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Doctor insights on: Lumbar Selective Nerve Root Block

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What's a facet nerve block procedure?

What's a facet nerve block procedure?

Facet Injection: A facet injection is a minimally invasive procedure that can temporarily relieve back pain caused by inflamed facet joints. A facet injection includes both a long-lasting corticosteroid and an anesthetic numbing agent. The Medial Branch Block is mostly an anesthetic injection for diagnostic purposes to determine candidacy for radiofrequency ablation. ...Read more

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Nerve (Definition)

The brain and spinal cord communicates with what is occurring in the internal organs and limbs by nerve fibers where are like electrical wires with insulation (myelin) and the "copper" (axon). Within brain and spinal cord these nerves connect to other nerves via synapses on both axons and dendrites. A nerve can carry information regarding sensations, and ...Read more


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Can sympathetic nerve blocks cure crps?

Can sympathetic nerve blocks cure crps?

In short - yes: It is possible, especially when caught early, for sympathetic blocks to cure crps (or at-least put in remission). ...Read more

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Is a stellate ganglion block appropriate for postherpetic neuralgia along the trigeminal nerve.

Is a stellate ganglion block appropriate for  postherpetic neuralgia along the trigeminal nerve.

Yes indicated: Herpes zoster ' shingles' after blisters healed in some will have severe disabling pains will lost for months and months which most likely you have involving one of the trigeminal nerve branch, the virus stays in nerve root for ever. Image guided cervicothoracic sym. Ganglion block along with t.N block most likely will help your pain , is relatively low risk procedure in trained hands. ...Read more

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Broad based disc protrusion at l4-l5 level compressing anterior thecal sac and bilateral travers nerve root and narrowing neural reces Need operation?

Broad based disc protrusion at l4-l5 level compressing anterior thecal sac and bilateral travers nerve root and narrowing neural reces
Need operation?

Prefer no surgery: Sounds like a fairly large disc protrusion, but if no progressive muscle weakness, atrophy or bladder involvement, might be able to get conservative PT, stretching, exercise, acupuncture, and try to allow disc to desiccate and shrink, which it may well do over 8-9 months. Key issue is presence or absence of neurological involvement. Steroids may help. ...Read more

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Hi,,impressions show compression of L5 nerve root spinalcanal narrowing bilateral neural foraminal narrowing at L4 l5.diffuse posterior disc bulge at?

Sounds like a fairly: Typical read for a male over 50 years old. Many findings are normal for age and sex as described here. They may not be related to symptoms or may cause symptoms. That is why a careful history and physical exam must be done in conjunction with imaging studies to fully assess the issues presented by the patient. ...Read more

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Following a bilateral L5 nerve root decompression with erythematous and compressed nerve roots, how common is nerve enhancement as a temp condition?

Following a bilateral L5 nerve root decompression  with erythematous and compressed nerve roots, how common is nerve enhancement as a temp condition?

Post laminectomy: If by nerve enhancement you mean nerve related symptoms, they may linger on due to post operative inflammation for 4-6 weeks, but should be much milder andimproving. If symptoms are worsening or staying the same, see your neurosurgeon. Some people suffer from chronic prolonged symptoms from post laminectomy syndrome that requires further treatments. ...Read more

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Fluoroscopic guided nerve root block, what is this?

Fluoroscopic guided nerve root block, what is this?

Fluoroscopy i: It's a continuous xray called fluoroscopy that helps guide a needle to your nerve roots to inject a local anesthetic or other agent to temporarily or permanently block them. ...Read more

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What's a lumbar sympathetic block procedure?

What's a lumbar sympathetic block procedure?

Local anesthesia: This is a block in which a local anesthesia is injected into the lumbar plexus of nerves to alleviate the symptoms of nerve irritation. ...Read more

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Dr. Eli Loch Dr. Loch
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Is the lumbar sympathetic block painful without sedation?

Dr. Eli Loch Dr. Loch
1 doctor agreed:

Possibly: An lsb is usually done with skin local anesthesia first. This will cut down on the discomfort but once they get to the deep muscles it may get uncomfortable. That being said, people do it without sedation all the time and do just fine . Hope this helps! ...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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Can a spinal cord stimulator cause pinched nerve ?

Can a spinal cord stimulator cause pinched nerve ?

If: Placed correctly should help with pinched nerve, sometimes they migrate (leads) go have them checked. ...Read more

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Could advanced cervical spinal stenosis cause vagus nerve damage?

Could advanced cervical spinal stenosis cause vagus nerve damage?

Vagus nerve / spine: Spinal stenosis should not affect the vagus nerve. The vagus nerve is safely outside of the spinal canal. In spinal stenosis, it is the spinal canal that becomes narrowed. ...Read more

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What is denervation of C6 nerve root innervated muscles?

What is denervation of C6 nerve root innervated muscles?

Anatomy: C-6 provides innervation in part to biceps, brachioradialis, wrist flexors, especially flexor carpi ulnas, and radials, Presence of faulty C-6 function could decrease biceps and brachioradialis reflexes in afflicted arm. ...Read more

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Femoral block complications. Can masses around the femoral nerve and femoral artery complicate femoral nerve blocks?

Femoral block complications.  Can masses around the femoral nerve 
and femoral artery complicate femoral 
nerve blocks?

Possibly: It can make performance of the block more difficult, ultrasound can help determine anatomy and if it is even possible to place the block. ...Read more

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Can you please tell me about a nerve root block?

Treating pain: Nerve root blocks are used by a trained pain specialist (anesthesiologist). Local anesthetic is injected in an attempt to help with the painful nerve root syndrome. It is used to relive your nerve root pain. ...Read more

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Fluoroscopic guided nerve root block, what is this?

Fluoroscopy i: It's a continuous xray called fluoroscopy that helps guide a needle to your nerve roots to inject a local anesthetic or other agent to temporarily or permanently block them. ...Read more

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I had a fluoroscopic nerve root block and it appears to have worsened my condition, why?

I had a fluoroscopic nerve root block and it appears to have worsened my condition, why?

Injection: Itself can stir things up. Cause more irritation of the nerve root. The steroid injected which is an anti-inflammatory agent) is suppose to kick in and calm the irritated root but that does not always happen. Possible that the cause of the pain is more than just inflamed nerve root. ...Read more

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Dear sir, the patient feels hnp can travel a long distance ( about 800 km ) by bus after taking the nerve root block injection 1 month ago?

Dear sir, 
          the patient feels hnp can travel  a long distance ( about 800 km ) by bus after taking the nerve root block injection 1 month ago?

OK, but walk.: This shouldn't be a major concern. However i would instruct the patient to make sure they are regularly getting up and walking up and down the isle every now and again every 2 hours or so. A walk to the front of the bus then to the back and perhaps stay standing at their chair for a few minutes before sitting down. ...Read more

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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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I had a bilateral nerve root block on 29th june I am still in some pain. I still have some numbness at times in my foot is thisnormal?

Yes: The numbness should resolved at the foot. If pain continues, return to your doctor. May need a repeat injection. Did you have a MRI of your back? ...Read more

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Did bilateral transforaminal nerve root block on Wed for L4 L5, L5 S1. What’s the component of the injection? When can I work out again & have sex?

Did bilateral transforaminal nerve root block on Wed for L4 L5, L5 S1. What’s the component of the injection? When can I work out again & have sex?

Steroid injection: It's likely the components of the injection were a local anesthetic and steroid. The local anesthetic lasting a few hours and the steroid meant to last longer (days to weeks). Normal activity can be resumed the next day. ...Read more

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Would a spinal tap feel like a nerve root block, facet joint injections or more uncomfortable?

Would a spinal tap feel like a nerve root block, facet joint injections or more uncomfortable?

Discomfort with LP : Depends on lots of things ( mostly technique I have found ) Often patients ask if it will hurt as I am finishing the procedure !! ( they felt absolutely no pain at all ) ...Read more

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Scrotal trauma led 2 groin pain since 4 mnths.Pain mangmnt.Doc says pulled genitofmoral nerve, asks 2 do nerve root block at spinal cord.Complications?

Scrotal trauma led 2 groin pain since 4 mnths.Pain mangmnt.Doc says pulled genitofmoral nerve, asks 2 do nerve root block at spinal cord.Complications?

Groin pain: Nerve root block is a good choice to stop the pain pattern. However, just trauma induced nerve pull is hard to explain your long time symptoms. You have not told what medication(s) you are taking. If you are taking short acting narcotics, such as lortab, oxycodon for prolonged time, more than 1 week, you may become sensitive to pain sensation, nor narcotic induced pain. Acupuncture might help. ...Read more

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Lumbar nerve root irritation and eds type 3... 5 months later still in pain and using crutches. Will i ever recover?

Lumbar nerve root irritation and eds type 3... 5 months later still in pain and using crutches. Will i ever recover?

Discuss with: Your orthopedic doctor who has been treating you and knows your history. If you have not seen a back orthopedic doctor you nee to see one. ...Read more

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I was diagnosed with Nerve root disorder, Lumbar radiculopathy, chronic, and my pain management said surgery is not needed and nothing more he can do.

Second Opinion: Your pain doctor may know much about your problem, but is not a surgeon. A surgeon has different experiences and training, and may have better insight for advanced treatments for which the pain doctor has no first hand experience. I would absolutely see a surgeon for at least an opinion. Surgery is not always the best treatment, but if it is a viable option it should be offered. ...Read more

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Mild degen changes throughout lumbar spine with prominent disc space narrowing at l2/3, no sig central stenosis or direct nerve root contact. Pls help?

Prevent DDD: Don't smoke! that is about all that is in your control. The rest is genetic predisposition, and potentially overuse (heavy labor, vibration/heavy equipment, etc.). Remember, ddd is like wrinkles of the skin. It happens! doesn't imply pain. Nothing sold over the counter has been conclusively shown to be preventative. Keep the core muscles in good shape, use good posture and ergonomics at work. ...Read more

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Can a left retroverted hip and a right anteverted hip cause right lumbar back pain and nerve root irritation?

Hip version: Indirectly, yes, especially if you already have preexisting bulging discs or some form of impingement. You may get referred nerve root pain. ...Read more

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I was diagnosis w/ lumbar spondylolysis, bilateral nerve root impingement and radiculitis w/ L5 being slipped forward. Surgery or long-term pain management?

Surgery: Sometimes it solves with pain control, pain procedures (epidurals w/local anesthetic and steroids). After reducing the inflammation the disk if it is intact could slip backwards in place. The spondilosis is a chronic condition similar to the osteoarthritis that can not be cured like the disk herniation.I think you meant spondylolisthesis. Surgery can be efficient but also can have complications. ...Read more

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Can a person loose muscle mass in the leg from having a compressed nerve in the lumbar spine right at the nerve root and if so is the reversible ?

Yes: Chronic sciatica can cause not only numbess but also weakness and with time atrophy. Unfortunately, sometimes even with surgery to decompress the nerve, the weakness and atrophy may still persist. These type of findings may be a good indication for surgery. ...Read more

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Treatments options for l5/s1 disc extrusion that effaces the s1 nerve root along with mild anterposterial congenital spinal stenosis of the lumbar spi?

Treatments options for l5/s1 disc extrusion that effaces the s1 nerve root along with mild anterposterial congenital spinal stenosis of the lumbar spi?

You're the patient..: ...not the MRI. You didn't just wander into an MRI facility one day & make an impulse purchase. You saw a doctor with symptoms & signs and that's why an MRI was done. You need to repost with WHY you got the MRI. ...Read more

Dr. Djamchid Lotfi
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Lumbar (Definition)

Refers to something related to the area about the lower part of the ...Read more