief by stopping the pain signals that the spine facet joints send to the brain. Patients undergo facet joint injections to verify the exact location of pain generator then an electrode is then placed/heated (radiofrequency ablation). ...Read more

Dr. Qamar Khan
45 Doctors shared insights

Rhizotomy (Overview)

A rhizotomy is a procedure used to destroy nerve endings to prevent pain signals being sent to the brain. There are a variety of ways to accomplish this. Sometimes a doctor will use heat or chemicals to destroy the nerves. This is used for people who have not responded to more conservative pain treatments such as over the counter medicines or physical therapy.


2

2
How much does rhizotomy cost?

How much does rhizotomy cost?

Varies: Everybody charges thing differently can be as low as $2000 but could be as high as $10, 000. Depends on if done in office, surgical center or even hospital. Much cheaper in office than at hospital or surgical center. Also depends on how many levels done as well. More levels increase the price. Also geographic areas change price as well. ...Read more

3

3
Who is rhizotomy recommended for?

Who is rhizotomy recommended for?

Painfful Spine: Radiofrequency (rf) rhizotomy or neurotomy is a therapeutic procedure designed to decrease and/or eliminate pain symptoms arising from degenerative facet joints within the spine. ...Read more

5

5
What is the success of s rhizotomy likrly to be?

Varies: It really comes down to the specific indication for the procedure. In a properly selected patient with the perfect indications, a rhizotomy can be very successful. The farther away you get from being a perfect candidate for the procedure, the success rate can drop tremendously. Discuss the specifics of your case with your doctor. ...Read more

6

6
What is the definition or description of: rhizotomy?

What is the definition or description of: rhizotomy?

Related to nerves: A rhizotomy is a procedure used to destroy nerve endings to prevent pain signals being sent to the brain. There are a variety of ways to accomplish this. Sometimes a doctor will use heat or chemicals to destroy the nerves. This is used for people who have not responded to more conservative pain treatments such as over the counter medicines or physical therapy. ...Read more

7

7
Who is rhizotomy recommended to and what does it treat?

Who is rhizotomy recommended to and what does it treat?

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. ...Read more

8

8
I am having a rhizotomy done on my si nerves. What should I expect?

I am having a rhizotomy done on my si nerves. What should I expect?

Soreness: Generally most people are sore for a few days up to 1-2 weeks afterwards. Recommend icing the area and take nsaids for at least the first few days around the clock to reduce this response. ...Read more

9

9
What is selective dorsal rhizotomy?

What is selective dorsal rhizotomy?

Surgery on nerves: Dorsal rhizotomy is a procedure in which the posterior nerve bundles leaving the spinal cord are cleaved, cauterized, or ablated with radiofrequency to help block pain. Some are performed by neurosurgeons and others are less invasively performed by pain doctors. ...Read more

10

10
How much can dorsal rhizotomy cost?

How much can dorsal rhizotomy cost?

Lots of variables: It depends on if this procedure is being done in an office setting, an asc, or a hospital. Will you be receiving anesthesia, or conscious sedation? Does your physician have a pre-negotiated rate with your funding source? Or are you paying in cash? ...Read more

11

11
What is the cost of facet rhizotomy?

What is the cost of facet rhizotomy?

Costs Vary: Depends on where its done and which part of the country you are in. Office based treatments are much cheaper than going to a surgical center or hospital. ...Read more

12

12
Is rhizotomy good for back pain?

Is rhizotomy good for back pain?

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. ...Read more

13

13
Back pain after a rhizotomy, what should I do?

Back pain after a rhizotomy, what should I do?

New or old pain?: Pain should not be severe. If you just had the rhizotomy, back mild pain initially is acceptable but this should resolve within 1-3 days. If the pain is similar to what it was before procedure, maybe you have not waited long enough for the procedure to help. Give it 3 days. You can always call doctor who did procedure. I am sure they would want to know right away if something different than expected. ...Read more

14

14
Can you tell me about it's like to use rhizotomy for back pain?

Can you tell me about it's like to use rhizotomy for back pain?

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. Generally relief can last 1-2 years. ...Read more

15

15
What are side effects from a bilateral, total rhizotomy near the pons?

What are side effects from a bilateral, total rhizotomy near the pons?

Sensory loss: This is a significant procedure and should be discussed thoroughly with your surgeon. As the nerve roots will be cut or otherwise destroyed, you will have complete numbness in the distribution of those nerves. ...Read more

16

16
What side effects are expected from a bilateral, total sensory rhizotomy near the pons?

What side effects are expected from a bilateral, total sensory rhizotomy near the pons?

Rhizotomy: There have been few studies of the effectiveness of trigeminal nerve rhizotomy in the relief of trigeminal neuralgia. However, the studies did show it seems to be effective and well tolerated.

The major complication is facial numbness. Rarely, but importantly there have been some cases where the neuralgia returns more severe than before. If this happens, contact your doctor asap. ...Read more

17

17
What is the best way to fight an insurance co that denies approval for a rhizotomy recommended by 3 mds? Appeal letter sent; 2 peer:peer reviews done

What is the best way to fight an insurance co that denies approval for a rhizotomy recommended by 3 mds? Appeal letter sent; 2 peer:peer reviews done

Keep fighting: The only way to win is to persevere. This is a stare down competition the first person to look away loses. It sucks that it takes all this effort, but it took me and one of my patients almost 1.5 years to get procedure approved. We never waivered and obviously the treatment helped and was appropriate for care which inevitably helped. Good luck! ...Read more

18

18
2herniated discs, annular tears, osteoarthritis. Treatment innefective. Rhizotomy 2wks ago. Still some pain. Normal to have pain?

2herniated discs, annular tears, osteoarthritis. Treatment innefective. Rhizotomy 2wks ago. Still some pain. Normal to have pain?

Rhizotomy not the: Treatment for your pain unless you had good relief from facet blocks prior to it. Sounds like there are multiple but overlapping reasons for your symptoms that may be managed more with exercise, activity modification, possible simple back support, medication regimen (NSAID, Neurontin/Lyrica, Cymbalta (duloxetine) etc depending on allergies & medical hx) along with lifestyle changes: no tobacco use, stay fit ...Read more

19

19
Does facet joint rhizotomy help?

Does facet joint rhizotomy help?

Often: The workup prior to rhizotomy is key in determining which candidates are appropriate. If your facet joints have successfully been blocked on two occasions, whether by intra-articular injections or medial branch blocks, then it is likely you will gain significant relief from radiofrequency. ...Read more

21

21
Does facet joint rhizotomy work well?

Often: The workup prior to rhizotomy is key in determining which candidates are appropriate. If your facet joints have successfully been blocked on two occasions, whether by intra-articular injections or medial branch blocks, then it is likely you will gain significant relief from radiofrequency. ...Read more

22

22
Is the lumbar facet rhizotomy a risky thing to do?

Is the lumbar facet rhizotomy a risky thing to do?

FACET RHIZOTOMY: A lumbar facet rhizotomy is a minimally invasive procedure that can, when successful, relieve back or neck pain caused by facet joints. Risky?
All surgical procedures are risky, especially when done along the spinal nerves. Ask your doctor about the risks you are worried about. Best luck. ...Read more

23

23
Why won't the doctor prescribe me anything to help with pain after a rhizotomy?

Why won't the doctor prescribe me anything to help with pain after a rhizotomy?

Hard to Say: You need to speak with the doctor to find out what his/her stance is. Some doctors write pain meds some don't. If that is their policy you may need to discuss your options with your pcp. ...Read more

24

24
I had a rhizotomy on April 19 and I had increased pain in my right hip going into my right testicle. I had had a previosu rhizotomy back in 2012?

I had a rhizotomy on April 19 and I had increased pain in my right hip going into my right testicle. I had had a previosu rhizotomy back in 2012?

Ask the surgeon...: The most reasonable bet for right care is to ask the surgeon because s/he knows the best about the tissue/anatomical changes in the local spinal nerves roots during rhizotomy, Right testicular pain could be related to the postoperative changes related to nerve-control to right hip/testicle. To be sure, an analysis of symptomatic sequence of events + physical exam with possible more watch and see. ...Read more

25

25
What are the outcomes of lumbar facet rhizotomy? What percentage of people get relief? What are the risks? Do people end up worse afterward?

What are the outcomes of lumbar facet rhizotomy? What percentage of people get relief? What are the risks? Do people end up worse afterward?

Varies: The results vary tremendously and proper patient selection is critical. To be a good candidate, you would have to have had complete relief in your pain from a facet injection, indicating the pain is indeed coming from the facet. It is a fairly safe procedure. Some literature suggests it can help while other articles say it works no better than a placebo. Thank you, . ...Read more

27

27
Why would lumbar facet steroid injections work but when I did the medial branch block to see if a rhizotomy would help, it did nothing?

Why would lumbar facet steroid injections work but when I did the medial branch block to see if a rhizotomy would help, it did nothing?

Muscle pain: Often the lumbar paraspinal musculature can also be the issue. Because the facet joint helped it suggests that the steroid actually improved pain where as the anesthetic only mbb didn't. The other question is that are their other structures that could cause pain like disc, annular tears, muscles, etc. ...Read more

29

29
What is the difference between a rhizotomy or radio frequency ablation on the lumbar spine?

What is the difference between a rhizotomy or radio frequency ablation on the lumbar spine?

Both are the same: Rhizotomy and radiofrequency ablation are different words that say the exact same thing. Rhizotomy is an older term. ...Read more

30

30
Rhizotomy yesterday. Using ice and Aleve (naproxen) to help with pain. Can I also use a TENS machine?

Rhizotomy yesterday. Using ice and Aleve (naproxen) to help with pain. Can I also use a TENS machine?

Yes, you can: There is no contraindication for using ice packs and tens unit to help for pain. If concerned ask your interventional neurologist for more information. Take care. ...Read more