Radiofrequency ablation

[Guest guest]

In a message dated 12/4/01 2:27:01 PM Mountain Standard Time, jcwilburn@... writes:

Hello Group,

Does anyone have any experience with radiofrequency

ablation for bone metastases or know where they may be

performing this procedure for bone mets (we are in

Indiana)?

Thanks,

Cheryl W.

I second that? Found out today I have mets to the bone too.

Klaus

[Guest guest]

Hello Group,

Does anyone have any experience with radiofrequency

ablation for bone metastases or know where they may be

performing this procedure for bone mets (we are in

Indiana)?

Thanks,

Cheryl W.

__________________________________________________

[Guest guest]

Klaus,

So sorry you got that news today. I'll pass along

anything I find out outside of the group.

Cheryl

--- Skibelt@... wrote:

> In a message dated 12/4/01 2:27:01 PM Mountain

> Standard Time,

> jcwilburn@... writes:

>

>

> >

> > Hello Group,

> >

> > Does anyone have any experience with

> radiofrequency

> > ablation for bone metastases or know where they

> may be

> > performing this procedure for bone mets (we are in

> > Indiana)?

> >

> > Thanks,

> >

> >

>

> I second that? Found out today I have mets to the

> bone too.

>

> Klaus

>

__________________________________________________

[Guest guest]

Here is a website I found that has all of the

information, including participating institutions, for

a trial using radiofrequency ablation for bone mets.

http://www.acrin.org/protocols/6661/6661summary.pdf

to quote from that summary:

" RFA is an image-guided minimally invasive treatment

for solid tumors...the technique involves placing an

electrode under CT guidance directly into the

metastasis..causes tissue necrosis by heating of

adjacent tissues.

I believe there are numerous hospitals that use RFA,

but the above trial is the only place so far that I

have found that is actually performing the technique

for bone mets.

Cheryl

--- Carolean06@... wrote:

> hi, what, exactly, is Radiofrequency ablation? is

> this the procedure from

> Italy originally, and called sometimes, RINA?

> thanks carole

>

__________________________________________________

[Guest guest]

RFA is a kind of surgery/radiation with radiowaves. They put a needle through your closed skin and under ultra sound scan they place the needle in the middle of the tumor and heat it the for several minutes (8 till say 25 minutes) and the tumor is destroyed. The problem is that it is only done now with tumors not bigger dan average 5 cm. Sometimes they do it with tumours bigger but then the sise is smaller then the width. In Italy they are the best as I've been told and in the uSA it si n't allowed as dr. Okin told me . Dr. Okin does cryosurgery wioth the same tecnic with prostatecancer.

RFA is first done with prostatecancer, and livercancer (also metastases in liver, sometimes they destroy six in total when the individual tumour isn't too big) and now already there are very succesfull trials done with kidneycancer (85 till 91% succes) and even breastcancer (96% succes with 26 patients stage I and II tumours).

In the Netherlands RFA is payed by the National Health Service due to the European Court in May 2001 who declared that when a treatment isn't available in an european country one has the right to go to another country.

I know a woman who did RFA in Italy after she cured from her coloncancer (Houtsmullerdiet and surgery afterwards when the tumour was smaller) with metastases left in het liver and with RFA they disappeared in one hour and a five day trip to Italy and I have her story at the dutch part of my site but no time to translate now I'm sorry for that.

Here the study with breastcancer:

Gr. Kees Braam

webmaster www.kanker-actueel.nl

Radiofrequency ablation in patients with primary breast carcinomaA pilot study in 26 patients

Francesco Izzo, M.D. 1, Renato , M.D. 1, Paolo Delrio, M.D. 1, Massimo Rinaldo, M.D. 1, Paolo Vallone, M.D. 2, DeChiara, M.D. 3, Gerardo Botti, M.D. 3, Giuseppe D'Aiuto, M.D. 1, Pina Cortino, M.D. 1, A. Curley, M.D.4 1Division of Surgical Oncology, The G. Pascale National Cancer Institute, Naples, Italy 2Division of Diagnostic Radiology, The G. Pascale National Cancer Institute, Naples, Italy 3Division of Pathology, The G. Pascale National Cancer Institute, Naples, Italy 4Department of Surgical Oncology, The University of Texas M. D. Cancer Center, Houston, Texas

The authors performed a pilot trial of ultrasound-guided percutaneous radiofrequency ablation (RFA) in patients with T1 and T2 breast tumors 1) to confirm complete coagulative necrosis of tumor tissue and 2) to determine the safety and complications related to this treatment.

METHODS

Twenty-six patients with biopsy-proven, invasive breast carcinoma underwent RFA of their breast tumors followed by immediate resection. Treatment was planned to ablate the tumor and a 5 mm margin of surrounding breast tissue. Tumor viability after RFA was assessed by hematoxylin and eosin and nicotinamide adenine dinucleotide vital staining.

RESULTS

Twenty patients (77%) had T1 tumors, and six patients (23%) had T2 tumors. The mean greatest dimension of tumors that were treated with RFA was 1.8 cm (range, 0.7-3.0 cm). The mean treatment time for two-phase RFA treatment was 15 minutes and 23 seconds (range, from 6 minutes and 25 seconds to 24 minutes and 54 seconds). Coagulation necrosis of the tumor was complete in 25 of 26 patients (96%): One patient had a microscopic focus of viable tissue adjacent to the needle shaft site. A single patient (1 of 26 patients; 4%) had a complication related to RFA: a full thickness burn of the skin overlying a tumor that was immediately beneath the skin.

CONCLUSIONS

This pilot experience with RFA in the treatment of patients with early-stage, primary breast carcinoma revealed that 1) coagulative necrosis of the entire tumor occurred in 96% of the patients, and 2) the treatment was safe, with only a 4% complication rate. The authors have initiated a trial of RFA alone (no resection) for patients with T1 and T2 breast tumors that will include sentinel lymph node mapping and postablation irradiation. Cancer 2001;92:2036-44. © 2001 American Cancer Society.

Gr. Kees Braam

webmaster www.kanker-actueel.nl

Re: Radiofrequency ablation

hi, what, exactly, is Radiofrequency ablation? is this the procedure from Italy originally, and called sometimes, RINA? thanks carole Get HUGE info at http://www.cures for cancer.ws, and post your own links there. Unsubscribe by sending email to cures for cancer-unsubscribeegroups or by visiting http://www.bobhurt.com/subunsub.mv

[Guest guest]

Thanks to everyone that provided info about

radiofrequency ablation. My husband has just started

on Iressa and would have to interrupt treatment to

have surgery so I am just getting leads now for

possible use later. If he has the procedure later I

will update on the experience.

Cheryl W.

__________________________________________________

[Guest guest]

Cheryl if you want to come in contact with a woman who did RFA i can help

you but send then a personal e-amil to me. I also have the personal e-amils

of dr. Solbiati (Italy, , Dr. Goldberg (New York) and dr. Onik (USA)

> Thanks to everyone that provided info about

> radiofrequency ablation. My husband has just started

> on Iressa and would have to interrupt treatment to

> have surgery so I am just getting leads now for

> possible use later. If he has the procedure later I

> will update on the experience.

>

> Cheryl W.

>

>

>

>

> __________________________________________________

>

[Guest guest]

Facet or Disc?  These 2 abstracts are not

very supportive.

Seitz, DC

Abstract

BACKGROUND

CONTEXT: Lumbar zygapophysial joints are currently believed to be a

cause of axial low back pain. Once this diagnosis is made, decisions about when

to institute a particular intervention and which treatment to offer is

regionally and specialty dependent.

PURPOSE:

To perform a critical review of prior published studies assessing the use of

interventional treatment options for the treatment of lumbar zygapophysial

joint syndrome.

STUDY

DESIGN: Evidence-based medicine analysis of current literature.

METHODS:

A database search of Medline (PubMed, Ovid and MDConsult), Embase and the

Cochrane database was conducted. The keywords used were low back pain, lumbar

zygapophysial joint, lumbar facet joint, radiofrequency denervation, medial

branch block, and intraarticular injection. After identifying all relevant

literature, each article was reviewed. Data from the following categories were

compiled: inclusion criteria, randomization of subjects, total number of

subjects involved at enrollment and at final analysis. statistical analysis

used, intervention performed, outcome measures, follow-up intervals and

results. Guidelines described by the Agency for Health Care Policy and Research

were then applied to these data.

RESULTS:

This review determined that the evidence for the treatment of lumbar

zygapophysial joint syndrome with intraarticular injections should be rated as

level III (moderate) to IV (limited) evidence, whereas that for radiofrequency

denervation is at a level III.

CONCLUSIONS:

Current studies fail to give more than sparse

evidence to support the use of interventional techniques in the treatment of

lumbar zygapophysial joint–mediated low back pain. This review

emphasizes the need for larger, prospective, randomized controlled trials with

uniform inclusion and exclusion criteria, standardized treatment, uniform

outcome measures and an adequate duration of follow-up period so that

definitive recommendations for the treatment of lumbar zygapophysial

joint–mediated pain can be made.

SPINE

SECTION

Intradiscal

Thermal Annuloplasty Versus Intradiscal Radiofrequency Ablation for the

Treatment of Discogenic Pain: A Prospective Matched Control Trial

Leonardo Kapural, MD,

PhD*, Salim Hayek, MD, PhD*, Osama Malak, MD*, a Arrigain, Ma † , and Nagy Mekhail,

MD, PhD*

Departments of *Pain Management and † Biostatistics and Epidemiology, The Cleveland Clinic Foundation, Cleveland, Ohio, USA

Correspondence to Leonardo Kapural, MD, PhD, Department of Pain Management,

The Cleveland Clinic Foundation, 9500 Euclid Ave Desk C25, Cleveland, OH 44195,

USA. Tel: 216-444-6325; Fax: 216-444-9890; E-mail: kapural@....

Copyright

American Academy of Pain Medicine

KEYWORDS

Radiofrequency Ablation

• Intradiscal Thermal Annuloplasty • Intradiscal Electrothermal

Therapy • IDET • Intervertebral Disk • Degenerative Disk

Disease • Internal Disk Disruption

ABSTRACT

Objective. Two minimally invasive techniques have been used more recently

as a possible treatment for painful internal disk disruption (IDD). Intradiscal

thermal annuloplasty (IDTA), known as IDET, has already shown promising results

in pain reduction and functional restoration. The second technique,

radiofrequency posterior annuloplasty (RFA), is used in many interventional

pain practices, although studies on the technique's efficacy are lacking. This

study compares the effectiveness of those two methods.

Design and Patients. We matched 42 patients (21 had IDTA and 21 radiofrequency

annuloplasty) for age, sex, weight, smoking history, manual labor, and number

of intervertebral disks treated. Enrolled patients completed pain disability

index (PDI) questionnaires before receiving either IDTA or RFA; at

2 weeks; and 2, 3, 6, 9, and 12 months following either treatment.

Results. From the third to the twelfth month after the procedure, the

IDTA group had significantly lower mean pain scores than the RFA group. Visual

analog scale (VAS) pain scores decreased from 6.6 ± 2.0 before to

4.4 ± 2.4 at 1 year after radiofrequency annuloplasty (P = 0.001), while in the IDTA

group the average VAS pain score decreased from 7.4 ± 1.9 before IDTA

to 1.4 ± 1.9 at 1 year follow-up. Similarly, PDI scores in the IDTA

group had a significantly larger improvement than those for patients who

received radiofrequency annuloplasty.

Conclusions. This study shows significant improvement in pain scores

and patients' PDI following IDTA but not after RFA of the intervertebral disks.

IDTA appears to be more efficacious than RFA

based on PDI and VAS scores measured at 1 year following procedure.

From:

[mailto: ] On Behalf Of dr_mac012

Sent: Monday, June 29, 2009 2:21

PM

Subject:

Radiofrequency Ablation

Does anyone have any experience with Radiofrequency

Ablation for the lumbar spine. I have a patient with low back pain and is not a

surgical candidate. He has had 3 rounds of shots and his doctor is throwing

darts against the wall now.

Thanks,

Shane McLaughlin, DC

[Guest guest]

.....of course you understand their 'interventional' techniques have NOTHING to do with chiropractic techniques .........right?

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 344- 0509; Fx; 541- 344- 0955

From: dcdocbrian@...Date: Mon, 29 Jun 2009 15:01:43 -0700Subject: RE: Radiofrequency Ablation

Facet or Disc? These 2 abstracts are not very supportive.

Seitz, DC

Abstract

BACKGROUND CONTEXT: Lumbar zygapophysial joints are currently believed to be a cause of axial low back pain. Once this diagnosis is made, decisions about when to institute a particular intervention and which treatment to offer is regionally and specialty dependent.

PURPOSE: To perform a critical review of prior published studies assessing the use of interventional treatment options for the treatment of lumbar zygapophysial joint syndrome.

STUDY DESIGN: Evidence-based medicine analysis of current literature.

METHODS: A database search of Medline (PubMed, Ovid and MDConsult), Embase and the Cochrane database was conducted. The keywords used were low back pain, lumbar zygapophysial joint, lumbar facet joint, radiofrequency denervation, medial branch block, and intraarticular injection. After identifying all relevant literature, each article was reviewed. Data from the following categories were compiled: inclusion criteria, randomization of subjects, total number of subjects involved at enrollment and at final analysis. statistical analysis used, intervention performed, outcome measures, follow-up intervals and results. Guidelines described by the Agency for Health Care Policy and Research were then applied to these data.

RESULTS: This review determined that the evidence for the treatment of lumbar zygapophysial joint syndrome with intraarticular injections should be rated as level III (moderate) to IV (limited) evidence, whereas that for radiofrequency denervation is at a level III.

CONCLUSIONS: Current studies fail to give more than sparse evidence to support the use of interventional techniques in the treatment of lumbar zygapophysial joint–mediated low back pain. This review emphasizes the need for larger, prospective, randomized controlled trials with uniform inclusion and exclusion criteria, standardized treatment, uniform outcome measures and an adequate duration of follow-up period so that definitive recommendations for the treatment of lumbar zygapophysial joint–mediated pain can be made.

SPINE SECTION

Intradiscal Thermal Annuloplasty Versus Intradiscal Radiofrequency Ablation for the Treatment of Discogenic Pain: A Prospective Matched Control Trial

Leonardo Kapural, MD, PhD*, Salim Hayek, MD, PhD*, Osama Malak, MD*, a Arrigain, Ma † , and Nagy Mekhail, MD, PhD*

Departments of *Pain Management and † Biostatistics and Epidemiology, The Cleveland Clinic Foundation, Cleveland, Ohio, USA

Correspondence to Leonardo Kapural, MD, PhD, Department of Pain Management, The Cleveland Clinic Foundation, 9500 Euclid Ave Desk C25, Cleveland, OH 44195, USA. Tel: 216-444-6325; Fax: 216-444-9890; E-mail: kapuralccf (DOT) org.

Copyright American Academy of Pain Medicine

KEYWORDS

Radiofrequency Ablation • Intradiscal Thermal Annuloplasty • Intradiscal Electrothermal Therapy • IDET • Intervertebral Disk • Degenerative Disk Disease • Internal Disk Disruption

ABSTRACT

Objective. Two minimally invasive techniques have been used more recently as a possible treatment for painful internal disk disruption (IDD). Intradiscal thermal annuloplasty (IDTA), known as IDET, has already shown promising results in pain reduction and functional restoration. The second technique, radiofrequency posterior annuloplasty (RFA), is used in many interventional pain practices, although studies on the technique's efficacy are lacking. This study compares the effectiveness of those two methods.

Design and Patients. We matched 42 patients (21 had IDTA and 21 radiofrequency annuloplasty) for age, sex, weight, smoking history, manual labor, and number of intervertebral disks treated. Enrolled patients completed pain disability index (PDI) questionnaires before receiving either IDTA or RFA; at 2 weeks; and 2, 3, 6, 9, and 12 months following either treatment.

Results. From the third to the twelfth month after the procedure, the IDTA group had significantly lower mean pain scores than the RFA group. Visual analog scale (VAS) pain scores decreased from 6.6 ± 2.0 before to 4.4 ± 2.4 at 1 year after radiofrequency annuloplasty (P = 0.001), while in the IDTA group the average VAS pain score decreased from 7.4 ± 1.9 before IDTA to 1.4 ± 1.9 at 1 year follow-up. Similarly, PDI scores in the IDTA group had a significantly larger improvement than those for patients who received radiofrequency annuloplasty.

Conclusions. This study shows significant improvement in pain scores and patients' PDI following IDTA but not after RFA of the intervertebral disks. IDTA appears to be more efficacious than RFA based on PDI and VAS scores measured at 1 year following procedure.

From: [mailto: ] On Behalf Of dr_mac012Sent: Monday, June 29, 2009 2:21 PM Subject: Radiofrequency Ablation

Does anyone have any experience with Radiofrequency Ablation for the lumbar spine. I have a patient with low back pain and is not a surgical candidate. He has had 3 rounds of shots and his doctor is throwing darts against the wall now.Thanks,Shane McLaughlin, DC

found her dream laptop. Find the PC that’s right for you.

[Guest guest]

I have a patient who has had two rounds of this for unrelenting leg spasms. Interesting, she comes to me for cervicothoracic pain and Activator works wonders for this, but she won't let me touch her lumbar spine.

In the first session of RA, my patient experienced 6 months of relief of restless leg type symptoms. The condition came back, the second treatment was not as effective but still helpful. I'm not sure what the mechanism of action is, but I assume it wastes the nerve and shuts down aberrant pain/spasm signals. R Johansen D.C.,DABCOChiropractic Life Center12762 SE Stark StreetPortland Oregon 97233Voice 5032557746,Fax 5032550818---------- Original Message ----------From: "dr_mac012" <dr_mac012@...> Subject: Radiofrequency AblationDate: Mon, 29 Jun 2009 21:20:32 -0000

Does anyone have any experience with Radiofrequency Ablation for the lumbar spine. I have a patient with low back pain and is not a surgical candidate. He has had 3 rounds of shots and his doctor is throwing darts against the wall now.Thanks,Shane McLaughlin, DC

____________________________________________________________

Learning Centers - Click Here.

[Guest guest]

You are very patient ..... I will refer a person out when they put one part off limits ....especially when it is one end of the spine. How can you work on one end and not influence the other?

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 344- 0509; Fx; 541- 344- 0955

dr_mac012@...CC: From: drjohansen@...Date: Mon, 29 Jun 2009 22:38:00 +0000Subject: Re: Radiofrequency Ablation

I have a patient who has had two rounds of this for unrelenting leg spasms. Interesting, she comes to me for cervicothoracic pain and Activator works wonders for this, but she won't let me touch her lumbar spine.

In the first session of RA, my patient experienced 6 months of relief of restless leg type symptoms. The condition came back, the second treatment was not as effective but still helpful. I'm not sure what the mechanism of action is, but I assume it wastes the nerve and shuts down aberrant pain/spasm signals. R Johansen D.C.,DABCOChiropractic Life Center12762 SE Stark StreetPortland Oregon 97233Voice 5032557746,Fax 5032550818---------- Original Message ----------From: "dr_mac012" <dr_mac012 > Subject: Radiofrequency AblationDate: Mon, 29 Jun 2009 21:20:32 -0000

Does anyone have any experience with Radiofrequency Ablation for the lumbar spine. I have a patient with low back pain and is not a surgical candidate. He has had 3 rounds of shots and his doctor is throwing darts against the wall now.Thanks,Shane McLaughlin, DC____________________________________________________________ Learning Centers - Click Here.

found her dream laptop. Find the PC that’s right for you.

[Guest guest]

This would be for the facet joint. Thanks for the adstracts. I will print those out. ShaneSent from my BlackBerry wireless handheld.From: " Seitz" Date: Mon, 29 Jun 2009 15:01:43 -0700< >Subject: RE: Radiofrequency Ablation Facet or Disc?  These 2 abstracts are not very supportive. Seitz, DC Abstract BACKGROUND CONTEXT: Lumbar zygapophysial joints are currently believed to be a cause of axial low back pain. Once this diagnosis is made, decisions about when to institute a particular intervention and which treatment to offer is regionally and specialty dependent. PURPOSE: To perform a critical review of prior published studies assessing the use of interventional treatment options for the treatment of lumbar zygapophysial joint syndrome. STUDY DESIGN: Evidence-based medicine analysis of current literature. METHODS: A database search of Medline (PubMed, Ovid and MDConsult), Embase and the Cochrane database was conducted. The keywords used were low back pain, lumbar zygapophysial joint, lumbar facet joint, radiofrequency denervation, medial branch block, and intraarticular injection. After identifying all relevant literature, each article was reviewed. Data from the following categories were compiled: inclusion criteria, randomization of subjects, total number of subjects involved at enrollment and at final analysis. statistical analysis used, intervention performed, outcome measures, follow-up intervals and results. Guidelines described by the Agency for Health Care Policy and Research were then applied to these data. RESULTS: This review determined that the evidence for the treatment of lumbar zygapophysial joint syndrome with intraarticular injections should be rated as level III (moderate) to IV (limited) evidence, whereas that for radiofrequency denervation is at a level III. CONCLUSIONS:Current studies fail to give more than sparse evidence to support the use of interventional techniques in the treatment of lumbar zygapophysial joint–mediated low back pain. This review emphasizes the need for larger, prospective, randomized controlled trials with uniform inclusion and exclusion criteria, standardized treatment, uniform outcome measures and an adequate duration of follow-up period so that definitive recommendations for the treatment of lumbar zygapophysial joint–mediated pain can be made. SPINE SECTION Intradiscal Thermal Annuloplasty Versus Intradiscal Radiofrequency Ablation for the Treatment of Discogenic Pain: A Prospective Matched Control Trial Leonardo Kapural, MD, PhD*, Salim Hayek, MD, PhD*, Osama Malak, MD*, a Arrigain, Ma † , and Nagy Mekhail, MD, PhD* Departments of *Pain Management and † Biostatistics and Epidemiology, The Cleveland Clinic Foundation, Cleveland, Ohio, USA Correspondence to Leonardo Kapural, MD, PhD, Department of Pain Management, The Cleveland Clinic Foundation, 9500 Euclid Ave Desk C25, Cleveland, OH 44195, USA. Tel: 216-444-6325; Fax: 216-444-9890; E-mail: kapuralccf (DOT) org. Copyright American Academy of Pain Medicine KEYWORDS Radiofrequency Ablation • Intradiscal Thermal Annuloplasty • Intradiscal Electrothermal Therapy • IDET • Intervertebral Disk • Degenerative Disk Disease • Internal Disk Disruption ABSTRACT Objective. Two minimally invasive techniques have been used more recently as a possible treatment for painful internal disk disruption (IDD). Intradiscal thermal annuloplasty (IDTA), known as IDET, has already shown promising results in pain reduction and functional restoration. The second technique, radiofrequency posterior annuloplasty (RFA), is used in many interventional pain practices, although studies on the technique's efficacy are lacking. This study compares the effectiveness of those two methods. Design and Patients. We matched 42 patients (21 had IDTA and 21 radiofrequency annuloplasty) for age, sex, weight, smoking history, manual labor, and number of intervertebral disks treated. Enrolled patients completed pain disability index (PDI) questionnaires before receiving either IDTA or RFA; at 2 weeks; and 2, 3, 6, 9, and 12 months following either treatment. Results. From the third to the twelfth month after the procedure, the IDTA group had significantly lower mean pain scores than the RFA group. Visual analog scale (VAS) pain scores decreased from 6.6 ± 2.0 before to 4.4 ± 2.4 at 1 year after radiofrequency annuloplasty (P = 0.001), while in the IDTA group the average VAS pain score decreased from 7.4 ± 1.9 before IDTA to 1.4 ± 1.9 at 1 year follow-up. Similarly, PDI scores in the IDTA group had a significantly larger improvement than those for patients who received radiofrequency annuloplasty. Conclusions. This study shows significant improvement in pain scores and patients' PDI following IDTA but not after RFA of the intervertebral disks.IDTA appears to be more efficacious than RFA based on PDI and VAS scores measured at 1 year following procedure. From: [mailto: ] On Behalf Of dr_mac012Sent: Monday, June 29, 2009 2:21 PM Subject: Radiofrequency Ablation Does anyone have any experience with Radiofrequency Ablation for the lumbar spine. I have a patient with low back pain and is not a surgical candidate. He has had 3 rounds of shots and his doctor is throwing darts against the wall now. Thanks, Shane McLaughlin, DC

[Guest guest]

We did a bout of flexion / extension but didn't produce any good results. I don't think this is the right choice for my patient but I needed some input first. Thanks for the replies,Shane McLaughlin, DCSent from my BlackBerry wireless handheld.From: Sunny Kierstyn Date: Mon, 29 Jun 2009 14:54:48 -0700<dr_mac012@...>; < >Subject: RE: Radiofrequency Ablation Can't say this is one I've ever had any direct experience with but shotgunning nerve roots can't be good ...... mymind does all kinds of weird pictures with that one. And flexion/distraction isn't working? Sunny Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C Eugene, Oregon, 97401 541- 344- 0509; Fx; 541- 344- 0955 From: dr_mac012@...Date: Mon, 29 Jun 2009 21:20:32 +0000Subject: Radiofrequency Ablation Does anyone have any experience with Radiofrequency Ablation for the lumbar spine. I have a patient with low back pain and is not a surgical candidate. He has had 3 rounds of shots and his doctor is throwing darts against the wall now.Thanks,Shane McLaughlin, DC Insert movie times and more without leaving Hotmail®. See how.

[Guest guest]

(The 11 neurons in the back of my brain section labelled “Rich Gillette’s neurophysiology class” are still dormant but active.)

I seem to remember that nerve resection, ablation, wasting, often result in proliferation of more pain sensitive nerve endings thus worsening the situation?

Might be a good idea to send the patient to the cheapest decompression person for a month before having nerves trashed.

The fees are coming down on that tx.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: " drjohansen@... " <drjohansen@...>

Date: Mon, 29 Jun 2009 22:38:00 GMT

<dr_mac012@...>

Cc: < >

Subject: Re: Radiofrequency Ablation

I have a patient who has had two rounds of this for unrelenting leg spasms. Interesting, she comes to me for cervicothoracic pain and Activator works wonders for this, but she won't let me touch her lumbar spine.

In the first session of RA, my patient experienced 6 months of relief of restless leg type symptoms. The condition came back, the second treatment was not as effective but still helpful. I'm not sure what the mechanism of action is, but I assume it wastes the nerve and shuts down aberrant pain/spasm signals.

R Johansen D.C.,DABCO

Chiropractic Life Center

12762 SE Stark Street

Portland Oregon 97233

Voice 5032557746,Fax 5032550818

----- Radiofrequency Ablation

Date: Mon, 29 Jun 2009 21:20:32 -0000

Does anyone have any experience with Radiofrequency Ablation for the lumbar spine. I have a patient with low back pain and is not a surgical candidate. He has had 3 rounds of shots and his doctor is throwing darts against the wall now.

Thanks,

Shane McLaughlin, DC

____________________________________________________________

Learning Centers - Click Here. <http://thirdpartyoffers.juno.com/TGL2142/fc/BLSrjpTKNdSAsDvxs1bURVmxX6NjrDzT322BJcIWopZ859WycDxc0mdO3Ww/>

[Guest guest]

.....and toward that end ("...the cheapest decompression person in town..")...in this case, supersaturated oxygen therapy could beof assistance. Dr. Matt Freedman here in Eugene has decided to specialize in autism. Hyperbaric oxygen therapy is a strong component of those treatment plans so Matt has just installed a state-of-the-art hyperbaric O2 chamber in his office. Given that disease and pain cannot exist in the presence of oxygen.............he is already receiving calls from athletes and chronic pain patients...this could be an effective avenue for your person ...certainly to be tried BEFORE they microwave his nerve endings!

My office has one chronic pain person experimenting with this right now: 5 years worth of chronic pain at R c/s (an old HNP is what I suspect but can't rule in): after 3 sessions she reports "I am cautiously optimistic". She had NO PAIN for 24 hours before she made that statement and is cautious regarding the 'rebound' factor.

This would be a challenge tot he need for ablation....the surgeon won't tell him about the challenge....you can e-mail Matt re info with this address: mochihchu@... .

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 344- 0509; Fx; 541- 344- 0955

drjohansen@...; dr_mac012@...CC: From: drscott@...Date: Tue, 30 Jun 2009 09:25:19 -0700Subject: Re: Radiofrequency Ablation

(The 11 neurons in the back of my brain section labelled “Rich Gillette’s neurophysiology class” are still dormant but active.)I seem to remember that nerve resection, ablation, wasting, often result in proliferation of more pain sensitive nerve endings thus worsening the situation?Might be a good idea to send the patient to the cheapest decompression person for a month before having nerves trashed.The fees are coming down on that tx. E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.com

From: "drjohansenjuno" <drjohansenjuno>Date: Mon, 29 Jun 2009 22:38:00 GMT<dr_mac012 >Cc: < >Subject: Re: Radiofrequency Ablation I have a patient who has had two rounds of this for unrelenting leg spasms. Interesting, she comes to me for cervicothoracic pain and Activator works wonders for this, but she won't let me touch her lumbar spine. In the first session of RA, my patient experienced 6 months of relief of restless leg type symptoms. The condition came back, the second treatment was not as effective but still helpful. I'm not sure what the mechanism of action is, but I assume it wastes the nerve and shuts down aberrant pain/spasm signals. R Johansen D.C.,DABCOChiropractic Life Center12762 SE Stark StreetPortland Oregon 97233Voice 5032557746,Fax 5032550818---------- Original Message ----------From: "dr_mac012" <dr_mac012 > Subject: Radiofrequency AblationDate: Mon, 29 Jun 2009 21:20:32 -0000Does anyone have any experience with Radiofrequency Ablation for the lumbar spine. I have a patient with low back pain and is not a surgical candidate. He has had 3 rounds of shots and his doctor is throwing darts against the wall now.Thanks,Shane McLaughlin, DC____________________________________________________________ Learning Centers - Click Here. <http://thirdpartyoffers.juno.com/TGL2142/fc/BLSrjpTKNdSAsDvxs1bURVmxX6NjrDzT322BJcIWopZ859WycDxc0mdO3Ww/>

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[Guest guest]

Re: “Given that disease and pain cannot exist in the presence of oxygen.”

Um, help us out here. You want to clarify that?

(We have oxygen here in Portland and there is plenty of pain;

and disease?...you should SEE all the disease!)

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Sunny Kierstyn <skrndc1@...>

Date: Tue, 30 Jun 2009 09:46:34 -0700

Abrahamson <drscott@...>, <drjohansen@...>, <dr_mac012@...>

Cc: < >

Subject: RE: Radiofrequency Ablation

.....and toward that end ( " ...the cheapest decompression person in town.. " )...in this case, supersaturated oxygen therapy could beof assistance. Dr. Matt Freedman here in Eugene has decided to specialize in autism. Hyperbaric oxygen therapy is a strong component of those treatment plans so Matt has just installed a state-of-the-art hyperbaric O2 chamber in his office. Given that disease and pain cannot exist in the presence of oxygen.............he is already receiving calls from athletes and chronic pain patients...this could be an effective avenue for your person ...certainly to be tried BEFORE they microwave his nerve endings!

My office has one chronic pain person experimenting with this right now: 5 years worth of chronic pain at R c/s (an old HNP is what I suspect but can't rule in): after 3 sessions she reports " I am cautiously optimistic " . She had NO PAIN for 24 hours before she made that statement and is cautious regarding the 'rebound' factor.

This would be a challenge tot he need for ablation....the surgeon won't tell him about the challenge....you can e-mail Matt re info with this address: mochihchu@... .

Sunny

Sunny Kierstyn, RN DC

Fibromyalgia Care Center of Oregon

2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 344- 0509; Fx; 541- 344- 0955

drjohansen@...; dr_mac012@...

CC:

From: drscott@...

Date: Tue, 30 Jun 2009 09:25:19 -0700

Subject: Re: Radiofrequency Ablation

(The 11 neurons in the back of my brain section labelled “Rich Gillette’s neurophysiology class” are still dormant but active.)

I seem to remember that nerve resection, ablation, wasting, often result in proliferation of more pain sensitive nerve endings thus worsening the situation?

Might be a good idea to send the patient to the cheapest decompression person for a month before having nerves trashed.

The fees are coming down on that tx.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com <http://www.lakeoswegochiro.com/>

From: " drjohansen@... " <drjohansen@...>

Date: Mon, 29 Jun 2009 22:38:00 GMT

<dr_mac012@...>

Cc: < >

Subject: Re: Radiofrequency Ablation

I have a patient who has had two rounds of this for unrelenting leg spasms. Interesting, she comes to me for cervicothoracic pain and Activator works wonders for this, but she won't let me touch her lumbar spine.

In the first session of RA, my patient experienced 6 months of relief of restless leg type symptoms. The condition came back, the second treatment was not as effective but still helpful. I'm not sure what the mechanism of action is, but I assume it wastes the nerve and shuts down aberrant pain/spasm signals.

R Johansen D.C.,DABCO

Chiropractic Life Center

12762 SE Stark Street

Portland Oregon 97233

Voice 5032557746,Fax 5032550818

----- Radiofrequency Ablation

Date: Mon, 29 Jun 2009 21:20:32 -0000

Does anyone have any experience with Radiofrequency Ablation for the lumbar spine. I have a patient with low back pain and is not a surgical candidate. He has had 3 rounds of shots and his doctor is throwing darts against the wall now.

Thanks,

Shane McLaughlin, DC

____________________________________________________________

Learning Centers - Click Here. <http://thirdpartyoffers.juno.com/TGL2142/fc/BLSrjpTKNdSAsDvxs1bURVmxX6NjrDzT322BJcIWopZ859WycDxc0mdO3Ww/>

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[Guest guest]

I have also heard that a big MD clinic in Chico Ca is using it

for the tx oh lyme dz

From:

[mailto: ] On Behalf Of Sunny

Kierstyn

Sent: Tuesday, June 30, 2009 9:47 AM

Abrahamson; drjohansen@...; dr_mac012@...

Cc:

Subject: RE: Radiofrequency Ablation

.....and toward that end ( " ...the cheapest

decompression person in town.. " )...in this case, supersaturated oxygen

therapy could beof assistance. Dr. Matt Freedman here in Eugene has

decided to specialize in autism. Hyperbaric oxygen therapy is a strong

component of those treatment plans so Matt has just installed a state-of-the-art

hyperbaric O2 chamber in his office. Given that disease and pain cannot

exist in the presence of oxygen.............he is already receiving calls from

athletes and chronic pain patients...this could be an effective avenue for your

person ...certainly to be tried BEFORE they microwave his nerve endings!

My office has one chronic pain person experimenting with this right now:

5 years worth of chronic pain at R c/s (an old HNP is what I suspect but can't

rule in): after 3 sessions she reports " I am cautiously

optimistic " . She had NO PAIN for 24 hours before she made that

statement and is cautious regarding the 'rebound' factor.

This would be a challenge tot he need for ablation....the surgeon won't tell

him about the challenge....you can e-mail Matt re info with this address:

mochihchu@... .

Sunny

Sunny Kierstyn, RN DC

Fibromyalgia Care Center of Oregon

2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 344- 0509; Fx; 541- 344- 0955

drjohansen@...;

dr_mac012@...

CC:

From: drscott@...

Date: Tue, 30 Jun 2009 09:25:19 -0700

Subject: Re: Radiofrequency Ablation

(The 11

neurons in the back of my brain section labelled “Rich Gillette’s

neurophysiology class” are still dormant but active.)

I seem to remember that nerve resection, ablation, wasting, often result in

proliferation of more pain sensitive nerve endings thus worsening the

situation?

Might be a good idea to send the patient to the cheapest decompression person

for a month before having nerves trashed.

The fees are coming down on that tx.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: " drjohansen@... "

<drjohansen@...>

Date: Mon, 29 Jun 2009 22:38:00 GMT

<dr_mac012@...>

Cc: < >

Subject: Re: Radiofrequency Ablation

I have a patient who has had two rounds of this for unrelenting leg

spasms. Interesting, she comes to me for cervicothoracic pain and Activator

works wonders for this, but she won't let me touch her lumbar spine.

In the first session of RA, my patient experienced 6 months of relief of

restless leg type symptoms. The condition came back, the second treatment was

not as effective but still helpful. I'm not sure what the mechanism of

action is, but I assume it wastes the nerve and shuts down aberrant pain/spasm

signals.

R Johansen D.C.,DABCO

Chiropractic Life Center

12762 SE Stark Street

Portland Oregon 97233

Voice 5032557746,Fax 5032550818

----- Radiofrequency Ablation

Date: Mon, 29 Jun 2009 21:20:32 -0000

Does anyone have any experience with Radiofrequency Ablation for the lumbar

spine. I have a patient with low back pain and is not a surgical candidate. He

has had 3 rounds of shots and his doctor is throwing darts against the wall

now.

Thanks,

Shane McLaughlin, DC

____________________________________________________________

Learning Centers - Click Here. <http://thirdpartyoffers.juno.com/TGL2142/fc/BLSrjpTKNdSAsDvxs1bURVmxX6NjrDzT322BJcIWopZ859WycDxc0mdO3Ww/>

found her dream laptop. Find the PC that’s right for you.

[Guest guest]

There is a strong body of evidence already literaturized (is that a word?) showing that, with full O2 saturation, diseases and soft tissue dysfunction will not express themselves. When the hyperbaric chambers came out and were so widely touted in the 80s (70s?), there was a lot of excitement about its effect on downtrending morbidity patterns....then economics raised its head and availability of the chambers became a problem - they are mostly on the coastal edges - so research and excitment waned.

That does't change the physiology.....trauma will heal/no express itself in the presence of saturated oxygen. That is well known. Matt is already receiving requests for treatments from the U/O athletic team (mostly track right now) so they can 'get back to it'. My office has one experiment going on (and succeeding)....I personally am in the process of a personl experiment with it: 1x wk x 4 wks .... amazing sense of improvment in a body that had no pain or restriction to begin with.

It is a strongly viable alternative to pharmaceuticals...not to mention surgery.

Sunny

Sunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 344- 0509; Fx; 541- 344- 0955

Date: Tue, 30 Jun 2009 09:59:07 -0700Subject: Re: Radiofrequency AblationFrom: drscott@...To: skrndc1@...; drjohansen@...; dr_mac012@...CC: Re: “Given that disease and pain cannot exist in the presence of oxygen.”Um, help us out here. You want to clarify that?(We have oxygen here in Portland and there is plenty of pain;and disease?...you should SEE all the disease!) E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.com

From: Sunny Kierstyn <skrndc1@...>Date: Tue, 30 Jun 2009 09:46:34 -0700 Abrahamson <drscott@...>, <drjohansen@...>, <dr_mac012@...>Cc: < >Subject: RE: Radiofrequency Ablation....and toward that end ("...the cheapest decompression person in town..")...in this case, supersaturated oxygen therapy could beof assistance. Dr. Matt Freedman here in Eugene has decided to specialize in autism. Hyperbaric oxygen therapy is a strong component of those treatment plans so Matt has just installed a state-of-the-art hyperbaric O2 chamber in his office. Given that disease and pain cannot exist in the presence of oxygen.............he is already receiving calls from athletes and chronic pain patients...this could be an effective avenue for your person ...certainly to be tried BEFORE they microwave his nerve endings! My office has one chronic pain person experimenting with this right now: 5 years worth of chronic pain at R c/s (an old HNP is what I suspect but can't rule in): after 3 sessions she reports "I am cautiously optimistic". She had NO PAIN for 24 hours before she made that statement and is cautious regarding the 'rebound' factor. This would be a challenge tot he need for ablation....the surgeon won't tell him about the challenge....you can e-mail Matt re info with this address: mochihchu@... . SunnySunny Kierstyn, RN DC Fibromyalgia Care Center of Oregon 2677 Willakenzie Road, 7CEugene, Oregon, 97401541- 344- 0509; Fx; 541- 344- 0955

drjohansen@...; dr_mac012@...CC: From: drscott@...Date: Tue, 30 Jun 2009 09:25:19 -0700Subject: Re: Radiofrequency Ablation(The 11 neurons in the back of my brain section labelled “Rich Gillette’s neurophysiology class” are still dormant but active.)I seem to remember that nerve resection, ablation, wasting, often result in proliferation of more pain sensitive nerve endings thus worsening the situation?Might be a good idea to send the patient to the cheapest decompression person for a month before having nerves trashed.The fees are coming down on that tx. E. Abrahamson, D.C.Chiropractic physicianLake Oswego Chiropractic Clinic315 Second StreetLake Oswego, OR 97034503-635-6246Website: http://www.lakeoswegochiro.com <http://www.lakeoswegochiro.com/>

From: "drjohansen@..." <drjohansen@...>Date: Mon, 29 Jun 2009 22:38:00 GMT<dr_mac012@...>Cc: < >Subject: Re: Radiofrequency Ablation I have a patient who has had two rounds of this for unrelenting leg spasms. Interesting, she comes to me for cervicothoracic pain and Activator works wonders for this, but she won't let me touch her lumbar spine. In the first session of RA, my patient experienced 6 months of relief of restless leg type symptoms. The condition came back, the second treatment was not as effective but still helpful. I'm not sure what the mechanism of action is, but I assume it wastes the nerve and shuts down aberrant pain/spasm signals. R Johansen D.C.,DABCOChiropractic Life Center12762 SE Stark StreetPortland Oregon 97233Voice 5032557746,Fax 5032550818---------- Original Message ----------From: "dr_mac012" <dr_mac012@...> Subject: Radiofrequency AblationDate: Mon, 29 Jun 2009 21:20:32 -0000Does anyone have any experience with Radiofrequency Ablation for the lumbar spine. I have a patient with low back pain and is not a surgical candidate. He has had 3 rounds of shots and his doctor is throwing darts against the wall now.Thanks,Shane McLaughlin, DC____________________________________________________________ Learning Centers - Click Here. <http://thirdpartyoffers.juno.com/TGL2142/fc/BLSrjpTKNdSAsDvxs1bURVmxX6NjrDzT322BJcIWopZ859WycDxc0mdO3Ww/>

found her dream laptop. Find the PC that’s right for you. <http://www.microsoft.com/windows/choosepc/?ocid=ftp_val_wl_290> found her dream laptop. Find the PC that’s right for you.