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NERVE BLOCKS FOR PAIN MANAGEMENT

Often a group of nerves, called a plexus or ganglion, that causes pain to a specific organ or body region can be blocked with the injection of medication into a specific area of the body. The injection of this nerve-numbing substance is called a nerve block.

HOW ARE NERVE BLOCKS USED?

Different kinds of nerve blocks are used for different purposes.

  • Therapeutic nerve blocks are used to treat painful conditions. Such nerve blocks contain local anesthetic that can be used to control acute pain.

  • Diagnostic nerve blocks are used to determine sources of pain. These blocks typically contain an anesthetic with a known duration of relief.

  • Prognostic nerve blocks predict the outcomes of given treatments. For example, a nerve block may be performed to determine if more permanent treatments (such as surgery) to block the activity of a nerve would be successful in treating pain.

  • Preemptive nerve blocks are meant to prevent subsequent pain from a procedure that can cause problems including phantom limb pain.

Nerve blocks can be used, in some cases, to avoid surgery.

TYPES OF NERVE BLOCKS

Various areas of the body affected by pain require different nerve block types. Below are a few of the available nerve blocks, followed in parentheses by parts of the body for which they are often used.

  • Trigeminal nerve blocks (face)
  • Ophthalmic nerve block (eyelids and scalp)
  • Supraorbital nerve block (forehead)
  • Maxillary nerve block (upper jaw)
  • Occipital nerve block (head)
  • Cervical epidural, thoracic epidural, and lumbar epidural block (neck and back)
  • Cervical plexus block and cervical paravertebral block (shoulder and upper neck)
  • Brachial plexus block, elbow block, and wrist block (shoulder/arm/hand, elbow, and wrist)
  • Sciatic nerve block (back)
  • Ilioinguinal nerve block (groin)
  • Intercostal nerve block (ribs)

OTHER NERVE BLOCKS

Other types of nerve blocks include:

  • Sympathetic nerve block: A sympathetic nerve block is one that is performed to determine if there is damage to the sympathetic nerve chain, a network of nerves extending the length of the spine. These nerves control some of the involuntary functions of the body, such as the opening and narrowing of blood vessels.

  • Stellate ganglion block: This is a type of sympathetic nerve block performed to determine if there is damage to the sympathetic nerve chain supplying the head, neck, chest or arms and if it is the source of pain in those areas. Although used mainly as a diagnostic nerve block, the stellate ganglion block may provide pain relief in excess of the duration of the anesthetic.

  • Facet joint block: Also known as a zygapophysial joint block, the facet joint block is performed to determine whether a facet joint is a source of pain. Facet joints are located on the back of the spine, where one vertebra slightly overlaps another. These joints guide and restrict the spine's movement.

SIDE EFFECTS OF NERVE BLOCKS

In some cases nerve blocks may cause:

  • Elevated blood sugar level
  • Rash
  • Itching
  • Elevated blood pressure
  • Extra energy
  • Soreness at the site of injection
  • Bleeding
  • Infection

Although many kinds of nerve blocks exist, this treatment cannot always be used. If your pain is not localized in a single or small group of nerves, nerve blocks may not be right for you. Your doctor will advise you as to whether this treatment is appropriate.


    AFFILIATED NEUROLOGY CENTER
    25982 Pala, Suite 150
    Mission Viejo, CA 92691
    Tel: (949) 586-5500
 

   
   
   
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