Ablation one side works this other doesnt

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schmee90

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Curious, what are people’s thoughts on patients who have ablation procedures in the spine? One side works great the other side no relief.

Do you think these are from technical issues from bad placement. I’ve had a few of these patients one side worked great the other with no benefit needle placement look the same and fine to me on both sides.

I know obviously not all patients have good results to ablations especially if you’re only doing one mbb however, however Curious if others have had similar situations and their thoughts.
 
yeah, it happens. probably just worse disease on one side vs. the other, i doubt its technical. do an SIJ on the bad side and give it some time.
 
I’d query patient again on mbb response and original pain. I’d bet this side that didn’t respond was the worst side chronically and response to mbb was marginal on that side… ie overall it ain’t facet pain
 
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