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Author Topic: Radio frequency ablation  (Read 1364 times)

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Offline kaci74

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Radio frequency ablation
« on: March 14, 2013, 04:27:04 PM »
Hi everyone.  I have had 2 open knee surgeries within the last 5 years.  I still have a lot of pain around the scar tissue which may be caused by traumatic nerve damage.  I'm having a diagnostic test (nerve block) to see if I could get long-term pain relief by the radio frequency ablation.  This will block pain signals for 6 months up to 2 years.  Have any of had this procedure?  My doctor said the downside is that I could damage my ligaments and tendons without knowing.  Would a functional brace help to prevent injury during high risk activities?  I had no previous tears and my surgeries were for kneecap alignment issues. 

Thanks!

Offline Maverick

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Re: Radio frequency ablation
« Reply #1 on: March 19, 2013, 07:25:15 PM »
I am sorry to hear of your challenges.  I have not heard of radio frequency ablation before and I did a bit of research. I do have a few questions for you.

Do you have CRPS?  I ask due to the nerve blocks.  Have you tried a TENS unit and did you get releif from it?  Can you provide some more information on your pain and funtionality issue and what the procedure is intended to do?

Thank you!

1976 Arthoscopy, damaged cartilage
2007 Lateral release of the patella
2011 Meniscectomy and microfracture (grade 4)
2012 Debridement / Chondroplasty
2013 CRPS left knee

Thank you, Maverick

Offline kaci74

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Re: Radio frequency ablation
« Reply #2 on: March 23, 2013, 05:57:21 PM »
Hi Maverick,

Thanks for your reply.  I don't think I have CPRS and I used a tens unit before my surgery in 2008.  I had a lateral release in 1997, a TTT in 2008 and hardware removal in 2009.  I started having pain below my kneecap near the incision mark after my TTT before the hardware removal the following year.  I couldn't put any pressure along the scar and thought it was due to the screws.  They were removed and I had some relief but not 100%.  About January 2012 I started having more pain along the the TTT incision.  I was not having issues with knee cap tracking and it seemed that the mechanics of my knee was not an issue.  I had a CT scan, MRI, bone density scan and x-rays, all normal.  The pain doesn't seem to be from the knee itself.  I finally over the past year regained full strength in my left knee (I had severe atrophy following the TTT) and I have been able to step up my activity level.

Last summer I had 2 cortisone shots and a local numbing agent into the incision.  I had relief almost immediately which led my primary care doctor to pursue diagnosing potential nerve damage (my PCP doctor was working with my OS starting in 2012 to resolve the lingering pain).  I had a nerve conduction study which found a compressed nerve in my L-5.  The pain specialist I saw following the nerve study thinks (as do I) that the hip/back pain is a symptom of limping over years of limping.

I had the nerve block on Thursday and it seems to have worked.  I completed a pain journal for the first 24 hours and I have a follow up appt with the pain specialist on April 5th. 

If the nerve block indicates the three nerves tested are the source of the pain, the radio frequency ablation may be something worth pursuing.  I"m feeling better now (2 days after the nerve block) so I'm hopeful that this will bring some relief.

If you have any suggestions I will gladly accept. 

Regards,
Kaci

Offline Maverick

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Re: Radio frequency ablation
« Reply #3 on: March 24, 2013, 06:18:36 PM »
Kaci, thank you for your reply.  I am following your journey with interest as I have nerve damage myself.  Right know I am managing with the TENS, nerve block medication at night to help me sleep and PT.  Some days are better than others of course.  The CRPS journey may mean that I need another course of action in the years to come.  I am wondering if radio frequency ablation may be a possible option.

I would appreciate knowing how things are progressing with you.  Feel free to message me or update your posting here.

Best of luck!
1976 Arthoscopy, damaged cartilage
2007 Lateral release of the patella
2011 Meniscectomy and microfracture (grade 4)
2012 Debridement / Chondroplasty
2013 CRPS left knee

Thank you, Maverick

Offline druggist87

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Re: Radio frequency ablation
« Reply #4 on: June 01, 2014, 03:18:35 AM »
Just wondering if you had the ablation and if it  worked. My son had ablation 10 days ago and is still having pain, although different than before, so we are hopeful. His is also the left knee after a surgery in December 2013. The problem is scar tissue.
Thanks