(Physician FAQ) At what point in the treatment regiment is it appropriate to refer?

When do I refer?

Answer:
       I now consider radiofrequency nerve ablation in the earliest phases of treatment, even before steroid injections, in order to avoid fat pad atrophy, spikes in blood glucose and other steroid-related complications. Typically, one can perform the procedure in 10 minutes or less.

       Due to the safety profile, proven efficacy and the ease of the procedure, radiofrequency nerve ablation is becoming my treatment of choice rather than a go-to treatment when all else has failed. In over 80 percent of cases, I have found that patients get almost complete relief within one month following a single treatment.

        I have found that the safety profile is outstanding with no worsening of the condition and no significant adverse events. The most common complication was bruising at the injection site.