Doctor insights on:
Spinal Nerve Ablation
Care post nerve rx: I would need more info about this which should be obtained from your md. Type of nerves treated? Type of anesthetic delivered? For example a temporal nerve ablation with no sedation would easily permit driving home but more extensive peripheral nerve treatments may require general and/or IV sedation in which case you should have a designated driver and someone to assist you post op. ...Read more
The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more
Destruction of nerve: It is usually used for medial branch nerve, which supplies facet or articular joints in the back or neck. This nerve only brings back pain information from that joint and does nothing else. When it's destroyed, the pain goes away despite the abnormality remaining there - i.E arthritis. ...Read more
Having a cooled radio frequency nerve ablation trial run..still on pain meds how do I know if it works? Butrans patch, Lyrica (pregabalin) and oxymorphone, worried
Relief will happen: The way you will know if the ablation was successful is that you wont feel the need to seek out your meds all the time. Sometimes a medial branch block is tried prior to doing the ablation and if that was helpful then chances are that the ablation will be beneficial also. ...Read moreSee 1 more doctor answer
Can facet joint nerve ablation mask potentially serious thoracic spine conditions? Does facet joint disease continue to progress even after procedure.
see below: A spinal nerve (root) is a large nerve bundle that leaves the spine at regular intervals, right and left. Inflammation can occur anywhere in the body. Think of a bee sting, with pain, swelling and sensitivity. Inflammation of the nerve root, causes pain close to the spine, and along the route of the nerve. Epidural steroid injections are sometimes used to place anti-inflammatories into the spine. ...Read more
Thickened bone: In paget's disease, the bones break down, then try to rebuild themselves. The problem is, the new bone formation is abnormal - the bone is laid down haphazardly and is weaker and thicker than normal bone. If this happens in your vertebrae, the thickened bone can put pressure on the spinal nerves. ...Read moreSee 1 more doctor answer
What specific imaging test takes pics of the nerves coming out of (exiting) the spinal cord? I believe their called spinal nerve roots, not sure.
MRI (best) or CT: An MRI of the spine is the most accurate imaging test to evaluate the spinal cord and the nerve roots exiting the spinal canal. This is most often done without an injection of contrast, however there may be an indication for you to receive an injection of contrast with the MRI. As a Neuroradiologist I often discuss with and advise the referring physician regarding the need for contrast. ...Read more
Weakness or paralysi: The ventral root contains the motor fibers which control our muscles. Because muscles have multiple nerve roots innervating them the result may only be weakness in a particular group of muscles or could be paralysis if the particular nerve root is the dominant root. ...Read moreSee 1 more doctor answer
A homework question?: You're 34 so I'm guessing it's not a homework question. I just did a web search using your question & got a great profusion of hits. Don't take offense, but HealthTap docs do this to apply medical reasoning to posters' questions, not so they can regurgitate facts that anyone, physician or nonphysician, can look up for themselves. ...Read more
Difficult to repair.: You don't state which drugs in particular caused the damage, or what the nature of the damage is. So because the question is so general, so must be the answer. In general nerve tissue does not regenerate or repair itself, except for limited nerve plasticity, mostly in children younger patients and there is no known medical intervention. If your issue is opiates, please see www.Opiatecure.Com. ...Read more
You can't: "repair" it by anything you do. Some people might advise making sure you have adequate b vitamins, particularly thiamine, which is necessary for good nerve function, so you might take a therapeutic multivit, but I am unaware of any studies that would indicate they work. Nerves may heal over time. If the nerve was actually physically damaged, you could see a neurosurgeon for advice. Stop using. ...Read more
When there is damage to the spinal nerve, why can't doctors reattach it like reattaching hands for inst ens?
Change over time: Sometimes nerves can be reattached. It depends how long they have been injured. There are elements within nerves that are very small, these must be maintained for nerves to work in their normal fashion. They cannot be repaired surgically when they have been injured for a long time because they change on the inside after the injury. ...Read more