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Doctor insights on: Epidural Block

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Dr. Jonathan Lau
62 Doctors shared insights

Epidural Block (Overview)

An epidural block is a procedure usually performed by an anesthesiologist in order to block pain during or after surgery. It can also be used for pain control during labor and involves the injection of local anesthetics and other medications via a needle or catheter into the space surrounding but outside of the spinal cord and it membranes. The are done with the patient seated or lying down.


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What is the definition or description of: epidural block?

What is the definition or description of: epidural block?

Epidural block: An epidural block is a procedure usually performed by an anesthesiologist in order to block pain during or after surgery. It can also be used for pain control during labor and involves the injection of local anesthetics and other medications via a needle or catheter into the space surrounding but outside of the spinal cord and it membranes. The are done with the patient seated or lying down. ...Read more

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Dr. Jonathan Lau
62 Doctors shared insights

Epidural Block (Overview)

An epidural block is a procedure usually performed by an anesthesiologist in order to block pain during or after surgery. It can also be used for pain control during labor and involves the injection of local anesthetics and other medications via a needle or catheter into the space surrounding but outside of the spinal cord and it membranes. The are done with the patient seated or lying down.


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How bad does giving birth hurt with an epidural block?

How bad does giving birth hurt with an epidural block?

Depends: Depends on the patient, if first delivery, anxiety about pain. You have to make a decision when the ob/gyn tells you because after a certain point in the labor doctor can no longer start an epidural. ...Read more

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Epidural block is regional, local or, general anesthesia?

Regional: An epidural block refers to either anesthesia or analgesia. The later is used for pain control for labo, after surgery, renal stones or other pain conditions. The former is used for surgery itself. The difference is the strength of the local anesthetic used for the block. The stronger the dose the more numb you become. ...Read more

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Is cervical medial branch block a type of epidural block? Or just giving medicines around the medial branch nerve?

Two kinds: Cervical medial branch block can be done with just pain numbing drugs or by radiofrequency ablation which lasts months. These procedures block the medical branch of the pain fibers without invading the spinal canal. This is also done in the lumbar area. ...Read more

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Spinal epidural block forpeople with disc extrusion?

Spinal epidural block forpeople with disc extrusion?

Yes: It can be given in this situation but often times not preferable. The reason being, if the disc situation were to worsen during procedure positioning (ie, someone developes a neurologic deficit) it would be unclear as to what caused the deficit-the epidural or the disc. A laboring pregnant woman may receive an epidural, but the above situation and risks must be understood by patient. ...Read more

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Is cervical interlaminar epidural block always better than cervical facet block? If interlaminar was no help, can facet joint block be helpful?

Is cervical interlaminar epidural block always better than cervical facet block? If interlaminar was no help, can facet joint block be helpful?

Depends: On what the reason for either injection is. Typically Epidural injections help with disk herniations, nerve impingement and spinal stenosis of the spine. Facet treatments basically address/help with the facet joint only as the source of the pain. ...Read more

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Took my c spine MRI 6 months ago. Neck pain only got worse after nsaids. Pt.Neurontin. Epidural block. Need I take another mri? How do I cope with pain?

Took my c spine MRI 6 months ago. Neck pain only got worse after nsaids. Pt.Neurontin. Epidural block. Need I take another mri? How do I cope with pain?

Second opinion: Is a good idea. An MRI can be submitted to http://conciergeradiologist. Com in the next few weeks for reevaluation. One picture is not enough - the whole study will need to be sent, but fortunately that's easy. This may be a more cost-effective way to getting to an answer than undergoing another mri. ...Read more

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When cervical facet joint has inflammation, can interlaminar cervical epidural block have effect on facrt joint?

When cervical facet joint has inflammation, can interlaminar cervical epidural block have effect on facrt joint?

Possibly: If there is certainty about the diagnosis of facet mediated pain them the best procedure is a facet block. If that works then a more permanent procedure (rfa) can be done. ...Read more

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Can selective cervical root block in cervical HNP be effective even though multiple interlaminar epidural blocks failed to give relief? Would u do it?

Yes: Selective cervical nerve root blocks can help provide pain relief when epidurals have not. Given the choices of living with the pain, trying surgery or getting a block done I would probably opt for the block. Make sure you are also continuing with standard treatments. Heat, ice, stretching and range of motion exercises are all equally important. ...Read more

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If you get 10 cervical epidural blocks with steroid (dexamethasone 2mg) in 12 months, is it too much? What kinda side effects are expected in such?

Did this happen?: Indications for cervical epidural block include evidence both clinically and radiologically for a compressed nerve in the neck, cervical radiculopathy. We usually consider 3 such injections per year the maximum. 10 would be considered far beyond the ordinary, and would increase risks of spinal cord injury and even death. If you have experienced this, get an immediate second opinion. ...Read more

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If epidural steroid blocks have not elevated my sciatic nerve pain, what treatments are recommended?

If epidural steroid blocks have not elevated my sciatic nerve pain, what treatments are recommended?

Facet Joints?: Maybe the pain is coming from your facet joints and you may be candidate for facet injections and/or radiofrequency ablation for longer lasting relief. Speak with your doctor regarding your options. In some situations spinal cord stimulation is an option, however surgery should also be considered at that time as well. ...Read more

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What is an epidural vs spinal block?

Anatomic differences: In a spinal block, the local anesthetic is placed in the spinal fluid; whereas in an epidural block it goes into the epidural space or space around the spinal chord. The latter works by diffusion of the drug to the nerves whereas the former the onset is faster and more predictable. Both have advantages and disadvantages. ...Read more

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What is an epidural of spinal block used for?

Pain management: Epidural injections are done for various reasons, mostly to block pain. During labor, epidural injections are given for the pain of labor. Sometimes epidural nerve blocks are given for pain like sciatica. Some people with chronic pain from spine disease are given epidural steroid injections. ...Read more

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Can you tell me about nerve root block epidural?

Can you tell me about nerve root block epidural?

Injection treatment: Epidural injection or selective nerve root blocks are done for diagnostic and therapeutic (treatment) purposes. Typically, they are done under x-ray guidance by a qualified pain specialist. Usually, it involves injection of anti-inflammatory steroid for treatment or a local anesthetic for diagnostic purposes. ...Read more

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Will having lipomas in lower back affect an epidural or spinal block given before having a csection?

Will having lipomas in lower back affect an epidural or spinal block given before having a csection?

Not unless multiple: A couple of lipomas of small size should not be an issue. Multiple and/or large tumors blocking access to your midline can prevent the anesthesiologist from accessing your spinal canal. ...Read more

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What are the differences between a spinal block and epidural?

What are the differences between a spinal block and epidural?

Single v. continuous: Both spinal blocks and epidurals involve injections into the spine. In a spinal block a single injection is done into the epidural space for anesthetic application. In an epidural, a catheter is placed for continuous anesthesia. A spinal block has a finite duration. The epidural lasts as long as the catheter is in place. ...Read more

Dr. John Landi
2 Doctors shared insights

Epidural (Definition)

The epidural space is an anatomical space just outside the fluid filled sac that contains the spinal cord and brain. Anesthesiologists and pain physicians are skilled at placing needles or catheters (tubes) into this space in the spinal canal to administer medications. These medicines can treat the pain of surgery or labor. These medicines can also be used to treat chronic ...Read more