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Old 01-09-2007, 03:51 PM   #1
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KenFL HB User
Nerve Block for spinal stenosis?

My 85 y/o mother has undergone 3 epidural treatments within the last 3 months for "very severe" spinal stenosis, the last one being a week ago. with each injection providing some relief for a few days. She also has a herniated disk and a bulging disk. The pain specialist is now suggesting trying a nerve block. He told her there's less risk with the nerve block because they don't go into the spine, which makes me wonder why the less risky approach was not tried first.

Has anyone had any experience with this procedure? If so, is it or can it be any more effective than epidurals?

Thanks in advance for any comments.

K.

 
Old 01-09-2007, 05:49 PM   #2
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Re: Nerve Block for spinal stenosis?

I too have spinal stenosis, already have a fusion from 1982 and am awaiting a 2nd fusion for the next level up.

I have had spinal epidurals in the past that caused me more pain than I started with.

Recently, I had a selective nerve block with steroid injection on Dec 16th. I had it done in the OR and was slightly sedated. My surgeon injected the suspected disc to determine if it was the disc causing the problem for diagnostic purposes. I obtained immediately relief which unfortunately was short lasted I had approximately 36 hours of absolute 100% pain relief. It was the most pain free moments I have had in 3 years!! Because of the positive results although short lived, my surgeon feels confident we now know which disc is the culprit and that a fusion will resolve my problems.

Hope this helps and good luck.

 
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Old 01-09-2007, 05:49 PM   #3
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Re: Nerve Block for spinal stenosis?

Sorry for the double post.

Last edited by ms_west; 01-09-2007 at 06:02 PM.

 
Old 01-09-2007, 06:13 PM   #4
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Re: Nerve Block for spinal stenosis?

If I were you, I would take my mother to get a second opinion about what needs to be done. It is true that a nerve block might be helpful for stenosis (I have it at 4 levels) but no one has suggested it for me. No one should have more than 3 steroid injections in one (1) years time....it can cause bone loss and other problems. With your mothers age, I would think the dr. would be especially cautious about that. Has she ever been tested for ostoporosis? If not, she should be as soon as possible.

Rather than a pain management specialist, I think she needs either a neurosurgeon or an orthopedic spine specialist with a fellowship (an extra year of intense training on the spine only). Is she in general good health? There are so many things that go into making these decisions that I am uncomfortable about advising her to do it or not to do it. I, too, question why he didn't do this first. If you do decide to allow it, make sure he does a "test" first by injecting only local numbing medication. If that helps her pain, then he would do the actual injection. Be sure he is using fluoroscopy (like an x-ray) or don't allow him to do it at all.

You are probably more confused than ever, and I'm sorry, but gosh there is so much information to share. I hope, no matter what she does, that your mom fares well.

Carol
__________________
2 lami's, 3 fusions
bone spur removal
cerv. fusion, 1 level
morphine pump

 
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