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    Radio frequency neurotomy genicular nerve-knee pain treatment dr sanjay sharma a well known name as pain physician in india, with vast experience in knee pain management with non surgical option, his main intention to avoid unwanted surgery adopt to relieve knee pain.#avoid knee replacement. how this technique is best alternative to surgery?Radiofrequency Ablation of the Genicular Nerves of the Knee What is Radiofrequency Ablation of the Genicular Nerves of the Knee? Osteoarthritis (OA) is a common cause of knee pain. The pain signal is carried from the knee to the brain/central nervous system via the genicular nerves of the knee. Radiofrequency ablation is when heat is applied to these nerves. What is the purpose of Radiofrequency Ablation of the Genicular Nerves of the Knee? Radiofrequency Ablation of the Genicular Nerves of the Knee interrupts the nerves ability to carry the pain signal to the brain. The effects last until the nerve regrows which can be anywhere from 6 months to 2 years. How is Radiofrequency Ablation of the Genicular Nerves of the Knee performed? This procedure is completed in the operating theatre. You will be given medication to make you drowsy (not a general anaesthetic). Three special needles are placed into position along the pathway of the nerve. Two needles are placed above the knee and one below. The placement of these needles is guided by x-ray. Testing occurs to confirm the needles are close to the nerve and then the area is numbed using local anaesthetic. The needles are then used to heat up the nerve preventing it from passing the pain signal. What happens after the procedure? Your usual pain will improve almost immediately but there will be some discomfort where the nerves have been heated. This can last for a few weeks and can be reduced with cold packs and simple medications such as panadol. Will I damage my knee more if I can't feel the joint? The pain signals from the joint in persistent pain no longer have a helpful role and reducing these signals will not alter the Osteoarthritis in the joint.
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    Disc problem is very common in all age group, low back pain one suppose to be a simple problem, now appearing as measure health issue, more over treated by anyone with different name-slipped disc or scitica or naska dabav etc, but keep in mind without a proper diagnosis by specialist doctor if you are taking a treatment for your Disc problem, you may be relieved for hors or days or week but longterm solution is not by anyone. if you are going to any doctor, he will simply ask for xrays-can anybody tell me, how a nerve can be seen by your doctor in xrays ?as a patient its your right to ask for etiology as well as prognosis, about your problem of # low Back pain.unless acomple picture of your disesase is not taken in to consideration, its useless to get such treatment. if you are having this complaints? numbness, tingling sensation in leg or hands heaviness in hands and leg cramps in legs hands or shoulder heaviness with restricted movement. buttocks pinching hip pain or heaviness in lower back. what you shuld do to avoid complication???? 1-consult any qualified doctors like pain physician, neurosurgeon, orthopaedic, neurophysican, physiatrist. but unwanted exercise by anyone may leads to undesire situation like loss of power, or sensation or sometime problemin toilet or latrine etc.so always be careful brfore taking treatment. you can have any option as mentioned simple bed rest but not longtime rest simple medicine like pain killer or muscle relaxants simple exercise under supervision of any technical physiotherapist if your problem still persist after long term trial with any method above then surgery may last option! we can think for minimal invasive techniques ? , that are possible with interventional pain physician oe neurosurgeon only. avoid unwanted surgery by common practicing conventional surgery. endoscopic laser or pn hole techniques are possible way to avoid open surgery for spine.
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