Applying the correct technique for the ablation of the L5 DR and sacral 1-3 lateral branches requires proper training and a precise approach. A probe that delivers the radiofrequency lesions must be able to provide a higher volume lesion to accommodate the variable and more diffuse location of the target lateral branches. Ideally, this probe would also be available at a price that is affordable. In recognition of, and as a solution for, these problems, a novel, direction-specific RF probe was designed (Nimbus Concepts, Inc.). The probe allows for a facile and time efficient technique, which may enhance the probability of adequate coagulation of the targeted L5DR and S1-3 lateral branches.
We would like to make several recommendations pursuant to the treatment your horse just received for sacroiliac joint pain (arthritis). A combination of both short- and long-acting steroid as well as a synthetic hyaluronan were infused into both left and right sacroiliac joints. The joints were treated through a common injection portal. An analgesic (pain killer) was administered along with the sedative to reduce discomfort during the procedure, and 2 grams phenylbutazone was administered intravenously to reduce discomfort over the next 12-24 hours. No more medication for discomfort is required.