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HPC | Hertfordshire Pain Consultants

CALL US NOW! 07803 559 091

  • I wanted to write a letter to you because I'm so grateful to you and your team at the pain management clinc. After spending over 15 years with the most horrendous headaches and seeing dozens of different doctors and therapists finally you have managed to get them under control. Thanks you for taking the time to genuinely listen to me and my problems. Much appreciated.

    K. R


07803 559 091


Pulsed Denervation Techniques

Pulse denervation is a technique that can produce long term benefit for nerve related pain in those with short term benefit from local anaesthetic injections. It is useful in a wide range of conditions.

  • Spermatic cord denervation for chronic testicular pain
  • Dorsal root ganglion denervation for leg symptoms due to spinal nerve irritation (radiculopathy)
  • Infrapatellar nerve denervation for chronic knee pain
  • Occipital nerve denervation for chronic headache
  • Suprascapular denervation for chronic shoulder

This is a non-destructive technique that uses very tiny pulses of electricity delivered close to the nerve through a special needle that alters the chemicals within the nerve that process painful sensations.  The procedure itself is very well tolerated and done as a day-case procedure.

Indicated if you have a positive response to local anaesthetic injection.
Before the Procedure
  • The pulsed deneravtion is a day surgery procedure.
  • Do not eat for 6 hours before your injection.  You can drink water up to 2 hours prior to the procedure
  • Continue all regular medication on the day of the procedure except blood thinning medications such as warfarin or clopidrogrel which will need to be discussed with your pain specialist
  • Please ensure you have someone to drive you home, and stay for the first 24 hours
During the Procedure
  • You may be offered sedation to minimise discomfort.  Many people can tolerate the procedure under local anaesthetic.
  • The nerve is located using a special needle and stimulated by passing a tiny current down.  You will be asked if this reproduces your normal pain sensations.
  • Once the nerve is located local anaesthetic and steroid are injected and the treatment starts.
  • The procedure usually takes 30 minutes with discharge from hospital after approx 2 hours
After the procedure
  • Normal activities including work may typically be resumed the following day
  • Dorsal root ganglion denervation – may experience some short-lived numbess/ weakness legs
  • Spermatic cord dernevation – if testicular swelling occurs please report to doctor

CALL US NOW! 07803 559 091

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