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  • lumbar nerve blocks

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    Old 03-29-2009, 07:48 PM   #1
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    lumbar nerve blocks

    Hi All;
    I would like to say that I had a great weekend.
    I went to a new PM last week and they looked at my pretty blue toes and said block, not ok let us try this or that they looked worried and....
    they were great they looked and did not touch without asking. When they did touch they were gentle. They even listed to what I was saying about the other areas of pain. The front people were also very nice. I will keep them, for now...
    My question is about the blocks. I have done my research about what they are suppose to do. but, I know we are all different, what do they feel like? what will I possibly feel or not feel....
    Thank you in advance
    pain free and a full nights sleep

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    Old 03-29-2009, 09:35 PM   #2
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    Re: lumbar nerve blocks

    Just wanted to say keep the people with the gentle hands, I went for a third consult last Thursday and I still hurt, they were mean.

    Now the blocks, I had two done and they weren't bad. I stayed awake for them as I have a terror of general anesthesia and why be put out if you don't have to, right? The needle going in felt like a little electric shock, I even asked what it was. There was a bit of pain involved after. It made the front of my hip on the side of the injection hurt, they blew that off so I don't know if it's normal or not. As you might have noticed from my posts I don't have the best of doctors. (The receptionist at work told me one of her friends has been having problems with the same place for years when I called in with a new re exam date and it made me so happy to know it's not just me)

    I've been told I have a high pain threshold, by the nice lady doing the EMG/NCV tests with her needles and zapper, so you might not want to believe me about the pain. LOL

    My foot warmed up almost immediately and I could move my ankle, but alas, it wore off after a day and a half, so they did another one. That one made more pain in my back than the one before and again, warm foot and movement and again wore off after a day and a half. They were supposed to call me about what to do next since they weren't lasting as long as he would like and didn't for a week or so, in which time I developed problems that I think is spread in my opposite sacroiliac joint so they haven't done anymore. In fact he's pretty much refusing to do much of anything right now other than refills since I say no, no, no to the stimulator until all other options are exhausted.

    I'd say go for it, there are risks, but I would have kept with the program and would still try more now if he were willing. I begged for a facet joint injection as a matter of fact and got a big fat NO! They say you need to do 8-10 to see if they really work, but totally up to you. My doctor sent me home to rest after the injection, the place I saw last week sends you for an hour of PT after, which I think is what should be done from what research I did on the blocks. Karen might know more here.

    If you do the first one and the pain isn't worth the relief, tell them and ask if there are other options. If they are good doctors, they should listen and look for something else for you. If you want to know more from me, just ask.


    Old 03-29-2009, 10:38 PM   #3
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    Re: lumbar nerve blocks

    The goal of the blocks is to interrupt the pain signals and hopefully stop the pain cycle with the injection of a combination of drugs to numb an arm or leg. It's the first thing to be done once you're diagnosed with rsd. A useful aspect of them is it telling the doc whether your pain is smp or sip. If you get pain relief from a block you have smp(sympatheticallly maintained pain). If you get no relief at all not even 5 minutes then your pain is sip(sympathetically independent pain). If it's sip then further blocks will do nothing for you. If you it helps, then getting more blocks should give you longer relief with each one. Or at least that's what it's supposed to do. If it's been too long by the time you get the 1st block, then you may not build up a longer relief time with each one.

    After a block, you might have some soreness where they did the block for a few days. Your skin should have a normal temp instead of feeling cold to the touch and should make your skin a normal color again. The temp and color usually last for a few hours even if it does nothing for the pain. That's what it did for me. Temp and color were normal for about 11-12 hours before it went back to rsd "normal". LOL It's like someone threw a switch. One second it was normal, the next second it was back to rsd beautiful! :-D

    You probably won't be able to feel your leg after a block or an arm, so it's a good idea to have someone stay with you until the feeling comes back. You can't drive yourself when getting a block. Someone has to bring you and take you home. It's a good idea to not do anything for the first 24 hours at the very least. It gives the block time to work. Some docs will put you out, like mine did, others don't or you have to ask to be put out for the block. Personally, I'd never have it done while awake. *shudders*

    That's all I can think of now. If you have any more questions we'll do our best to answer them!



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