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Radiofrequency ablation (RFA), also called fulguration, [1] is a medical procedure in which part of the electrical conduction system of the heart, tumor, sensory nerves or a dysfunctional tissue is ablated using the heat generated from medium frequency alternating current (in the range of 350–500 kHz).
Neuroablation can be performed with chemical neurolysis or radiofrequency ablation. These techniques are often used on the medial branch nerves to treat low back pain and have been applied to the superior cluneal nerves. The use of phenol has been noted to relieve pain for up to 9 months but may not completely resolve symptoms. [5]
The dorsal ramus then turns to course posterior-ward before splitting into a medial branch and a lateral branch. Both these branches provide motor innervation to deep back muscles. In the neck and upper back, the medial branch is also responsible for providing sensory innervation of the skin; in the lower back, the lateral branch does so.
This is the segmental organization of its cervical, thoracic, lumbar, and sacral components, which is arranged from most medial to most lateral respectively. The pathway crosses over ( decussates ) at the level of the spinal cord, rather than in the brainstem like the dorsal column-medial lemniscus pathway and lateral corticospinal tract .
PARSIPPANY, N.J., Jan. 07, 2025 (GLOBE NEWSWIRE) -- Pacira BioSciences, Inc. (Nasdaq: PCRX), the industry leader in the delivery of innovative, non-opioid pain therapies to transform the lives of patients, announced today that it has received clearance from the U.S. Food & Drug Administration (FDA) to market a new Smart Tip designed to access the medial branch nerves to manage chronic low back ...
The third lumbar spinal nerve (L3) [3] originates from the spinal column from below the lumbar vertebra 3 (L3). L3 supplies many muscles, either directly or through nerves originating from L3. They may be innervated with L3 as single origin, or be innervated partly by L3 and partly by other spinal nerves.
Selective dorsal rhizotomy (SDR), less often referred to as selective posterior rhizotomy (SPR), is the most widely used form of rhizotomy, and is today a primary treatment for spastic diplegia, best done in the youngest years before bone and joint deformities from the pull of spasticity take place.
Nikolai Bogduk AM is a retired Australian anatomist, and emeritus professor of the University of Newcastle Bone & Joint Institute, Australia. [1] His research and publications were primarily on the anatomical sources and causes of chronic spinal pain and headache, as well as the development of new diagnostic techniques and treatments for these conditions.