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.
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.
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.
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.See 2 more doctor answers
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.
Interchangeable: In my neck of the woods, these terms are used interchangeably. But with an epidural the tube is left in your back in case more medicine is needed, while with a block it is one shot in the back.
Many: 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.See 2 more doctor answers
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.
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.
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.See 4 more doctor answers
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.
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.
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.
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.See 1 more doctor answer
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 you specific to your medial condition as it exists.
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