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that brings up a separate issue that maybe someone can better explain to me.
i have trouble reconciling that we do an RFA on multiple levels such as L3-S1. this is so nonselective, yet the disease seems like it should be - pretty much the entire lumbar spine. same with doing 3 level cervicals.
can anyone give me a cogent explanation why? besides "well its spondylosis everywhere". these patients, after all, have spinal stenosis everywhere and images may not show severe facet arthropathy at each level that we do.
i suspect that my selectivity (2 levels only) is a contributing factor for treatment failures.
it just seems that we are so selective about all other injections but when it comes to RFA most people carpet bomb...
i have trouble reconciling that we do an RFA on multiple levels such as L3-S1. this is so nonselective, yet the disease seems like it should be - pretty much the entire lumbar spine. same with doing 3 level cervicals.
can anyone give me a cogent explanation why? besides "well its spondylosis everywhere". these patients, after all, have spinal stenosis everywhere and images may not show severe facet arthropathy at each level that we do.
i suspect that my selectivity (2 levels only) is a contributing factor for treatment failures.
it just seems that we are so selective about all other injections but when it comes to RFA most people carpet bomb...