Facet joint and medial branch nerve injections and Radiofrequency in Mumbai are advanced pain management procedures performed with state-of-the-art technology and expertise.
Radiofrequency (RF) energy-based procedures, are performed for chronic pain in a variety of musculoskeletal and neuropathic conditions. They are of two types:
These procedures, particularly facet joint treatments and medial branch nerve radiofrequency in Mumbai, have revolutionized chronic pain management by offering minimally invasive solutions.
The procedure is performed using a radiofrequency generator which can be connected to specialised cannulas and electrodes. Under the guidance of Ultrasonography the targeted nerves are located and the cannulas are placed next to them. The nerve proximity is confirmed using sensory and motor stimulation of it. The radiofrequency procedure is then performed either on the pulsed mode or conventional mode.
In Conventional radiofrequency (CRF) a thermal lesion is created to interrupt the function of the nerve.
The application of PRF is based on the delivery of a train of sinusoidal electrical bursts (5–20 ms length) in the radiofrequency range (500 kHz) at a repetitive rate of a few hertz (2–5 Hz). The changes produced by electrical fields are selective for small unmyelinated and lightly myelinated nerve fibers, producing a motor-sparing effect. The pain relief commonly seen after PRF treatment can last up to several months. This effect is due to a neuromodulatory-type process, which alters the synaptic transmission or the excitability of C-fibers. These fibers are responsible for pain and temperature sensations and are involved in most neuropathic pain syndromes
The success rate of facet joint and medial branch nerve radiofrequency procedures in Mumbai has been remarkable, with many patients experiencing significant pain relief lasting 6-12 months or longer. These procedures are performed under strict sterile conditions using advanced imaging guidance, ensuring precise targeting and optimal outcomes.
Although both techniques have been reported to be effective (pulsed and ablative RF), there are some limitations more related to the ablative RF, such as failure to completely denervated the nerve, disrupt nociceptive sensation, worsening of symptoms due to aberrant neuronal regeneration, neuroma formation, and reduced motor function, neuritis, paresthesia and deafferentation pain syndrome.
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