Manual Of Rf Techniques By Dr. Charles A. Gauci Md ((exclusive)) -

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Techniques for cervical, thoracic, and lumbar medial branch nerves. Sacroiliac Joint: MANUAL OF RF TECHNIQUES By Dr. Charles A. Gauci MD

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3. Practical Tips from Dr. Gauci’s Methodology

• The “Touch and Go” rule for MNRF: Do not linger; maintain consistent contact time per pulse.
• Impedance monitoring: Always watch for sudden changes indicating arcing or desiccation.
• The “Tenting” maneuver (neck): Lift loose skin with non-dominant hand while delivering RF to reduce thermal spread to deeper structures.
• Test spot: Always perform 2–3 test pulses in a hidden area (retroauricular) to gauge patient response and skin reaction.
• Documentation: Pre and post photos (same lighting, angle, expression); record exact device, tip, energy, passes, and patient pain score.