Things You'll Need:
- Neurologist
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Step 1
Expect cordotomy to be performed either as a percutaneous (through the skin) procedure or an open operation. The method used will be determined by the condition treated and if the pain is only on one side or both sides.
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Step 2
Prepare to have a CT-guided PCC (percutaneous cervical cordotomy). This technology allows for more accurate information for performing the procedure. Measurement of the spinal cord diameter and identification of the specific location for nerve destruction is more easily determined.
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Step 3
Understand C4 is the highest level of analgesia for cordotomy. This is in the cervical region and requires special attention in patients with impaired lung function. Neck pain is not usually affected.
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Step 4
Find that widespread pain is not typically controlled by cordotomy. The procedure may be effective for one specific location. The pain outside the area served by that nerve may require additional treatment such as drug therapy.
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Step 5
Prepare to have a repeat cordotomy. This procedure is not permanent. Relief lasts up to a year in some patients.
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Step 6
Expect a cordotomy to be performed by a neurologist (a medical doctor specializing in the diagnosis and treatment of nerve disorders).
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Step 7
Be assured that motor function (the ability to move and feel) of all extremities will be closely monitored during the procedure.
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Step 8
Realize that with the loss of pain sensation, it will also be necessary to prepare for the loss of temperature recognition in the affected area. This requires special attention to avoid extreme temperature contact, such as a heating pad.
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Step 1
Realize that some types of cancer cause such pain that a cordotomy is recommended for relief. CT-guided percutaneous cordotomy may be used to sever the nerves affected by unilateral cancer pain.
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Step 2
Understand that cordotomy may be performed on children with kyphosis (abnormal backward curve of the spine) and myelomeningocele (congenital defect of the central nervous system).
