CT Guided Costovertebral Nerve Ablations

[Shebo]

Thank you for the reply. I hope I wasn't too nosy with my questions. How disappointing to go through all of that and still no answers. I don't know how you are able to do all that you do.

At your suggestion, I am sending my new test results to Dr. Jho in Pittsburgh. However, I can't find anyone who has any experiences with him. Do you know of any?

This is a very frustrating process.

I wish you the best.

[mmglobal]

Through the years I've met many patients of Dr. Jho. Some very successful, some very unhappy. What he does is well outside the box and that makes him an easy target for lawsuits. The fact that he has to defend himself a lot does not give me concern because I've seen other pioneers who face the same issues.

Unfortunately, his office is quite difficult to deal with. I would recommend pushing through the difficulties to find out what he has to say. I look past the anecdotal evidence as it has very limited value.

[mmglobal]

As mentioned above... this story continues on my discography thread... here it is:

My Thoracic Discography - NEGATIVE

[mmglobal]

This story took a detour... see My Thoracic Discography - NEGATIVE

Reposting return to costovertebral joints here. Also, will update ESI's and accupuncture here.

Based on Dr. Baumbach's recommendation, I had 3-Tesla MRI of cervical and thoracic spine last Thursday. I did an extensive review with Dr. Reul... no new data, nothing interesting. No new pathology seen in c-spine.

I told him how disappointed I was with the negative costovetebral ablations, especially after such conclusive results of the diagnostics.

He said that he was being especially careful with me, using low amounts of energy in the ablation to avoid permanent wrap around numbness that is not uncommon with this ablation. See the thread linked below for more discussion.

He recommended repeating the investigation to determine painful levels. If data is reproducible, he suggests redoing the ablation, but a little more aggressively. I think that is a fine plan and will proceed with that... next time I can get back to Bonn.

Mark

[jsewell]

Mark,
It is amazing how much testing we can go through and procedures. WHat investigation are you having repeated? Discography repeat?
judy

[mmglobal]

Judy, we'll be repeating the costovertebral joint injections. In the last round, there were 2 joints of 5 injected that were clearly positive with concordant pain on injection and relief following injection. 3 surrounding joints negative.

Based on the resuts, we ablated the 2 positive joints. We'll redo the injections and the ablations if indicated. However, I'm not sure when I can get back to Bonn.

[jsewell]

"Thanks for the explanation. I am especially interested in all my thoracic buddies. My pain is gone and i hope the same for all of you. 'well my thoracic pain that is , the lumbar area got very jealous and continues to cause pain

judy