[ RadSafe ] Fluoroscopy exposure question

Howard Long howard.long at comcast.net
Thu Jul 26 18:59:29 CDT 2012


Karen,
Be sure your mother is not getting back pain from collapse from estrogen deficiency
(cause of common "dowager's hump)
HL

howard.long at comcast.net

On Jul 25, 2012, at 9:46 PM, S L Gawarecki <slgawarecki at gmail.com> wrote:

> Hi All,
> 
> I have an actual technical radiation safety question.  My mother has had
> two facet joint injection procedures to treat her chronic back pain.  Facet
> joints are the small joints located between each vertebra, and a painful
> syndrome can develop when one or more becomes inflamed or irritated from
> arthritis or other causes.  The injection of a local anesthetic and a
> corticosteroid anti-inflammatory medicine is guided by fluoroscopy.  This
> can be repeated every two months.  She is contemplating another procedure
> called radiofrequency neurotomy, which interrupts the nerves to the facet
> joint by thermal denervation using a radiofrequency probe, again guided
> using a fluoroscope.  This procedure has a longer-lasting effect.  Both
> procedures are performed on an outpatient basis.  The facet joint
> injections take 20 to 30 minutes, and the radiofrequency neurotomy takes 30
> to 60 minutes.  The patient is then observed for 45 minutes of initial
> recovery.
> 
> Does anyone know the typical radiation exposures associated with these
> procedures?  What questions should she be asking about the use of the
> fluoroscope?
> 
> Thanks in advance for any information.
> 
> Susan Gawarecki
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