Doctor insights on:
Pain After Nerve Block Injections
Unlikely: This would not be common. The sciatic nerve is a very deep structure and injury from im injection would be difficult unless the patient is very thin. The location if im injection in the gluteus is often in the upper outer region well away from the nerve. ...Read more
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
Is steroid nerve block contradicted if sciatic nerve pain is caused by tumor compression? How long does the pain relief usually last?
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 moreSee 2 more doctor answers
Several days: Epidural steroid injections have used since the early 1950s to treat lower back & radicular pain. It is generally accepted that they provide short term relief of symptoms in at least 50% of cases, there is still no good studies to substantiate long term effect. There may several days of increased pain initially because of increase of pressure from the injected fluid or due to local irritation. ...Read moreSee 1 more doctor answer
Had many ultrasound guided nerve blocks injected into inner ankle today. No numbness. In past, no numbness from femoral nerve block or epidural. Why?
Yes, but rare: Serious nerve injury is rare, with significant permeant damage occurring in only 1/10,000 patients. However temporary numbness, pins and needles sensation, or less commonly motor weakness can occur in up to to 10 -15% of patients. In most cases the symptoms are mild and transient. ...Read more
Lordosis,herniations,stenosis at c6/c7. Nerve pain in arms. PT didnt help. Steroid injections only bilateral facet gave relief for 1 week. Prognosis?
If anterior horn spinal nerves are motor, then epidural steroid inj's can only relieve sensory symptoms being injected posteriorly?
Interesting Thought: The plan is for the epidural steroid injection that is done posteriorly (called interlaminar/translaminar epidural injection) to reach the anterior epidural space where both the motor and sensory nerves exit out. Below the level of L2, roughly the spinal cord ends and all nerves exiting from the spine have both sensory/motor components. ...Read moreSee 2 more doctor answers
No: It's not if the injection was in your low back. However, if the injection was in your neck then it could irritate the nerves exiting out of cervical spine going to the shoulder. It should pass as the steroid takes hold in a few days. If you are bothered, speak with your doctor regarding why your shoulder hurts. ...Read moreSee 3 more doctor answers
Great Question: Unfortunately, there is no good literature to give exact amount of time that a patient might expect to receive relief from any type of epidual steroid injection. Caudals are usually done for spinal stenosis or complex fused spines fo relief of pressure on nerve structures. No two spines are alike. They are like snow flakes and fingerprints and so different are patient responses. ...Read moreSee 3 more doctor answers
Yes and No: Osteoporosis after any sort of steroid exposure can occur. Usually this requires repeated chronic long term exposure after several years. Based on your age, unless you have previous exposure to oral steroids or have had significant exposure to epidural steroid injections i would not be too concerned yet. ...Read more
Normal: If it does not resolve in a week, call your doctor to see what options you may have regarding this increased pain. Although uncommon, it can happen and usually will go away on its own. ...Read more
What relief/treatment is there after severe nerve damage - resulted in constant excruciating anal nerve pain, pain block not helping, bladder affected?
Facet Joint Pain: Radiofrequency procedures work well if a previous facet injection or medial branch block was performed with greater than 75-80% relief that was obtained. This is used to determine pain from facet joints. As with anything there are failures, but quite low if the block worked well. Risks are the same as with any spine procedure, no different. Rare that you would be worse off afterwards. ...Read moreSee 3 more doctor answers
Cervical medial branch block with DEXA lidocaine gave me 1 day of neck pain relief.after 1day neck pain again.ok to Proceed to radiofreq ablation?
No way!: Be patient. Some times it takes a few weeks for DEXA to get effect. Ablation is a serious procedure with some side effects and no warranties. Rec. see your pain management specialist for medication adjustment (e.g. tramadol, relafen, (nabumetone) Lidocaine 20% patch, etc.) Also cognitive behavior therapy. East-West integration medicine. Take care. ...Read moreSee 1 more doctor answer
Sympathetic block: Having back soreness after a sympathetic injection is not unusual for the first couple of days if a posterior approach is used. Should not persist after that point. ...Read more
Steroid: Too much steroid can cause osteoporosis no matter where it is placed. Oral, IV or epidural steroid may increase chance of osteoporosis. The amount of steroid used in epidural injection for a herniated disk is less than the amount of steroid consumed as a Medrol (methylprednisolone) dose pack taken orally to treat the same symptoms. Generally, though, we do not recommend more than 3 steroid injections in 6 months. ...Read moreSee 2 more doctor answers
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