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Robert Moghim MD

Anchor Healthcare

Phenol or Alcohol Nerve Ablation

1746875236

Phenol or alcohol nerve ablation is a minimally invasive procedure used to reduce chronic pain or muscle stiffness caused by nerve-related conditions. It works by injecting phenol or alcohol into specific nerves, blocking pain signals or reducing muscle tightness. This treatment is often used for trigeminal neuralgia, postherpetic neuralgia, intercostal neuralgia, or severe muscle spasticity from cerebral palsy, stroke, or spinal cord injuries.

The goal is to provide at least six months of relief, though nerves do regenerate, and repeat treatments may be needed.

Most procedures are done under local anesthesia, but sedation may be used if necessary. Fluoroscopy or ultrasound imaging helps guide the needle precisely to the targeted nerve. Once confirmed, the chemical is slowly injected to block pain signals.

Alternatives include botulinum toxin injections for spasticity or surgical nerve resection for longer-lasting relief.

Risks are low but may include temporary burning or tingling at the injection site. Rare but serious risks include nerve damage or systemic effects, particularly with phenol, which is processed by the liver. This procedure may not be suitable for patients with advanced liver disease.

You’ll be monitored after the procedure for any immediate effects. Pain relief can take a few days to weeks and typically lasts several months. Some patients require repeat treatments for ongoing relief.

Our team is here to help guide you toward the best treatment for your condition.

FAQs

Are there alternatives to phenol or alcohol nerve ablation?

Yes, alternatives include botulinum toxin injections for spasticity, which may offer temporary relief, or surgical nerve resection for potentially more permanent results. Additionally, radiofrequency ablation is another option for managing certain types of pain.

How long does the relief from phenol or alcohol nerve ablation last?

The pain relief from this procedure typically lasts several months, with most patients experiencing at least six months of reduced symptoms. However, because nerves have the ability to regenerate, repeat treatments may be necessary for ongoing relief.

What are the potential risks and side effects of this procedure?

While risks are generally low, patients might experience temporary burning or tingling at the injection site. Rare but serious complications can include nerve damage or systemic effects, particularly if phenol is used, as it is metabolized by the liver. Therefore, this procedure may not be suitable for individuals with advanced liver disease.

What conditions can be treated with this procedure?

Phenol or alcohol nerve ablation is commonly used for managing pain conditions like trigeminal neuralgia, postherpetic neuralgia, intercostal neuralgia, and for reducing severe muscle spasticity resulting from cerebral palsy, stroke, or spinal cord injuries.

What is phenol or alcohol nerve ablation and how does it work?

Phenol or alcohol nerve ablation is a minimally invasive procedure used to alleviate chronic pain or muscle stiffness by injecting phenol or alcohol into specific nerves. These agents block pain signals or reduce muscle tightness by damaging the targeted nerves, thereby reducing symptoms such as those associated with trigeminal neuralgia or severe muscle spasticity.