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Old 04-28-2009, 09:50 AM   #1
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Should I get a nerve block if my pain is minimal

I injured my knee (hitting a telephone pole) and my leg right above my ankle being sliced a bit deep by my pedal) within 2 days of each other. Both were bicycle accidents. This occurred about 8 weeks ago. About 3-4 weeks later I was diagnosed w crps/rsd I have minimal pain, but this may be due to the fact I was already on 180mg cymbalta. It may be helping a lot and making the pain largely be depressed and absent at times. I have stiffness in knee and ankle/foot and ankle/foot feels cold. I had purple coloring on ankle/foot after the accidents but it has vanished.
My question is in addition to PT, which I started, should I get a nerve block? I realize these are done to help w pain but also read that these are done in the beginning to help ward of rsd or its bad effects.

 
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Old 04-28-2009, 10:22 AM   #2
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Re: Should I get a nerve block if my pain is minimal

Also, I dont know if this is relevant to my question, specifically the absence of a lot of pain but I have some peripheral neuropathy from a medicine I took years ago (Flagyl).

 
Old 04-28-2009, 05:07 PM   #3
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Re: Should I get a nerve block if my pain is minimal

This is a hard question. Unfortunately only you can make that decision. I was frustrated in the beginning because Dr's don't know what you are talking about or know less than you do and you don't know which way to turn. It also depends what kind of block. Sympathetic etc. That one is mainly for diagnostic. I had 2 sympathetic. 1st one helped, 2nd one not too much. If you are not in much pain then you need to weigh this out. I was told by someone with 20yrs experience with this illness that Blocks/Physio + proper pain medication are the keys to success. You are very lucky like me to have been diagnosed so quickly. Treat this agressively, LEARN as much as you can about this because let me tell you that the medical community does not know enough to help you. You have to take care of yourself. My sympathetic blocks ended up giving me pain in my hip and the epidurals have shifted some vertebrae's. I am fine. Blocks are important and need to be done so not to scare you, but just share some info with you. We have the best chance of remission, but I am 16 months in and MUCH better but I wouldn't claim remission.
Hope this helps you

 
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