Top
20
Doctor insights on: Ultrasound Guided Suprascapular Nerve Block

Share
1

1
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

Dr. Michael Gabor
2,282 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


2

2
Does a CT guided injection help posterolateral disc herniation?

Does a CT guided injection help posterolateral disc herniation?

Yes, very accurate: Ct guided procedure gives excellent "accuracy" in guiding the needle to the exact location to be injected. The process involves highly trained docs/technicians to get incredible pin-point accuracy. Best of luck if you are undergoing the procedure. ...Read more

3

3
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

See 2 more doctor answers
4

4
Had many ultrasound guided nerve blocks injected into inner ankle today. No numbness. In past, no numbness from femoral nerve block or epidural. Why?

Had many ultrasound guided nerve blocks injected into inner ankle today. No numbness. In past, no numbness from femoral nerve block or epidural. Why?

Not injected near: The nerve, or the solution used was either too dilute or not efficacious for a few reasons. Most local anesthetics always work in normal tissues when injected next to the nerve. ...Read more

See 1 more doctor answer
6

6
Common peroneal nerves, f-waves of CPN & PTN, H-reflex, SNAP of sural nerves and superficial peroneal nerves are not recordable.( report of NCV test)?

Common peroneal nerves, f-waves of CPN & PTN, H-reflex, SNAP of sural nerves and superficial peroneal nerves  are not recordable.( report of NCV test)?

NCV Test: A lot of times these NCV tests are inconclusive or need to be repeated. Do you have any symptoms like numbness or tingling? Any history of diabetes or peripheral neuropathy? These disorders may explain those findings. Nerve trauma can also be a possible etiology. ...Read more

8

8
Can magnetic resonance neurography detect injury/inflammation to the ilioinguinal nerve or the iliohypogastric nerve?If not, what can?

It may: Mr neurography has not been perfected, is only performed at a few specialized centers, and highly operator dependent. High resolution ultrasound may be more cost effective and provide the desired information. Regardless, injury to these nerves can be diagnosed on clinical grounds and imaging is rarely needed. Diagnostic nerve block with an anesthetic agent may help confirm the diagnosis. ...Read more

9

9
Is ilioinguinal nerve the same size as sciatic nerve?Saw mr neurography image of the sciatic nerve.Can ilioinguinal nerve appear that clearly on mrn?

Not likely: The sciatic nerve is anatomically larger than the ilioinguinal nerve. Mrn is not widely available. The ilioinguinal nerve is not as likely to be seen as clearly on mrn as the sciatic nerve. ...Read more

10

10
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

See 4 more doctor answers
11

11
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

See 1 more doctor answer
14

14
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?

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 more

See 1 more doctor answer
15

15
Can you have IV sedation w/ stellate ganglion nerve blocks?

Can you have IV sedation w/ stellate ganglion nerve blocks?

Up to you: and your doctor. Some doctors offer it, others do not. If you are worried you will move because you are anxious when the injection is happening, I would suggest you get sedation. This injection is one where being still is of utmost importance. ...Read more

See 1 more doctor answer
16

16
Can MRI distinguish between a cervical radiculopathy & a brachial plexus injury?

Can MRI distinguish between a cervical radiculopathy & a brachial plexus injury?

Yes: First MRI of c-spine to r/o disc disease. If brachial plexus injury a possibility an MRI of the brachial plexus can be obtained. ...Read more

See 1 more doctor answer
18

18
Could taking lyrica (pregabalin) affect the results of an mr neurography study? Brachial plexus neuropathy...

Could taking lyrica (pregabalin) affect the results of an mr neurography study? 
Brachial plexus neuropathy...

Good Question: This is a great question. I have not been able to find any research suggesting that Lyrica (pregabalin) could affect the results of an mr neurogram. Mr neurograms are relatively new, so i'm sure more information on this will become available soon. ...Read more

See 1 more doctor answer
19

19
Shldr labrum tear spinal stenosis c6-7, mri ekg ct epis.no relief. which causing gtr pain.pain shldr blade along spine left arm to ring finger achy?

Shldr labrum tear spinal stenosis c6-7, mri ekg ct epis.no relief. which causing gtr pain.pain shldr blade along spine left arm to ring finger achy?

Cervical nerve : this would suggest irritation of a cervical nerve perhaps C6 or C7. Your neurologic evaluation should help clarify that. Since you're still having pain I would agree you need to have this reevaluated. These kind of symptoms could be for other reasons. Location of the shoulder blade to suggest some other issues as well. Ask your physician to have you see a neurologist. ...Read more

20

20
Can ncv alone detect nerve damage in the brachial plexus ? Or emg is also required .?

Both. : While nerve conduction velocities can often diagnose and pinpoint a brachial plexus injury, adding an EMG will give you the best results in terms of obtaining a diagnosis and determining the best method of treatment. ...Read more

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


Dr. Louis Gallia
2 doctors shared insights

Nerve Block (Definition)

Just means injecting a nerve with a local anesthetic, like lidocaine, to temporarily cause the nerve to stop working. It's usually done in order to do a procedure painlessly, but can also be done as a therapeutic measure to rest ...Read more