Who does lumbar sympathetic block?

See below. Lumbar sympathetic blocks are usually performed by a pain medicine physician trained in interventional procedures.
Sympathetic block. A lumbar sympathetic block is an injection of local anesthetic around the sympathetic nerves. This injection is usually done under fluoroscopic guidance by pain specialist.
Nerves near spine. A lumbar sympathetic block involves injection of local anesthetic onto the sympathetic nerves that rest on the front of the lumbar vertebral bodies. The local anesthetic should disrupt sympathetically-mediated pain pathways traveling from the lower extremity to the spinal cord.

Related Questions

What's a lumbar sympathetic block procedure?

Local anesthesia. This is a block in which a local anesthesia is injected into the lumbar plexus of nerves to alleviate the symptoms of nerve irritation. Read more...
Injection procedure. A lumbar sympathetic block is a quick, outpatient procedure used primarily to diagnose and treat sympathetically-mediated pain the lower extremities. It is typically performed under live fluoroscopic imaging to help guide needle placement. Patients can expect to have a warmth sensation in their leg after the procedure and hopefully relief from their presumed pain. Read more...
Sympathetic block. A lumbar sympathetic block is an injection of local anesthetic around the sympathetic nerves. These sympathetic nerves are a part of the sympathetic nervous system. The nerves are located on the either side of spine, in the lower back. Read more...

How common is it for someone to need a lumbar sympathetic block?

Not very, may need.. The sympathetic nerves coming out of the lower spine, lumbar, send pain impulses down the legs when overstimulated in problems like herniated lumbar discs, severe degenerative arthritis, tumors pressing on lower spinal cord... If pain or arthritic meds, electrical stimulation devices (implantable), epidural injections, morphine pumps all don't control pain, may need to destroy pain nerves to legs. Read more...
Not very. A lumbar sympathetic block is used to diagnose and treat sympathetically-mediated lower extremity pain. This condition occurs relatively infrequently but can be devastating if it's not caught early. If your physician suspects that their may be a sympathetic component to your pain symptoms, a lumbar sympathetic block would help make the diagnosis and hopefully provide some relief. Read more...

Is an IV necessary for safety during a lumbar sympathetic block?

Yes. IV during invasive procedures is necessary for administration of sedation if needed, or in case of blood pressure changes, administration of fluids or medications. Thanks for trusting HealthTap! Read more...

What is the definition or description of: lumbar sympathetic block?

See below. A lumbar sympathetic block is an injection of local anesthetic into or around the sympathetic nerves. These sympathetic nerves are a part of the sympathetic nervous system. The nerves are located on the either side of spine, in the lower back. Normally these nerves control basic functions like regulating blood flow. In certain conditions, these sympathetic nerves can carry pain information. Read more...
Sympathetic block. A lumbar sympathetic block is an injection of local anesthetic around the sympathetic nerves. These sympathetic nerves are a part of the sympathetic nervous system. The nerves are located on the either side of spine, in the lower back. Read more...

How long on average does the first lumbar sympathetic block provide relief?

It varies. The block may be ineffective. If effective, the duration of relief can be short-lived or prolonged but usually the former. Repeat blocks are not uncommonly required. Read more...
Difficult to say. You can get anywhere from hours to weeks with your first block. I like to see some response. After that I repeat them as needed - as long as I see increasing benefit between injections. Read more...
Epidural steroids. Normally the effects are seen within 24-48 hours but can take as long as 1 week. It depends on several factors such as the amount of inflammation, the cause for your never root pain, degree of disc herniation, continuation of activities that may cause the disc to flare up etc. If it does not give you much relief after the initial 2 days, the problem may be whether the drug went to the right place! Read more...

Is it not worth repeating the lumbar sympathetic block if it only helped for 24hours?

Depends. It depends on what the expectations were with the administration of the block. Suggest you discuss this with your physician who was involved in recommending this procedure and/or the treating physician, if different. Read more...

How long should the first lumbar sympathetic block provide me relief to consider getting a second?

Variable. Sympathetic block gives variable amount of relief. For sympathetic mediated pain i've seen relief in my patients for a month. For blood flow problems, the relief can be very short lived. The sympathetic blocks may be a test to see if pain is sympathetic mediated and there be other ways to get relief. Talk to your doctor about it. goodluck. Read more...

I was wondering if a lumbar sympathetic block would hurt more on a larger person or a leaner fit person?

Same. THe only diference being the larger person will have difficult landmarks and require the injector to be inserted through a larger longer tissue area. Read more...
No. It shouldn't if done by a skillful practitioner. Landmarks can be a little more challenging to find. Read more...