Doctor insights on:
Saddle Block Vs Epidural
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
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
Depends: The answers rests in what your body can handle. If your health and medications you are on permit, it is always better to use blocks and other non narcotic (morphine) options. Always follow the advice of your pain specialist. It can be hard to do because pills seem easier but pills can be dangerous in long run. ...Read more
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
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
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 moreSee 1 more doctor answer
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
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
Location...: Spinal anesthesia- local anesthesia is administered a a single shot in the subarachnoid space into the spinal fluid. It has rapid onset, provides profound surgical anesthesia and causes loss of muscle control below the blok level. Epidural- local anes is administered in the epidural space outside of the membrane which contains the spinal fluid through a catheter slower, but titrateable. ...Read moreSee 1 more doctor answer
Is cervical interlaminar epidural block always better than cervical facet block? If interlaminar was no help, can facet joint block be helpful?
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
MRI said: "Prominent epidural vessel traverses right posterolateral epidural space
from C3 to C6, & exits spinal canal through the right C6-7 neuroforamen". Is this serious? Risks? Means I have AVM?
Spinal AVM: Not certain. An MRI or MRA is a screening study. A spinal angiogram is a definitive imaging study for a spinal AVM or a dural fistula. Usually there is swelling or edema in the spinal cord too. See a neurosurgeon who specializes in cerebrovascular disease. ...Read moreSee 2 more doctor answers
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 moreSee 4 more doctor answers
No.: Sciatica is caused by a herniated disc that impinges in the nerve roots of the Lumbar Spine. Sciatica is a condition where the Sciatic nerve is irritated and the patient describes this pain which is constant and radiates from the lower back to the foot, the patient describes the pain as a pull or a burning sensation. Patient also might referred that when walking she might noticed the leg gives up ...Read moreSee 1 more doctor answer
Pain Management: Is an epidural injection in the lumbar spine the same thing as a nerve block? Nerve block different than a denervation?
Each title: Describes the differenceGet a more detailed answer ›
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 moreSee 1 more doctor answer
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
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