A randomized controlled study by Vernon and Mior, where patients with cervicogenic headaches underwent neurotomy
of C2-C6 facet joints versus sham procedure, showed that patients undergoing the procedure had an increased incidence of immediate side effects, notably, worsening tenderness and neck pain .
Selective peripheral neurotomy
. The peripheral nerve is dissected free and the motor branches are mapped out with the use of a nerve stimulator.
The aim of this pilot study was to analyze changes in pressure measurements following motor nerve block and selective tibial neurotomy
in adults with spastic equinovarus foot.
Fattu, "Selective laryngeal neurotomy
and the control of phonation by the echolocating bat, Eptesicus," Journal of Comparative Physiology, vol.
Subsequent to such confirmatory-diagnostic procedures, medial branch neurotomy
by means of RF ablation (see Figure 14) is an option for treatment [103,104].
(Specific interventions are presented in Table 2.) No eligible trials investigated the role of surgery, injections, or radiofrequency neurotomy
for non-specific neck pain.
These include peripheral, plexus and neuraxial catheters, peripheral and central neuromodulation, radiofrequency (thermal neurotomy
and pulsed), intradiscal electrothermal annuloplasty and vertebroplasty and kyphoplasty.
Severe spasms retractable to therapy may need to be managed surgically by tenotomy, peripheral neurotomy
, or anterior or posterior rhizotomy.
Apart from drug treatment (Murphy et al., 2008), current commonly used treatment methods on thigh adductor muscles spasticity include adductor lengthening and obturator neurotomy
(Khot et al., 2008; Qureshi et al., 2013), chemodenervation through intramuscular injection of botulinum toxin A, and phenol or ethanol injection to nerve trunk or its muscular branches, i.e., chemical neurolysis (Cioncoloni et al., 2014; Lam et al., 2015).
At the [L.sub.5] level, the medial branch is not suitable for percutaneously radiofrequency neurotomy
. At the [L.sub.5] level, the dorsal ramus is the target.
Freedman, "Update on the role of Z-joint injection and radiofrequency neurotomy
for cervicogenic headache," PM & R, vol.