Doctor insights on:
What Is Paracervical Block
Numbing the nerves: The doctor puts his fingers in the vagina and guides the needle beside the cervix and injects loacl. It usually hurts very very little. The uterus gets numb and one can do iud, biopsy, scope, deliveries and stuff that does not hurt the top of the uterus. I.V sedation can usually be given if no baby. Complications can be severe like siezures if the local goes in a vein, injecting the baby is rare. ...Read more
Do I really need a paracervical block with a uterine ablation? I can't really afford it at this time.
In office?: If you're doing an endometrial ablation in the office setting then it is highly advised to have a paracervical block. This anesthesia should not cost much more. The high cost of the procedure is the ablation itself. If this is going through your insurance the anesthesia cost would be bundled into the overall payment anyway. ...Read more
May be painful...: If sudden blockage, usually by passing a kidney stone, usually there is flank or back pain, often excrutiating (sometimes said to be one of the worst of all kinds of pain). Gradual blockage usually causes no symptoms and the diagnosis is only made by imaging (CT scan, MRI, etc). What makes you worried about it? Discuss with your doctor. Happy new year. ...Read more
Diagnose back pain: The medial branches are small nerves that sense pain in the facet joints of your spine. If your doctor suspects that problems in your facet joints, such as arthritis, are contributing to your pain, diagnostic medial branch blocks may be performed to confirm the diagnosis. If two successive diagnostic medial branch blocks are considered positive, your pain doctor may recommend rfa. ...Read more
Milliseconds: When there is a delay in conduction between the atria and ventricles, av block is present. If the delay exceeds 200 milliseconds, 1st degree block is present. If delay progresses to intermittent interruption of conduction, 2nd degree block is present. If there is complete interruption, so the atrial and ventricle beat independently, 3rd degree block is present. ...Read more
Injection of local:
It is when local anesthesia is used to numb a nerve or group of nerves (plexus). It usually entails knocking out the motor component as well as sensory but some blocks can be performed so that only sensory is blocked.
Sedation is usually used and an ultrasound machine or stimulating needle to locate the proper site for injection. ...Read more
Nerve blocks: Phenol compounds are used to block nerves that may be diseased in such a way as to cause chronic, non-remitting painful conditions. Unlike a local anesthetic, which may allow temporary relief, phenol compounds act be destroying the nerve itself. They are typically used as a final resort. ...Read more
Regional Anesthesia: A Bier block is a regional anesthesia technique wherein local anesthesia is injected into a vein of the upper extremity after the blood in the arm has been drained using a large rubber tourniquet or esmarch. After the anesthetic is injected a cuff is inflated to keep the blood from returning to the arm during surgery. This type of technique is used in orthopedic procedures of hand and arm. ...Read more
Rare: Though the esi injections are quite safe in the general parlance, yet there always remain some adverse reactions of epidural steroid injections. Temporary pain may be felt by a patient administered with an esi injection. There may be risks of spinal punctures, infections, bleeding inside epidural area with damage to nerves, headaches, & retention of water in the body. ...Read more
Bacterial vaginosis?: Bad odor with sex isn't normal and can't be "blocked" except by treating the infection causing it -- usually bacterial vaginosis, overgrowth of mostly normal bacteria. BV odor often is "fishy" and strongest after sex. Treatment is available. Trichomonas also is possible, and other STDs (gonorrhea, chlamydia) are more common in women with BV. See your doctor ASAP for exam and treatment. Good luck! ...Read more
Depends: Nerve blocks are commonly performed for many types of pain. The specific details of the block depend on the nerve being injected. Usually local anesthetics and sometimes steroids and other medications may be injected. The injection is usually performed with some sort of imaging modality, either ultrasound or fluoroscopy. ...Read more
PHN: Typically nerve block are performed with local anesthetics and may have steroid added for anti-inflammatory effect. The duration of effect is extremely variable dependent on which condition the block is performed. Phn can be very difficult to treat but is amenable to many therapies which should be guided by a practitioner well versed in such conditions such as a pain specialist. ...Read more
See below: There are 3 fascicles or pathways for cardiac conduction in the heart: the right bundle branch, and the left bundle branch which is subdivided into anterior and posterior fascicles. When 2 of the 3 don't function, it is easily detected on ekg. This causes no symptoms and requires no treatment. Nonetheless it is abnormal and should prompt an evaluation of your general heart health. ...Read more
Multiple times: It can be done a number of times but often it becomes less effective if done very often. Some doctors limit patients to three to six per year. ...Read more
Which receptors?: All cells in body have a large number of different receptors. What receptor do you have in mind? ...Read more
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