Doctor insights on:
Saddle Block Vs Epidural
Depends on condition:
Epidural blocks are commonly used to treat back pain, to provide pain relief during childbirth. The medications are injected outside the sac containing nerves (thecal sac). Saddle block involves injection of medications into the sac, and is used to selectively numb the areas of skin that would touch a saddle if you were on one.
Ask your doctor about the reasons to consider one or the other. ...Read more
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
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
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
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
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
But they rarely happen.
Infection at site of needle puncture or tissues surrounding the spinal nerves (arachnoiditis).
Headache is there is spinal fluid leakage and this can be addressed.
Extremely rare is damage to nerves.
Sterile technique is important as well as an experienced and well trained anesthesiologist. ...Read more
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
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
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
Regional anesthesia: Regional: a general term for nerve blocks of the extremities head and torso. An epidural is a type of regional anesthesia that is used for numbing the lower body from the umbilicus down. A nerve block is a specific nerve (or nerves being numbed. An interscalene nerve block is used to numb one arm for example. But an ISB is a type of regional anesthesia. ...Read more
I've had paravertebral block t12, both d/t c-hnp. When can I get an epidural block? My doct is planning one. Can I get the epidural right after pvb?
Best to ask your: Doctor who did the paravertebral block, who knows your condition and chose this specific approach for a reason. ...Read more
In good hands: In the hands of a good anesthesiologist, they are very similar and one will not be any worse than the other. If you know you are having a c-section ahead of time, ask to talk to the anesthesiologist about your options and risk/benefit of different options before the scheduled surgery. ...Read more
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
Having a c section can't have an epidural or any thing that punctures the spin like a spinal block what is the next best pain med I can have?
Talk to your OB MD: Your present treating OB MD should mandatorily be consulted, and he/she can discuss all the options available to your specific medical condition as it exists. ...Read more
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
I have had nerve route block and an epidural. I have to have a lumbar puncture (to check for MS) is the pain approx the same for these procedures?
How do you know if you'll have a bad reaction to general anaesthetics? Had conscious sedation, epidural and 2 spinal blocks which seemed to last long no family history of bad reactions that I know of.
Unlikely!: Most common unpleasant side effect of general anesthesia (ga) is nausea; today we have good meds to minimize that. Severe or allergic reactions to drugs used in ga are very rare, and we are trained to recognize and treat them. There's no way to know in advance. But if no one in your family has had a problem, you probably won't. Talk to your physician anesthesiologist before surgery. Good luck! ...Read more
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
Please help! What is the difference between a facet block and an epidural injection for back pain relief?
Different: Facet joints are places on the spinal bones where two bones actually meet and articulate, therefore a facet joint injection is into that place where they meet. Many times arthritis or inflammation can arise here and cause pain. Epidural injections are into the spinal canal area or around the spinal nerve roots exiting the spine. ...Read more
Is cervical interlaminar epidural block always better than cervical facet block? If interlaminar was no help, can facet joint block be helpful?
Woke up one morning with terrible low back and right hip pain. Have had a facet block, tpi's and a lumbar epidural, no help. What is next?
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
Different procedures: Lumbar sympathetic blocks are a more common procedure to perform for CRPS. They help to temporarily silence the sympathetic nerves involved with the redness and swelling of CRPS. Caudal epidurals inject steroids around the nerves where they leave the spinal cord and are more often performed for spinal pain (arthritis and ruptured discs) than for CRPS. ...Read more