Doctor insights on:
Ultrasound Guided Suprascapular Nerve Block
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
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
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
Had many ultrasound guided nerve blocks injected into inner ankle today. No numbness. In past, no numbness from femoral nerve block or epidural. Why?
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)?
Will lumbosacral plexus mr neurography provide data to diagnose nerve damage caused by: intradural lesion at l4, 1.5 CM tarlov cyst at s-2, and damage from mini-arc bladder sling and partial removal?
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
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
Is cervical interlaminar epidural block always better than cervical facet block? If interlaminar was no help, can facet joint block be helpful?
Broad based disc protrusion at l4-l5 level compressing anterior thecal sac and bilateral travers nerve root and narrowing neural reces
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 moreSee 1 more doctor answer
Abd pain of unknown origin. Angiography showed median arcuate ligament syndrome. MD recommended celiac plexus block as next step.Might this help?
Best diagnostic imaging (x-ray, ct, mri, etc.) for snapping scapula syndrome or inflammation of the scapulothoracic region?
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
Pain Management: Is an epidural injection in the lumbar spine the same thing as a nerve block? Nerve block different than a denervation?
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 moreSee 1 more doctor answer
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
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
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