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Radiofrequency Ablations: A Simple Procedure to Relieve Chronic Pain

Dr. Patterson of Reno, NV discusses radiofrequency ablations, the process and results for those suffering from chronic pain.

Пікірлер: 283

  • @sandragreen4545
    @sandragreen4545 Жыл бұрын

    I had this procedure completed on both sides, L5, L4, L3. Agree, the numbing part is uncomfortable but bearable. Did not sense heat but I took a Valium when I entered the clinic. Dr helped relieve my fears but calmly explaining total procedure as he stood by the table, and as he began each step. This really helped. Once completed, my legs were heavy as I came off the table. The staff transported via wheelchair to my waiting car. I’ve iced it and resting. I’ve had this procedure done numerous times and has abated my back pain for 12-18 months. I thank God for the commitment and dedication of this doctor and his medical staff. They definitely didn’t get their degrees in a Cracker Jack box. Next time one of them ministers to you, thank them and thank God.

  • @brandoncorwin129
    @brandoncorwin1297 ай бұрын

    This was the best video I’ve seen on the topic

  • @Mike_Ellis
    @Mike_Ellis Жыл бұрын

    At last a factual presentation - honest as well. Thanks for the clarification and help.

  • @PetsNPatients
    @PetsNPatients Жыл бұрын

    Great explanation. I had done in my state and was amazed within 24-48 , no pain over a year now. Highly impressed with outcome, no more lumbar, SI issues. A great pain Management MD is a great partner in your well being.

  • @cyndieK1

    @cyndieK1

    Жыл бұрын

    Did you have a IV sedation?

  • @PetsNPatients

    @PetsNPatients

    Жыл бұрын

    Yes, IV Propathal...made sense to use it, was already terrible pain, why make it worse, was totally relaxed.

  • @Louisiananews

    @Louisiananews

    Жыл бұрын

    @@cyndieK1 you can choose to be sedated with propofol or versed

  • @collettefoote3229
    @collettefoote32292 жыл бұрын

    You are amazing, Dr.! I’m glad you are practicing medicine and providing care to people. This video is a blessing.

  • @doridesnoyers2490
    @doridesnoyers2490 Жыл бұрын

    Having this done in a couple of weeks. A little nervous, but I'm sick of the debilitating back pain. Eeeeek! Wish me luck 🤞

  • @sailingrumrunner

    @sailingrumrunner

    Жыл бұрын

    How did it go? What side effects? What location?

  • @doridesnoyers2490

    @doridesnoyers2490

    Жыл бұрын

    @@sailingrumrunner I've had both sides done (weeks apart) and unfortunately, I'm one of the few that continues to have back pain. For me, there were no side effects. The procedure itself caused some discomfort but certainly nothing unbearable. I did have slight relief in the areas they "zapped" me, but I may have had my hopes up to high. The nagging back pain is still part of my daily life. Getting an MRI done very soon, so that they can take a more thorough look as to what's going on. If you're having the procedure done, you may very well be one of the lucky ones that gets huge relief. It's certainly worth trying in my opinion. Best of luck!

  • @doridesnoyers2490

    @doridesnoyers2490

    Жыл бұрын

    @@sailingrumrunner I has the procedure done in Bakersfield, CA

  • @sailingrumrunner

    @sailingrumrunner

    Жыл бұрын

    I meant where on your back. Lumbar? I am doing thoracic t6-t8 next week.

  • @doridesnoyers2490

    @doridesnoyers2490

    Жыл бұрын

    @@sailingrumrunner oh sorry, it was lumbar/lower back

  • @teresaliggett6528
    @teresaliggett65285 ай бұрын

    I am scheduled in a couple of weeks and am concerned about pain afterward. But I am am looking forward to the pain relief. Thank you for the video

  • @johns1577

    @johns1577

    Ай бұрын

    How did it go?

  • @mt-iq9rn
    @mt-iq9rn Жыл бұрын

    Excellent explanation!! Thank you!!!

  • @dankle46
    @dankle462 жыл бұрын

    Fixing to have my 1st one soon. I broke my back in 3 places in 2018, my t12 to my L2. I've had surgery on it but now it's eat up with arthritis and I can't wait to get this fixed for a while

  • @GottaSayIt
    @GottaSayIt2 жыл бұрын

    I had this done in California and the “expert” doctor kept hitting my nerves causing me to jump in pain. I was exhausted afterwards. Said he had to hit it to know where it was. Never have that done again.

  • @PetsNPatients

    @PetsNPatients

    Жыл бұрын

    My first experience with medial branch block to test nerves was like that, I almost decked that MD. My second experience for the oblation was with a well experienced anesthesiologist, much case experience and slight sedation. Worked great.

  • @GottaSayIt

    @GottaSayIt

    Жыл бұрын

    @@PetsNPatients hi. Good to know your 2nd experience was different. I will consider having it done again, if I can find a better anesthesiologist.

  • @BW12149
    @BW12149 Жыл бұрын

    I’ve had it done twice. About to have another in lumbar spine. It’s no big deal. I had no post operative soreness, pain or difficulty. It took couple weeks for relief. It’s a great process to have available.

  • @its_ari5458

    @its_ari5458

    5 ай бұрын

    Hello friend. Went th pain comes back it's worse than before or the same.

  • @zachh4406
    @zachh440610 ай бұрын

    This was really good

  • @marcellinareyes5310
    @marcellinareyes53102 жыл бұрын

    You really are amazing , you explained this procedure perfectly. I was terrified, now not at all . Thank you!

  • @marcellinareyes5310

    @marcellinareyes5310

    2 жыл бұрын

    I had mine done, it’s been a month . I’m very happy , no pain walking 🚶‍♂️. At night I still have some discomfort but if I get in the right position I’m good. Definitely would do this again if needed

  • @johnreynolds982
    @johnreynolds982 Жыл бұрын

    Excellent presentation! My wife is having this done next Wednesday and he provided a very thorough explanation of the procedure. Thank you very much for taking the time to produce these videos.

  • @cyndieK1

    @cyndieK1

    Жыл бұрын

    How did she do? Did it work?

  • @wandasilas5135
    @wandasilas51353 жыл бұрын

    I just had this done last week it went well just a lil soar I’m back to my normal actives

  • @lornakist

    @lornakist

    3 жыл бұрын

    Which part of the spine did you get this done on ?

  • @CalvinSinh

    @CalvinSinh

    3 жыл бұрын

    How are u feeling after four months?

  • @thedarksideproductions5743

    @thedarksideproductions5743

    2 жыл бұрын

    That’s awesome. I will have it done soon. I hope for the same results.

  • @BlessedbetheLord

    @BlessedbetheLord

    2 жыл бұрын

    Me too I have to do mine on the left knee, how painful is it??

  • @laibakhatoon9001

    @laibakhatoon9001

    Жыл бұрын

    Where are you from

  • @DameDeluxe
    @DameDeluxe2 жыл бұрын

    I’m getting ready to do this I’m so excited I hope I get relief from lower back spinal pain

  • @its_ari5458

    @its_ari5458

    5 ай бұрын

    Hello friend how you doing now??

  • @iceman4311
    @iceman4311 Жыл бұрын

    This is the best it lasted me a yr and 5 months

  • @ellenthorsdale1603
    @ellenthorsdale16032 жыл бұрын

    Thanks so much. This was so thorough and accurate. I have had this done at C6-7 a year ago and currently going through MBB to have for C 2-3 and 3-4. Amazing how well you describe the process,

  • @bryanduchane2371

    @bryanduchane2371

    Жыл бұрын

    What does MBB stand for? I've had 3 levels done also C3 thru C7. Having my 2nd rest shot tomorrow. I've been living with chronic pain for more than 12yrs and have exhausted every treatment and drug that exists with little to no success.... I pray that this really helps me a ton...

  • @nrp5791

    @nrp5791

    Жыл бұрын

    @@bryanduchane2371 I'm going through the Diagnostic Nerve block soon that could lead me to the RFA. Did you get either of these done and if so how did it go for you?

  • @bryanduchane2371

    @bryanduchane2371

    Жыл бұрын

    @@nrp5791 I had the RFA and got minimal relieve. I'm still on the same disagree of patches and if I had to do it over again, I probably wouldn't. I may have been expecting too much, but relieve was minimal. I'm one case of many. Many people have great results. I've had so much trauma in my neck, there may but be anything but higher doses of narcotics that give me livable relief. Only problem is the Dr's are being threatened with their medical listened if they don't comply with the draconian methods of treating pain the Government is forgetting them to comply with. Who cares if I take a ton of narcotics if it's not effecting anyone, including me in a negative way???? The Federal Govt is forcing chronic pain patients to go towards street drugs because they restrict prescriptions to the bar minimums.

  • @HMurphy
    @HMurphy3 ай бұрын

    great idea

  • @llotsdeede
    @llotsdeede10 ай бұрын

    Continued: I received shots and took prednisone daily so I could get out of bed and walk. The pain was caused because 3 of my vertebrae collapsed and of course that meant my discs collapsed or that my vertebrae is now compacting my disc. I am in tremendous pain ALL DAY LONG 24/7. I have Osteoporosis so the surgeon said he will not be able to do surgery and sent me to the pain clinic. I did the two tests and had my appointment for the ablation but as I mentioned paragraphs earlier was to scared to do it because of the bladder issue

  • @albagarcia3172
    @albagarcia3172 Жыл бұрын

    Just had this done last week and the difference is amazing . Still sore but I’m gonna give it four weeks like this doc says to do. Looking forward to being pain free.

  • @lisapagan1958

    @lisapagan1958

    Жыл бұрын

    Prayers it works and like you I’m looking to be pain free as well

  • @reginahart7180

    @reginahart7180

    Жыл бұрын

    I've had 2 now. They lasted about 9-10 mos each and I'm due for another. Both times it took about 4 weeks for it to kick in & leave me pretty much pain free. Hope you get the same results! Mine is the S1, L4, & L5 dics.

  • @anjanakc1034

    @anjanakc1034

    Жыл бұрын

    Hi How you feeling now ? I have done just a week ago and I was sedated and when I work up am having more pain than before it settling down hopefully it will make difference just finger crossed 😢

  • @HonorableMrRager

    @HonorableMrRager

    5 ай бұрын

    Try lower back strength training a few times a week. Seems to be the best way to deal with persistent lower back pain. Worked for me after a car wreck and several other incidents over the years. As for neck pain. No idea how to get rid of this. Have option today for steroid or ablation but really paranoid about making it worse with ablation.

  • @sharon6136
    @sharon61362 ай бұрын

    am scheduled to have my 2nd Medial Branch Block on June 3rd, 2024, my first one I got good results , after doing the pain score for the first 6 hours after it, I had a 90% relief from pain! So I am in hopes will get the same relief on my 2nd Medial Branch Block so I can have the the RFA procedure done ! My pain is lower back, L4 & L5, I do have some arthritis also my pain doctor says, sometimes I have the worst pain on my left side which is where the doctor sees the arthritis. I am a 67 year old woman from N.C.

  • @anjanakc1034
    @anjanakc1034 Жыл бұрын

    I have done this procedure jus a week ago. I was sedated so didn’t know what the drs did through out the procedure 😅😅but when I woke up omg it was so painful I felt like I was in better condition before but it’s settling slowly. Will give 4 weeks as said by my dr and this dr. Just finger crossed I did on my left side l4,l5 and sacroiliac joints

  • @HonorableMrRager

    @HonorableMrRager

    5 ай бұрын

    Well.. howd it go.

  • @francescakeeton7074
    @francescakeeton70743 жыл бұрын

    Hi doctor I supposed to have this procedure done in Lancaster on February 4th but I really don't feel comfortable but after seeing your video I feel very comfortable with you so I would like to find out where is your facility and what do I need to do in order to have this procedure done by you

  • @kmwill23
    @kmwill233 ай бұрын

    Just had my second procedure. First one lasted 10 months, and I knew that night it worked perfect. I had site pain, but the pain I had been experiencing was gone.

  • @andrewemyedu2718
    @andrewemyedu27183 жыл бұрын

    How does one get an attachment to your unit for some training?

  • @tncorgi92
    @tncorgi92Ай бұрын

    I just finished my 2nd nerve block procedure and am scheduled for the RFA in two weeks. Never had it before but at this point I'll try anything. I've had chiropractic, acupuncture, massage, physical therapy, steroid injections, CBD and opioids, none of which helped for more than a couple of days. And I've been told I'm not a candidate for surgery. So, here goes, maybe this will do the trick. Don't care if I have to come back every year as long as I get long-lasting relief.

  • @pistoltotinmama
    @pistoltotinmama2 жыл бұрын

    My Orthopedic surgery is recommending this for my knee pain. Is this done on knees

  • @FBInc666
    @FBInc6662 жыл бұрын

    Would this be valid for long term post-radiotherapy effects?

  • @alfredcastillo7727
    @alfredcastillo77273 жыл бұрын

    Doc, I had spinal surgery 3 mos ago..wondering why my both hands are numb as well my feet. I wish you are my surgeon.

  • @carolrainey8463
    @carolrainey84633 ай бұрын

    I have made an appointment with a new doctor who comes highly recommended. He's a specialist in pain management in the neck, knees and spine. He's more than just a pain management doctor but isn't a surgeon. I don't trust the other clinic anymore in their choice of doctors. Funny how all of a sudden my doctor was relocating across the state. I still have Sciatica nerve pain.

  • @MNcoquicoqui
    @MNcoquicoqui2 жыл бұрын

    Does this work for Trigeminal and Occipital Neuralgia? How long will it last?

  • @leighsirvent654
    @leighsirvent6542 жыл бұрын

    How many can you have in one year? I have Celiac Ganglion damage from Mesenteric Artery Ligament Syndrome. I had a Celiac Ganglion Resection but because of 15 years until a diagnose, I have abdominal nerve damage.

  • @tracek8418
    @tracek8418 Жыл бұрын

    So what are your thoughts when patients who are with 8/10 of pain with multiple spine cancer and arthritis. Along with past broken spine fractures . They got nerve block shots and it doesn't work for them.

  • @tonyitalia1411
    @tonyitalia1411 Жыл бұрын

    I just had left side lumbar l3,l4 & l5 yesterday and having right side done next week. I’m a little sore today but have noticed a little difference so far for the better so hopefully in next 4 weeks I’ll be pain free. I have 3 bludging discs and also severe arthritis in lumbar area

  • @donpitts2388

    @donpitts2388

    Жыл бұрын

    My area too..all disc buldge just kinda 😬 about having it done. Your story makes me at ease. I think I'll roll the dice and keep.. fingers🤞🤞 it works for me as well as it has for you. Thank you for your positive experience..Don

  • @tonyitalia1411

    @tonyitalia1411

    Жыл бұрын

    @@donpitts2388 hi Don Update it’s now been 4 weeks since my procedure and I’m still feeling pain in lumbar area and now my legs are starting to feel pain especially hamstrings they are really tight. It seems that the pain is not going away. I see surgeon in a few weeks so hopefully he can tell me what’s next. I’ve heard it’s worked for others but looks like for me it hasn’t worked like it should of.

  • @donpitts2388

    @donpitts2388

    Жыл бұрын

    @@tonyitalia1411 hey Mr. Italia just checking to see if your better man?

  • @tonyitalia1411

    @tonyitalia1411

    Жыл бұрын

    @@donpitts2388 hi Don no still in pain daily and legs now in pain. I see surgeon again next month to see what’s next

  • @donpitts2388

    @donpitts2388

    Жыл бұрын

    @@tonyitalia1411 I hope they get it figured out and you get better. Didn't mean to be nosey I was thinkin bout ya. Wonderin if you got some relief. Hope your better soon.

  • @ericshaw7859
    @ericshaw78597 ай бұрын

    I've been getting this done for years in Ontario Canada. Things that I've learned: 1) Try to be well rested and relaxed the night before: go in a pool/hot tub, loosen the back muscles before getting needles in them. 2) Also ice / cold compresses post procedure seems better than heat. It's already inflammed, don't make it worse with heat. 3) If you travel for the procedure (like a 4-hour or more drive), I recommend getting back home before the lidocaine (freezing) wears off (about 8-hours). It's no fun hitting bumps with no freezing after they've been poking around in there. 4) I prefer extra pain medication prior to the procedure so that it "kicks in" right before I get it done. It reduces anxiety and allows you to relax. The more tense you are, the more it tends to hurt.

  • @djrc5228
    @djrc5228 Жыл бұрын

    Had this done 6 months ago on facet joints and not one bit of pain since. Now I need to find someone to do this on my left CMC joint area. My left thumb is eaten up with arthritis but I still refuse to do surgery and be down for 8 frickin weeks or longer.

  • @mistycool
    @mistycool Жыл бұрын

    I need this

  • @sarahdenn4876
    @sarahdenn4876 Жыл бұрын

    Is this a good idea for someone with a kinked nerve root at L5 S1. The nerve is kinked due to scar tissue and they cant remove it

  • @leahcartterrab8964
    @leahcartterrab89643 жыл бұрын

    Where is the link to "Kai" procedure video?

  • @sandygulbrandsen
    @sandygulbrandsen4 ай бұрын

    Can a patient be put to sleep before the procedure?

  • @Searat7
    @Searat72 жыл бұрын

    Is this procedure used to treat male pelvic pain syndrome ?

  • @laschell59
    @laschell593 жыл бұрын

    2 years here...that hurts yes it hurts

  • @varun-bigdataanalytics4892
    @varun-bigdataanalytics4892 Жыл бұрын

    Hello Doctor, I am having cronic pain in lower abdomen area including testicles. I took superior hypo gastric nerve block.Pain intensity reduced for 2-3 days but again it started increasing. Please let me know of RF denervation I should take as a next step?

  • @renosharamduttramphal1699
    @renosharamduttramphal1699 Жыл бұрын

    Hi I'm having a rhizotomy next week for my bone spur on my heels. Tell me is it painful the procedure. How long are you in theatre and what is the recovery. I'm bit worried

  • @judithpearson8870
    @judithpearson88703 жыл бұрын

    Excellent video. I’m having this procedure done tomorrow. Little nervous

  • @DracapellaDeetz

    @DracapellaDeetz

    3 жыл бұрын

    How was it? I'm getting it done in a couple of weeks.

  • @thedarksideproductions5743

    @thedarksideproductions5743

    2 жыл бұрын

    Hi how did everything go for you?

  • @mysteryman123able

    @mysteryman123able

    2 жыл бұрын

    @@thedarksideproductions5743 no answer.. We have to presume it didn't work

  • @ninaguthrie1164

    @ninaguthrie1164

    2 жыл бұрын

    Judith how did you make out .. I’m supposed to have it tomorrow

  • @DracapellaDeetz

    @DracapellaDeetz

    2 жыл бұрын

    @@thedarksideproductions5743 It took about 6 weeks following the surgery before I started to feel any pain relief and by then I was already going to PT once a week (which I still am but mainly to get massage as I do the exercises I was given at the gym). It's still painful on the right side where the needles were stuck and if I overdo things I still know about it but overall it's nowhere near as bad. It was worth getting it done but we'll see how long it lasts.

  • @corker5735
    @corker57353 жыл бұрын

    What about pain in both calves from radial neuropathy? I get pain when I ly down not during activity. Am I a good candidate?

  • @tammybarker8060

    @tammybarker8060

    3 жыл бұрын

    I would think so.

  • @llotsdeede
    @llotsdeede10 ай бұрын

    I was informed by my spine surgeon said there “IS” a possibility that you can loose control of you Bladder. I have also read comments of some women who “DID”Loose control of their Bladder. I was scheduled for this procedure but cancelled it due to this information. I have also read comments that after the procedure they had more pain that would not stop. ALSO, some people had the nerve endings grow back in 3 months, 6 months 1 year and one person 10 years and still waiting. Do you have any comment for me regarding this information? I believe the needles for my ablation were on each side of L-2-L3, L3-L4, L-4-L5. If there were to be a problem with loosing control of your bladder which place would it make it SAFER…NOT TO HAVE The needle placed.?????? I HOPE YOU WILL RESPOND. I am in a terrible place. I took care of my husband for 2 months and then my son who was in an accident for 2 months. While doing this my back started hurting so bad I went to my doctor in pain at about Level 10 in tears. I received shots and took

  • @Raymss1
    @Raymss14 ай бұрын

    Hi Doctor/ Anyone - is RFA can be used to treat chronic scrotal pain?Has anyone done RFA for it, please comment!

  • @hpurey
    @hpurey3 жыл бұрын

    Getting this done tomorrow morning. Have dealt with mechanical pain for over 20 years (old Army injury that was misdiagnosed so I spent all these years doing rehab and stretching for the wrong thing). It's got to the point where there is no position that I get relief.

  • @thedarksideproductions5743

    @thedarksideproductions5743

    2 жыл бұрын

    Hey buddy did you have positive results from this? I’m scheduled to have it done

  • @hpurey

    @hpurey

    2 жыл бұрын

    @@thedarksideproductions5743 I did initially but then it quickly wore off. Think I had most relief from whatever numbing meds they used and I think they injected a bit of steroid to help it heal. As of today not much help. Although I think I have more than one issue causing my low back pain. Hope it works better for you. Just know that it can take a few weeks for the nerves to stop sending pain signals... especially right after being burned they are a bit more pissed off. lol

  • @thedarksideproductions5743

    @thedarksideproductions5743

    2 жыл бұрын

    @@hpurey thanks for getting back to me so quickly. That’s a shame. When I had the first test block done last week I felt so good for a few days so I’m really hoping to God this will work for me. Definitely not looking forward to the nerves being pissed though lol

  • @hpurey

    @hpurey

    2 жыл бұрын

    @@thedarksideproductions5743 That's the weird part for me. I got soo much relief from the nerve blocks that I was almost certain the rhizotomy would work. I hope it works out better for you. 🙏

  • @thedarksideproductions5743

    @thedarksideproductions5743

    2 жыл бұрын

    @@hpurey you have me worried it won’t work now ☹️ but thank you

  • @laurasalo6160
    @laurasalo6160 Жыл бұрын

    I have extreme pain of the bottom of my feet and nerve pain all over my feet from frostbite. All toes amputated, loss is a layer of skin over the entire feet (the area of loss of skin is what would be covered when wearing a small ankle sock...) Lost a thick layer of skin from the bottom of both feet. I can't take it anymore. I am seriously wondering if amputating my feet entirely is an option for me cuz I just can't do this anymore. I'm sick of the medication that just makes life tolerable, but has its costs. I'm miserable all the time. Can the major nerve to each foot be severed completely...?

  • @markknebel8923
    @markknebel8923 Жыл бұрын

    Has anyone had this done to their feet? I have anterior impingement of both ankles which is discomforting. I need something to alleviate the anterior impingement pain.

  • @soker62
    @soker62 Жыл бұрын

    Could this method be used for chronic coccyx pain?

  • @lisapagan1958
    @lisapagan1958 Жыл бұрын

    I’m having this procedure done in 2 weeks and I was worried and scared but you just put me at ease thank you for explaining it in Full detail

  • @cyndieK1

    @cyndieK1

    Жыл бұрын

    Did you get the blocks first? Ive got one coming up too.

  • @lisapagan1958

    @lisapagan1958

    Жыл бұрын

    @@cyndieK1 I have 2x and good luck

  • @cyndieK1

    @cyndieK1

    Жыл бұрын

    @@lisapagan1958 I had mine Friday. Wasn't bad at all but they had to give me a light sedative because I couldn't get on the table. Didn't see much improvement tho 🫤

  • @reginahart7180

    @reginahart7180

    Жыл бұрын

    @@cyndieK1 give a couple more weeks. I've had 2 and it took 3-4 weeks both times to get relief. I'm due for another now. They last me 9-10 mos.

  • @michellegainous6321
    @michellegainous63213 жыл бұрын

    Getting my second one next week.

  • @catherinejackson6571

    @catherinejackson6571

    3 жыл бұрын

    Do the nerves grow back?how long were you pain free?

  • @luisbaca7797

    @luisbaca7797

    2 жыл бұрын

    @@catherinejackson6571 unfortunately they do, the effects of this procedure last an average of 12-18 months.

  • @catherinejackson6571

    @catherinejackson6571

    2 жыл бұрын

    @@luisbaca7797 opted for spinal fusion surgery

  • @thavaganeshrajamohan2153

    @thavaganeshrajamohan2153

    2 жыл бұрын

    @@catherinejackson6571 how do you feel after the fusion?

  • @catherinejackson6571

    @catherinejackson6571

    2 жыл бұрын

    @@thavaganeshrajamohan2153 they give you morphine in hospitle then codene when your at home 6 days later its a sickening ache you can't bend or stretch or lift things it's a major surgery ,if I'd known it was going to be this painful I'd never had had it done,but ask me again in 4 months

  • @brycestewart3181
    @brycestewart31812 ай бұрын

    I'm in Wyoming on Wyoming workers comp and want a "direct visualized rhizotomy." Anybody know where I can get one???? I'm male, 64 years old, dealing with lumbar for 30 years, no cutting yet.

  • @francescakeeton7074
    @francescakeeton70743 жыл бұрын

    How to get in contact with you doctor

  • @lucymayen8266
    @lucymayen82666 ай бұрын

    Can that be used for carpal tunnel?

  • @cjefferson6477
    @cjefferson6477 Жыл бұрын

    I had this procedure done almost a couple of weeks ago. I'm still pretty sore, stiff and my pain has yet to subside due to the inflammation. I've been icing, taking my pain meds and muscle relaxers. Also, my skin was real tender to the touch, its been getting better from using 4% lidocaine that I roll on for temporary numbness and relief. I'm still healing but within a week or so I'm sure I'll be feeling much better. Just have to be patient and stay consistent with icing.

  • @rubynelson1164

    @rubynelson1164

    Жыл бұрын

    I have had it twice. No pain at all. Felt good the next day. Don't know why the difference.

  • @cjefferson6477

    @cjefferson6477

    Жыл бұрын

    That's good to know, I'm glad for you! The doctor said it could vary with each person and also the location. Mines was in the cervical area.

  • @stevestewart3816

    @stevestewart3816

    11 ай бұрын

    Have you been taking Aleve?

  • @cjefferson6477

    @cjefferson6477

    11 ай бұрын

    I was taking Ibuprofen per the doctor order to help with the inflammation.

  • @debbiewashburn1000
    @debbiewashburn10009 күн бұрын

    Ive had 6 rfas...3 on each side L3 L4 L5 S1. But the pain relieve is onky lasting 3 to 5 months. Why do some peopkes nerves regrow faster? I read taking Vitamin B12 can increase speed of nerve growth . Could that be true?

  • @claus1225
    @claus12252 жыл бұрын

    Can this procedure be done for non-spinal pain? like pain in the shoulder blade that radiates to armpit area?

  • @j9048

    @j9048

    2 жыл бұрын

    Could be a c5 or c6?

  • @mistycool

    @mistycool

    Жыл бұрын

    Yes my question

  • @user-eb7bk2pv6c
    @user-eb7bk2pv6c Жыл бұрын

    I'm going to do this, does anyone know if after doing it, I can continue my life as a weightlifter

  • @beverywhereyouare
    @beverywhereyouareАй бұрын

    Is this procedure more painful than back Injections?

  • @chrisgriffiths3629
    @chrisgriffiths3629 Жыл бұрын

    Does DVR direct visualised rhiztomy last longer than RA ? Seems cruel to have to got through this proceedure causing more injury then get out of pain if it works , only for it to return 6 months later and back to square one ! People with facet joint arthritis want a longer term solution surely ?

  • @reginahart7180

    @reginahart7180

    Жыл бұрын

    I need to research that! It'd be nice to find a longer term solution as this costs me $1800/yr!!

  • @CynthiaEleBezy
    @CynthiaEleBezy Жыл бұрын

    I've had this done 4times. It wasn't painful but it only worked 1x for a period of time only 4 months. Presently I'm in horrible pain but can't afford another ablation. Co pays are high.

  • @cyndieK1

    @cyndieK1

    Жыл бұрын

    What kind of pain are you having? Is that with insurance?

  • @NathalieBoynton3862
    @NathalieBoynton38622 жыл бұрын

    I'm waiting to get this done. The last bilateral Nerve block injections in the sacroiliac, caused sciatica. Will the sciatic nerve pain go away when I get nerve ablation?. I'm in agony at the moment n in permanent pain in my left side. But the radiating pain is in my left thigh. It's the worst pain ever. No meds are helping. I cant even get into a comfortable position. I hope it works for me as may need an op on mu vertebrae.

  • @sailingrumrunner

    @sailingrumrunner

    Жыл бұрын

    Wishing you the best. My wife has same symptoms on right side. Had a trial injection just to numb the sac nerve and it helped. If insurance finally gets straightened out we will try this therapy.

  • @NathalieBoynton3862

    @NathalieBoynton3862

    Жыл бұрын

    They found out I had 2 slipped discs. Could do the ablation. Still have nerve pain down one leg and can't walk very far. Need a wheelchair now.

  • @countrygirl9732

    @countrygirl9732

    Жыл бұрын

    Only meds touch nerve pain is nerve meds like Lyrica or Gabapentin. Narcotics do not help nerve pain. Very sorry to hear you're suffering!

  • @NathalieBoynton3862

    @NathalieBoynton3862

    Жыл бұрын

    @@countrygirl9732 they didn't touch the back pain

  • @kathleenfog1066
    @kathleenfog1066 Жыл бұрын

    I went to a appointment to have this done on my cervical spine , pain for 8 yrs and fusion on 3 vertebrae! This doctor ordered up a mylagram! This was my 2nd one I have had done , I didn’t understand why and still no answer to why ! No closer to getting the ablation I’m extremely disappointed ! What can I do , I asked for the CD from the test and they will not give it to me , wanted to go to a different doctor for a second opinion !

  • @countrygirl9732

    @countrygirl9732

    Жыл бұрын

    You can request disc from records department must give you. If not, ask for hospital supervisor. I pray you get answers & better!

  • @thepuglady3931
    @thepuglady39312 ай бұрын

    FYI-My ablation was not with this doctor or at this clinic!! I had it done for a third time today. The first two procedures went well and provided 90%-100% pain relief for several months both times. Today my ablation was done by a doctor “in training” and it was horribly painful! It was as if he hadn’t used any numbing medication AT ALL!! I felt every stick, needle adjustment, etc. on all 6 nerves treated and even the 176° F heat from the actual ablation. My best advice is to KNOW your doctor and REFUSE to let anyone else do the procedure. I finally made it home but have had an excruciating headache since the procedure. If I don’t get as much pain relief this time, I probably won’t do it again (in spite of the fact that I know my experience today is very rare).

  • @caroleweinstein5993
    @caroleweinstein5993 Жыл бұрын

    If the nerve is 'being killed' then why does it still hurt after the procedure?

  • @carlakenyon6073

    @carlakenyon6073

    Жыл бұрын

    I’m guessing, here goes…. The tissue around S1 joint is inflamed

  • @debbiewashburn1000

    @debbiewashburn1000

    9 күн бұрын

    Its the site ofbthe needles that may cause soreness. Also it takes 1-2 weeks for the nerves to completely die.

  • @kkrb1212
    @kkrb12123 жыл бұрын

    What kind of sedation is given at the surgical center? Is it just versed? Or ketamine? Or stronger? I had my rfa trial with IV versed and it wasn’t enough. My second trial was with a double dose of versed and im still not ok. They said that I can’t be put under general but looking for other options 😭

  • @pattymccomb2727

    @pattymccomb2727

    3 жыл бұрын

    You need something for pain too. My surgery center uses versed and fentayl, plus local

  • @k9consultants339

    @k9consultants339

    2 жыл бұрын

    I am on my second one,always under completely.

  • @kkrb1212

    @kkrb1212

    2 жыл бұрын

    Gosh I wish they would put me under.

  • @boatrvme8478

    @boatrvme8478

    2 жыл бұрын

    @@k9consultants339 mine tomorrow and they told me I would be awake but twilight.

  • @josantilyn9180

    @josantilyn9180

    Жыл бұрын

    Take 10 Xanax to knock you out

  • @icu469
    @icu4693 жыл бұрын

    Hi I have lumbar periferal neuropathy, pain down the backs of my legs and pins and needles a nd knumbness in my feet. Will this procedure help me? if not what if anything will help ? Thanx

  • @prepareit5342

    @prepareit5342

    3 жыл бұрын

    Have you investigated Pregabalin with your doctor? It is a medicine that targets nerves only. Does not result in a cloudy brain.

  • @icu469

    @icu469

    3 жыл бұрын

    @@prepareit5342 Hi thanx for info. I will check into it.

  • @tanjadeboer6185
    @tanjadeboer61853 күн бұрын

    Had mine done last week. A bit painful but bareble.

  • @jeannnie8636
    @jeannnie86363 жыл бұрын

    Well I told my. Doctor that I have a problem standing or moving around. She said I needed more core exercise but it’s not that. I think I’ve got what he’s talking about only when I do activity it hurts

  • @tacticaloutdoors7553

    @tacticaloutdoors7553

    3 жыл бұрын

    Same as me, just got it done yesterday. I couldn't do anything active without being absolutely miserable. If you want ask me for updates on how it works for me id be happy to share. Day 1 im feeling better already.

  • @thedarksideproductions5743

    @thedarksideproductions5743

    2 жыл бұрын

    @@tacticaloutdoors7553 hey since they didn’t ask for updates then I will lol I will be having it done soon and am seeing mixed results

  • @jeannnie8636

    @jeannnie8636

    2 жыл бұрын

    @@thedarksideproductions5743 Well I don’t know if I did anything for me or not I don’t think the pain is severe as it was before but I want itgone

  • @nancyletourneau6864

    @nancyletourneau6864

    2 жыл бұрын

    Had a neurosurgeon tell me it was core muscles..go to P.T. for 6 wks. It wasn't that at all. I'm having this procedure done on both sides of L5 . One next week and the second the week following. See another doctor. My doctor is Pain Management.

  • @hughvanpelt9082
    @hughvanpelt90823 жыл бұрын

    Hello, I had this done a couple years ago and it was incredibly painful my leg was on fire. The Dr. Wouldn’t tell me why and have been looking for answers.

  • @jnmwtkns

    @jnmwtkns

    2 жыл бұрын

    Yea omg the pain was so intense. Had two EMG test that I thought was the worst pain id felt. Oh no this hust so bad for several days after . 3 rd time wasnt as bad but still didnt relieve.

  • @dougtait8242

    @dougtait8242

    2 жыл бұрын

    Am writing this at home with ice on my back after having this procedure done 3 hours ago. I have had epidurals for cervical herniated discs for the past 7 years with great success. Today’s treatment was a RFA for lumbar pain. After two medial branch block injections two weeks apart with great success in relieving pain, the RFA was done today. It does take a little longer, but I felt no pain whatsoever. The DR talks to you during the procedure getting feedback from you as to whether or not you can feel anything. I could feel some pressure and occasional mild discomfort, but no pain. There is more soreness in the treatment area than with injections, but that is to be expected. Now it’s a wait to see if the procedure results in long-term relief and can keep the surgeons at bay.

  • @sarahdenn4876

    @sarahdenn4876

    Жыл бұрын

    @@dougtait8242 how's its doing now, did it last very long

  • @dougtait8242

    @dougtait8242

    Жыл бұрын

    @@sarahdenn4876 No pain at all since the RFA. I should mention that the Dr gave me a mild to moderate sedative for the procedure, more than what he would give for the epidurals. I was a little groggy for an hour afterwards, but all is good now.

  • @sarahdenn4876

    @sarahdenn4876

    Жыл бұрын

    @@dougtait8242 oh thats good to hear. Ill ask my dr to be sedated for sure. Thanks for replying

  • @mendybrown8292
    @mendybrown82922 ай бұрын

    30 years of pain shots pain pills staying up all night pt back surgery i so hope this works 😢😢

  • @katelinbarone6316
    @katelinbarone6316 Жыл бұрын

    Many things I’ve read say this procedure helps for about 1 year…..will pain just come back what’s the point?

  • @lynnemarshall2266

    @lynnemarshall2266

    Жыл бұрын

    Because this procedure can give good pain relief for an extended time. When the pain returns, it's simple to repeat the ablation. What else gives these results for that long? I'm glad to have this available after 20 years of 27/7 severe headaches and migraines.

  • @LadyBlanche.888
    @LadyBlanche.8882 жыл бұрын

    Will it work as I have severe pain down my right leg? I have had other injections that didn't work so I'm hoping this does.

  • @rl1835
    @rl18353 жыл бұрын

    Can you do this with intercostal nerves?

  • @claus1225

    @claus1225

    2 жыл бұрын

    i am wondering that too

  • @lovesupreme1

    @lovesupreme1

    2 жыл бұрын

    Yes I just got diagnosed with it and had it done. Didn’t work and wish I hadn’t.

  • @cynthiadelvalle3437
    @cynthiadelvalle34373 жыл бұрын

    I had this procedure done a number of years ago for lower back pain. I felt so good for about a year and the pain came back. I had it done again with a different doctor and it didn't work. I wanted to have it done a third time and was told that if it didn't work the second time there wouldn't be a point in doing it again. Why would it not have worked the second time? I had one physician tell me I needed back surgery at that point. I would rather not do it because I've heard it doesn't always fix the problem.

  • @robertlewis3021

    @robertlewis3021

    3 жыл бұрын

    That doc probably did it in the wrong place. It will probably work if it's at the right place.

  • @terrysmith5190

    @terrysmith5190

    3 жыл бұрын

    Yes, if the needle is not in the right place it will not give you the relief that you had before. It can definitely be exactly what you thought it was. I had one procedure that didn’t work but all before it and after it worked.

  • @ruthieo54

    @ruthieo54

    2 жыл бұрын

    Have you considered acupuncture to treat that problem? I have had acupuncture (they use micro needles) for a number of issues and I got relief without pain killers. Good luck. ❤

  • @michellemeuleman385
    @michellemeuleman385Ай бұрын

    Had this done last December.. big fail. Specialist thought best to do it in my scalp instead neck for ON nerve impingement headpain .. was big error in her part.. she should’ve stuck to first idea in back of neck .. I knew it wasn’t going to work when last minute change of plans, on morning of procedure .. I was correct. She screwed up big time. Because of her wrong actions I’m back on long public waiting list again. Took 2 years to wait last time. Now, I have to take panadien forte and Maxalt often with its bad side effects . Goodness what else will do to rest of my health taking all those pain killers.. I’m not a happy person.. my procedure was done under anaesthetic.. can’t have it done awake it’s far to painful .. asking hospital if they could do both locations done same time .. lumber stenosis pain and neck under anaesthetic together.. because I cannot have any of those injections Because the pain goes off the charts.. how patients can get it done without anaesthetic is mind boggling. I don’t know how they can stand the pain while the thingy mybob goes inside . The pain is excruciating . I scream very loud , cry .. it’s very traumatic in my case.

  • @caroleweinstein5993
    @caroleweinstein59939 күн бұрын

    It turns out that my problem is a bone Issue. I had knee replacements about 30 years ago. I thought that I would not have pain in the future. WRONG. I am going for PT.

  • @ripleypipe
    @ripleypipe Жыл бұрын

    Beware, I had this procedure in the UK. I found that playing tennis, physical DIY and longer walks caused an onset of sciatic discomfort, i.e. pain in the buttocks, thighs and calves. With local anaesthetic, the nerves on two lumber facet joints were ablated, now three weeks later, my pain is no longer intermittent and I'm in worse pain than before, all of the time. Obviously I'm hoping this will right itself in time, but for now I wish I'd side stepped this intervention as I feel that, certainly in the UK, this 'temporary fix' as yet, hasn't been thoroughly tried and tested.

  • @nightowl4206

    @nightowl4206

    Жыл бұрын

    I had ablation for my tailbone pain 22 days ago in Arizona. 4 days after procedure severe pain started in the area you described. Pain is almost unbearable, persistent. Nothing helps at all. On Oxycodone, gabapentine, prednisone, diclofenac. No use. It hurts and burns at the same time. I feel disabled. I can't work, can't drive. I think he damaged my nerve and I pray it's not permanent damage. I regret so much I had that ablation! Needless to say it didn't help my tailbone pain at all. Pain is 8 out of 10.

  • @ripleypipe

    @ripleypipe

    Жыл бұрын

    @@nightowl4206 Sorry to hear you're in so much pain, the possible downside of these procedures should be made apparent before, not after it's done. Hope you recover sooner rather than later.

  • @issaalnobani5925

    @issaalnobani5925

    11 ай бұрын

    ​@@nightowl4206 how are you new. I did the procedure from 2 weeks ago ,but my buttock is killing me I don't know if the pain will disappear after a few weeks i hope that🥹🥹🥹

  • @ericshaw7859

    @ericshaw7859

    7 ай бұрын

    After four weeks did the burning kick in and make you better than you were before the procedure? The first time burning tends to take longer to start working. I think that it's also worse because of the unknown. I try and explain my experience with it as this: If I take all of the pain that I would normally be in (for that area) in a six month time period, divide that by four (25%), then squeeze it all into two weeks, that's kind of what it's like. After that two weeks is over (not a fun two weeks) the pain is 80-90% better for me for about 4-5 months so it's worth it for me.

  • @ripleypipe

    @ripleypipe

    7 ай бұрын

    @@ericshaw7859 Good for you Eric, the pain was indeed worse after the ablation. 9 months post procedure now and no improvement, really wish I hadn't had it done. Ironically, the anasthesia nerve block beforehand took all the pain and discomfort away for about 10 minutes. Guess I'll never know what went wrong.

  • @jeannnie8636
    @jeannnie86362 жыл бұрын

    Yes they’re going to do this to me. But where do I find more information about this I mean anybody can say anything right. And they want you to have pain while you’re laying down there. That’s what I don’t understand My pain only comes when I stand or walk. As soon as I lay down it’s gone so what do I do.

  • @nevadaadvancedpainspeciali6431

    @nevadaadvancedpainspeciali6431

    2 жыл бұрын

    Hi Jeannie, I understand your frustration. You should ask your doctor, he/she should be able to answer all of your questions prior to the procedure.

  • @jeannnie8636

    @jeannnie8636

    2 жыл бұрын

    Yes I just had my procedure done two weeks ago I think it’s working a little bit but they tell you it takes three weeks or more before you notice anything is that true

  • @m.s.hidayat

    @m.s.hidayat

    2 жыл бұрын

    @@jeannnie8636 any improvement ?

  • @jeannnie8636

    @jeannnie8636

    2 жыл бұрын

    @@m.s.hidayat Yes I think a little bit but might not as much as I thought it would be but it’s a nerve damage But thanks for much for caring you’re the only doctor on here that seems interesting people thanks a lot

  • @jeannnie8636

    @jeannnie8636

    2 жыл бұрын

    @@m.s.hidayat Well I think it’s all in my brain sometimes it seems I can stand longer and walk farther. But then I have to sit down again I don’t know they say it’s nerve problems

  • @deborahdesanto2313
    @deborahdesanto23132 жыл бұрын

    Hi Dr how long does this last?

  • @nevadaadvancedpainspeciali6431

    @nevadaadvancedpainspeciali6431

    2 жыл бұрын

    It depends on the patient, but typically around 10 months.

  • @reginahart7180

    @reginahart7180

    Жыл бұрын

    I've had 2 & bith lasted 9-10 mos. I'm due for another now. I can always feel the pain returning and migraines when it's time.

  • @dandjdurham
    @dandjdurham Жыл бұрын

    I've tried three times and it didn't work at all.

  • @Kameron232
    @Kameron2322 жыл бұрын

    I had my left lumber done last week and it felt like an extremely hot iron on an open sore. That hurt like hell and the burning 🔥 was extremely painful.

  • @redbaron2181

    @redbaron2181

    2 жыл бұрын

    Did you do RFA is any good to you

  • @reginahart7180

    @reginahart7180

    Жыл бұрын

    Oh wow. They didn't numb you up good enough! That happened on my 2nd one last year & as soon as it kept getting hotter I said, "Hold up! This wasn't this hot the 1st time". She stopped, put more numbing meds in, apologized profusely and then continued. It was all good after that.

  • @jamesstephen353
    @jamesstephen353Ай бұрын

    Mine was brutal and did nothing for the muscle spasms when the doctor clearly lied to me

  • @caroleweinstein5993
    @caroleweinstein5993 Жыл бұрын

    The procedure is not so simple! I am still having pain after four months. If you have any ideas I'd like to hear them.

  • @cyndieK1

    @cyndieK1

    Жыл бұрын

    Did you tell your dr? Were you sedated?

  • @missspell1714
    @missspell17143 жыл бұрын

    I wish you were my doctor !!! :0)

  • @MedicalMassageSD
    @MedicalMassageSD Жыл бұрын

    Sensory nerves are the warning signals that damage is being done, I think this is an important function.

  • @sarahdenn4876

    @sarahdenn4876

    Жыл бұрын

    what about a kinked nerve root? Do you think this RFA would be good for that? Or will blocking the signal just cause the damage to get worse

  • @MedicalMassageSD

    @MedicalMassageSD

    Жыл бұрын

    The nerve is still entrapped, it’s only been silenced. Determining the cause for the entrapment is important.

  • @aussiegruber86

    @aussiegruber86

    Жыл бұрын

    What about disc prolapse, on 2 occasions, and after 2 surgies I am still in agonising pain all day and night......nah I will skip this

  • @edgreen8140
    @edgreen81403 жыл бұрын

    I read some nerves grow back in a few years.

  • @fiercechicadee1019

    @fiercechicadee1019

    2 жыл бұрын

    they regenerate...I need to redo mine after about six months:(

  • @boatrvme8478

    @boatrvme8478

    2 жыл бұрын

    Dr. told me about 2 yr. avg for his patients. It depends on several factors. One is size of burn that was done. Two is did they get right nerve. In my case it was Occipital nerve which causes headaches in forehead and around orbital bone and base of skull. Strangely enough is my original multilevel ACDF surgery damaged the Occipital nerve.

  • @katevalentine7075
    @katevalentine7075 Жыл бұрын

    Isn't this just masking the problem?My L3,4,5 disc's are degenerating Anybody have an answer ?Thanks

  • @faithf5846

    @faithf5846

    Жыл бұрын

    PRP therapy. Not easy either, I’ve tried prolotherapy andPRP I’m ready for ablation

  • @tiffanivallette408
    @tiffanivallette4082 жыл бұрын

    I'm having my first one done in 5 weeks I've had chronic back pain for over 10 years I'm so ready to not be in pain.

  • @ginastewart4131

    @ginastewart4131

    2 жыл бұрын

    Good luck with your procedure.🙏🏾

  • @cloudypac

    @cloudypac

    2 жыл бұрын

    Hi, has it helped relief the pain?

  • @deborahdesanto2313
    @deborahdesanto23132 жыл бұрын

    Does it work? Does it hurt?

  • @nevadaadvancedpainspeciali6431

    @nevadaadvancedpainspeciali6431

    2 жыл бұрын

    It works for many patients, and only has minimal pain associated, mostly during the numbing process.

  • @deborahdesanto2313

    @deborahdesanto2313

    2 жыл бұрын

    @@nevadaadvancedpainspeciali6431 ok thank you

  • @Venumousll
    @Venumousll Жыл бұрын

    has anyone had thigh pain or legs feel a little heavy after this, I had this in 6 different places on my low back on Wednesday. just feels like I did a leg workout or squats. of course, the low back pain from 6 needles.

  • @tammybarker8060
    @tammybarker80603 жыл бұрын

    In about 2 weeks I will be having this done.. I'm scared 😨

  • @DaphneTenne

    @DaphneTenne

    3 жыл бұрын

    how did it go???

  • @tammybarker8060

    @tammybarker8060

    3 жыл бұрын

    @@DaphneTenne I go on the 6th of April 😬😳😲☹

  • @CharWallace1

    @CharWallace1

    3 жыл бұрын

    How did it go?

  • @tammybarker8060

    @tammybarker8060

    3 жыл бұрын

    @@CharWallace1 omg 🤣🤣 I didn't sleep well the nite before, I had myself a nervous wreck!! I go in and it was just a regular visit, I had the wrong app day...I go on 4/22/ so I have to go through all that again. I had a headache and had myself sick to my stomach for nothing 🤣 I'm pretty sure they were laughing harder than me😊

  • @tammybarker8060

    @tammybarker8060

    3 жыл бұрын

    Omg.. the medicine that goes in to numb your back hurt soo bad I was crying. They when they started the procedure it was still hurting. After it was all done I cried so hard!! I have to have 1 more in 2 weeks 😫but my back feels better already. Then to make matters worse I got my 1st covid shot yesterday and now I can't lift my arm.. self punishment 🤣

  • @elizclark4912
    @elizclark49122 жыл бұрын

    This doctor is so fine!

  • @kathylopez1336
    @kathylopez13362 жыл бұрын

    I'd like you to do my procedure where r u at pls

  • @nevadaadvancedpainspeciali6431

    @nevadaadvancedpainspeciali6431

    2 жыл бұрын

    Hi Kathy, we are located in Reno, NV. Check out our website if you'd like to find out more about our practice! nvadvancedpain.com Have a great day!

  • @richardbranson8658

    @richardbranson8658

    Жыл бұрын

    @@nevadaadvancedpainspeciali6431 hi what would you say the success rate was of having this procedure.. Thanks

  • @lauralutz4538
    @lauralutz45382 жыл бұрын

    Thank God, I’m knocked out with, Propofol. No problem if the patient is a little uncomfortable! Glad you’re not my Doc. Valium! Are you for real? I suggest that you have this done! My Doc has no facility, I’m in his surgery in his office. I can see why some of your patients never return.

  • @missspell1714
    @missspell17143 жыл бұрын

    mine is tomorrow 6/21/21, please pay for me Thanks

  • @mariamarino138

    @mariamarino138

    2 жыл бұрын

    🙏🏻🙏🏻🙏🏻