Lumbar RFAs/Facets ... 

We reviewed the MRI and prior treatment response. The lumbar facet provided longer relief, and the RFA produced stronger results.

Today, we focused on the lumbar spine, the most painful area, and completed a facet injection; relief was stronger over time. We also discussed a repeat lumbar RFA.

RFA ... PLAN RE-EVAL POSSIBLE ESI. 

Version 1
Follow-up in 2 weeks to assess clinical response to the RFA and overall pain trajectory. We reviewed multifactorial pain generators, including possible discogenic sources, with consideration of intervertebral disc–targeted therapies and other interventions guided by symptom pattern and functional response.

Version 2
Return in approximately 2 weeks for reevaluation of RFA efficacy and ongoing management. Discussed multiple potential pain generators, including axial and discogenic components, with plans to consider intradiscal or alternative interventional options based on evolving pain distribution and severity.

Version 3
Schedule follow-up within 2 weeks to monitor response to RFA and refine the treatment plan. We reviewed the presence of multiple pain generators and the potential need to address intervertebral discs and/or additional targets depending on clinical progression and response.