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  • Nerve block to the heart?

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    Old 09-17-2010, 02:26 PM   #1
    89bindy
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    Nerve block to the heart?

    I was diagnosed with a heart condition in Sept 2008 - in early October 2008 they did a "simple" procedure to fix this problem - ever since the procedure i have been in excrutiating pain most days. The doctors are unsure how it's happened and what to do about it. They have referred me to a pain specialist who is going to try a few things out but i'm a bit concerned, i know that with chronic back pain etc that they can do nerve blocks and there quite successful but what about the heart? they can't exactly poke and prod needles in there. I was just wondering if anyone had any idea on what they can do to help my pain and if they can do anything.

    Thanks

     
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    Old 09-17-2010, 10:37 PM   #2
    Shoreline
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    Re: Nerve block to the heart?

    Hi Bindy, The normal treatment for angina, whih is basicaly chest pain is Long acting Nitro, It's also used to treat Gerds and reflux, Both the heart and stomache send pain signals up the vega nerve, I would presume like any nerve pain. It can be treated with the meds to treat any form or neuropothy. These are meds in the nati seizure class like gabbapentin, Neurontin, toppamax, etc. The pain pathway isn't the same pathway as motor function or organ function. Ive never heard of a vega nerve block being done, but it wouldn't stop the heart, just block the transmission up to the brain from those organs. So in theory It may be possible to do a block, However angina is also part of the warning system, If you blocked all sensation you would loose essential time to treat a problem with a drug like nitro or delays getting to an ER if you weren't aware of a change or increase in pain. You kind of need to know when your heart is palpatating or causing pain in order to seek treatment. Have you tried long acting nitro? Anti depressants can also help treat chronic pain so they are another class of medication that can be used. The downfall of using pain medication is they cause respirory supression, which means less oxygen getting to the heart which could certainly induce another heart attack and muscle death of the organ There are also alternative methods like relaxation and breathing techniques that can help with pain, self hypnsosis, guided imagry, bio feedback, acupuncture etc. So PM docs do have a lot more at their disposal than simply prescribing traditional narcotic pain medication.
    Good luck and yes, Their is a lot a PM doc can do or teach to help you cope with the residual pain. Take care, Dave

    Last edited by Shoreline; 09-17-2010 at 10:41 PM.

     
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