What happens if rhizotomy doesn’t work?

Answered by Stephen Mosley

If rhizotomy doesn’t provide the desired relief for your chronic neck pain, there are several options that can be explored. It’s important to remember that every individual’s response to treatment can vary, and what may work for one person may not work for another. In such cases, it’s crucial to work closely with your healthcare provider to find alternative solutions.

1. Reevaluation of Diagnosis: If rhizotomy doesn’t work, it may be necessary to reevaluate the initial diagnosis. There could be other underlying causes or contributing factors to your neck pain that were not addressed by the procedure. Your healthcare provider may recommend additional tests or imaging to further investigate the root cause of your pain.

2. Medication Management: If rhizotomy doesn’t provide sufficient relief, your healthcare provider may suggest trying different medications or adjusting your current medication regimen. There are various types of pain medications available, such as nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, or opioids. Your healthcare provider can help determine the most suitable options for your specific condition.

3. Physical Therapy and Rehabilitation: In cases where rhizotomy doesn’t work, physical therapy and rehabilitation can be beneficial. A skilled therapist can provide exercises and techniques to improve strength, flexibility, and posture, all of which can help alleviate neck pain. They may also incorporate other modalities like heat or cold therapy, ultrasound, or electrical stimulation to reduce pain and promote healing.

4. Alternative Therapies: Some individuals may find relief from alternative therapies such as acupuncture, chiropractic care, massage therapy, or yoga. These treatments focus on restoring balance, improving circulation, and promoting relaxation, which can help reduce neck pain. It’s important to consult with your healthcare provider before trying any alternative therapy to ensure its safety and effectiveness.

5. Interventional Procedures: If rhizotomy doesn’t work, there are other interventional procedures that can be considered. For example, cervical epidural steroid injections or facet joint injections can provide temporary relief by reducing inflammation and blocking pain signals. These procedures can be repeated periodically if necessary.

6. Surgical Options: In certain cases, if conservative treatments and interventional procedures fail to provide relief, surgical intervention may be considered. Surgical procedures for chronic neck pain can range from minimally invasive techniques to more extensive surgeries, depending on the underlying cause of the pain. It’s important to thoroughly discuss the potential risks and benefits of surgery with your healthcare provider and consult with a specialist in neurosurgery or orthopedic spine surgery.

Remember, the course of treatment for chronic neck pain can be complex and may require a multidisciplinary approach. It’s essential to have open and ongoing communication with your healthcare provider to explore alternative options and find an individualized treatment plan that works best for you.