Neurotomy WHAT IS IT - Arden Kaisman

FOR IMMEDIATE RELEASE
(Free-Press-Release.com) November 4, 2008 -- Dr. Kaismancompleted his medical school training at The Albert Einstein
College of Medicine in the Bronx in 1984. Clerkships were performed at
Jacobi Medical Center, North Central Bronx Hospital and Montefiore
Medical Center. He then underwent three years of General Surgery
training at Kings County Hospital/SUNY Health Science Center in
Brooklyn, New York. He worked at Kings County Medical Center, Downstate
Medical Center, The Brooklyn VA Medical Center, Woodhull Hospital and

St. Vincent's Medical Center in Staten Island. Dr. Kaisman worked at the
Kings County Medical Center world famous Level I Trauma Center. In July,
1988, Dr. Kaisman began three years of Anesthesiology residency at The
Mount Sinai Medical Center in Manhattan rotating thru Mount Sinai
Hospital, The BronxVA Medical Center and Elmhurst Hospital. The last
year was spent in Cardiovascular Anesthesiologyat Mount Sinai Hospital
which included pediatric Cardiac Anesthesia.


Neurotomy WHAT IS IT?

Facet neurotomy is a procedure which results in interruption of the

nerve supply to a facet joint. This interruption known as denervation,
is accomplished by a radio-frequency probe that heats the 2 small nerve
branches to each facet joint. These nerves are called the medial
branches.

HOW IS IT DONE? A local skin anesthetic is given near the base of the
neck on the affected side. A needle is inserted by the anesthesiologist
near the transverse process of the cervical spine (usually at the
cervical-6 level). A sterile tubing is attached to the needle and
anesthetic medication is slowly injected through the tubing.

EXPECTED RESULTS: The patient may note increased warmth and redness of
the painful arm during and after the injection. The patient can expect
hoarseness of their voice, redness of the eye, drooping of the eyelid
and pupillary constriction for four to eight hours after the injection.
Pain relief may be noted immediately. Duration of relief is variable.
The patient must assess their pain relief over the first three to four
hours after the injection and report this to the anesthesiologist.

HOW LONG DOES IT TAKE? It takes less than thirty minutes for the

procedure followed by evaluation and recovery for several hours. Facet
Block

WHAT IS IT? A block that is performed to confirm that a facet join is
the source of pain and decrease pain and inflammation in a facet joint
or joints.

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