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What Is Rhizotomy (RFTC) And Why Is It Helpful?

This procedure is done to treat pain caused by the facet joints by creating a lesion or burn in the facet nerve also known as the Medical Branch of the posterior primary ramus.

The purpose of RFTC of the medical branch is to decrease pain and improve function. This is done only if pain is relieved temporarily by facet joint injections and then by medical branch nerve blocks.

RFTC is accomplished by placing a special needle along side the facet joint under x-ray control. Following this, a controlled heat lesion is made to decrease the sensation of the facet joints. An intravenous solution may be started so that any medication or short acting sedative, if necessary, can be given during the procedure. The procedure will take approximately 20-60 minutes. You will then be monitored for an additional hour. All measures will be taken to ensure your comfort and safety. After you return home, you may use ice packs to relieve any discomfort.

You should eat a light meal within a few hours of your procedure. If you are an insulin dependent diabetic, do not change your normal eating pattern prior to the procedure. Please take your routine medications (i.e. high blood pressure and diabetic medications). If you are on Coumadin (blood thinners) or Glucophage (a diabetic medicine) you must notify this office so the timing of these medications can be explained.

A DRIVER MUST ACCOMPANY YOU and be responsible for getting you home. No driving allowed the day of the procedure. You may return to your normal activities the day after the procedure, including returning to work.

Prior to this procedure, a written consent will be obtained that will include the possible risks and hazards. Certain effects are to be expected: bruising at the injection sites, soreness and swelling. Possible effects include: burning sensation at the injection site, numbness, itching and occasionally 2-3 weeks of increased pain. This is only temporary.

It is imperative that you be informed and have a full understanding of your treatment plan and of this procedure. If you have any questions, PLEASE contact us at (903) 592-6000 or toll free (866)755-6472, extension 1551, well in advance of your scheduled appointment so that we can clear any misconceptions and answer any other questions you may have.

Precision Spine Care is the only spine center in East Texas to be included in Spine Center Network , an exclusive national listing of credentialed spine centers of excellence. Click here to learn more.


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Saturday, July 21, 2018 - 6:00pm to 11:00pm
LaChance Vineyards
LaChance Vineyards is jazzed to host their 2nd Annual Roaring 20’sSpeakeasy Party on Saturday, July 21 from 6 p.m. to11 p.m.Last year was fun andthis year will be even more unforgettable. Put on your dancingshoes and come dressed in your best 1920s attire for this amazing night. Miss Jubilee, one of the top bands in the St. Louis area,will performfrom8 p.m. to11 p.m. and the winery will feature best dressed contests (male, female and couple),photo ops, delicious food and award-winning wine. This is an event that you donot want to miss. Enjoy hors d'oeuvres, including smokedsalmon and caviar, from 6 p.m. to7 p.m. The bandstarts at 8 p.m. Find more information on the event's .
Brett Anderson - Music at
Saturday, July 21, 2018 - 7:00pm to 9:00pm
Viandel Vineyard

Brett Anderson, Lead Guitarist of Ha Ha Tonka, will perform live at Viandel Vineyard on Saturday, July 21 at 7 p.m. Reservations for patio seating are available by calling 417-934-0195 or messaging Viandel Vineyard . Brett Anderson is lead guitarist in the band, Ha Ha Tonka (Bloodshot Records). His solo sets consist of emotionally charged folk, countryand Americana tunes.

Visit the event for more concert information.

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Sunday, July 22, 2018 - 9:00am to 10:00am
Chandler Hill Vineyards
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Sunday, July 22, 2018 - 11:00am to 5:00pm
Jowler Creek Vineyard Winery

Summer is here! Cool off and unwind with Jowler Creek Winery's “Watermelon and Pineapple Summer Sangria” on Sunday, July 22. This special sangria isavailable in the tasting room by the glass and carafe. Enjoy it while it lasts!

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Wednesday, July 25, 2018 - 5:00pm to 9:00pm
Chandler Hill Vineyards
Mid-America Music Festival
Friday, July 27, 2018 - 12:00pm
Black Silo Winery
The Mid-America Music Festival, scheduled for July 27 to 29, 2018, is a premiermusic experience set on the 70-acre grounds of Black Silo Winery inTrenton, Mo. Featuring renowned headliners and emerging artists, primitivestyle camping, food trucks, exhibitors, hot air balloon rides, beer gardensand more, the festival is the largest Country, Bluegrass, Rock Blues musicfestival in North Central Missouri. There is fun for all at theMid-America Music Festival, acan't-miss summer tradition for music fans from around the Mid-West.
Experience 15 fantastic bands, a variety of food trucks,exhibitors, wine tastings, hot air balloon rides,RV, tent camping and more.
A portion of the 2018 festival proceeds will benefit Green Hills Women’sShelter’s new domestic violence and assault center in Trenton, Mo.
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Wine Painting Party
Friday, July 27, 2018 - 7:00pm to 9:00pm
Jowler Creek Vineyard Winery

Looking for a fun activity for date night, girls night outor just a fun night with friends? Sip wine and paint a festive painting at Jowler Creek Winery on Friday, July 27.Cost is $39/person and includes all the supplies you need for the painting, a fun step-by-step lesson by local art instructor Angie Carmack, yummy snacksand a beverage (alcoholic or non-alcoholic) of your choice!

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