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    Old 09-18-2009, 10:17 AM   #1
    spasmedout
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    Can a nerve block wear off?

    Hi I'm trying to find out if a nerve block can wear off? I had one last Oct or Nov of 2008 for the pain and numbness in my left leg. (Doctor said my sciatica was hitting some part of my spine) Since July, I now have the same pain, numbness and tingling in my right leg down to my foot and sometimes my big toe. I just had X-Rays done and it states L5 Spondylolysis with Grade 1 anterolisthesis. Moderate L4-5 and L5-S1 disc space loss. Does anyone know? Thanks.

     
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    Old 09-18-2009, 10:26 PM   #2
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    Re: Can a nerve block wear off?

    Yes they wear off. Most people get injections a few times a year.

    I have a central herniation in the same place L5/S1 and it causes pain down both legs. In my case the disc has blown out and presses on the nerve roots causing pain down both legs all the way to my toes. When they give me my epidurals I get one on the right side and one on the left on the same day.

    Your problem is a defect in the pars interarticularis portion of the vertebra. Sometimes herditary, sometimes from youth from playing sports and/or as adult when you get a stress fracture in that part of the vertebrae. In anterolisthesis, the upper vertebral body is positioned abnormally compared to the vertebral body below it. The upper vertebral body slips forward on the one below. Yours is mild (20%) - the grading goes up to 4 (100%)
    Looks like when it moves slightly it is pressing on your nerve roots causing you the same pain I have from the nerve roots. The movement might have been enough to press on the other side.

    On mild forms they do usually try to treat conservatively.

     
    Old 09-19-2009, 06:03 AM   #3
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    Re: Can a nerve block wear off?

    Wow. Thank you so much! It certainly feels like it has worn off and is in the other (right) leg and foot. I'm going out of mind trying to figure out if this is possible and if so why. The pain is so intolerable sometimes. I've asked my doctor about it and she says it rarely happens. Sometimes I'm not sure if she believes me or is she is stumped. I have pelvic pain and a lump on the upper right backside of hip as well. When I rub it, sometimes, I can feel the pain and numbness shooting down my leg and foot. I have to work and support my daughter. Not only do I feel like i'm going out of mind, I'm getting angry about the whole situation. I just don't know what to do. Thanks again. If you have anymore information and/or guidance, PLEASE let me know.

     
    Old 09-19-2009, 07:33 AM   #4
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    Re: Can a nerve block wear off?

    Quote:
    Originally Posted by spasmedout View Post
    Wow. Thank you so much! It certainly feels like it has worn off and is in the other (right) leg and foot. I'm going out of mind trying to figure out if this is possible and if so why. The pain is so intolerable sometimes. I've asked my doctor about it and she says it rarely happens. Sometimes I'm not sure if she believes me or is she is stumped. I have pelvic pain and a lump on the upper right backside of hip as well. When I rub it, sometimes, I can feel the pain and numbness shooting down my leg and foot. I have to work and support my daughter. Not only do I feel like i'm going out of mind, I'm getting angry about the whole situation. I just don't know what to do. Thanks again. If you have anymore information and/or guidance, PLEASE let me know.
    yes they wear off, sometimes within 2-3 months

     
    Old 09-19-2009, 09:45 AM   #5
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    Re: Can a nerve block wear off?

    But, how and why would it go into the other leg?

     
    Old 09-19-2009, 12:24 PM   #6
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    Re: Can a nerve block wear off?

    It is not as rare as the doctor says to have bi-lateral leg pain. Bi-Lateral problems usually come from disc bulges/herniations in the center of the canal pressing on both sides. Sometimes when you start a problem on one side it puts added pressure on the other side because you favor the hurt side, you get up and down in weird positions and cause problems on the other side.

    You have a slippage, or should I say movement in your vertebrae. That means it is slightly moving where it shouldn't go when you move. It is not a high grade slip, but from your symptoms I am thinking it adjusted a little and now your other side hurts. You need a referral to an orthopedic or neurologist for an assessment. If all you have seen if your primary care doctor it is time to go to a specialist. And you definitely need an MRI.

     
    Old 09-19-2009, 03:37 PM   #7
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    Re: Can a nerve block wear off?

    I'm seeing a pain management doctor. I will ask about the orthopedic or neurologist. I'm too sure how she will feel about that though. Sheesh, we just go back our annual city festival. What a nightmare! The pain was so bad I actuallly felt like I was going to pass out. It starts in the back and seems to radiate in my hip then travel down to my foot. They had a chiropractor booth there. I did make an appointment. Kind of nervous about it but at this point, I'm willing try!

    Thanks again neckpatient!




    Quote:
    Originally Posted by neckpatient View Post
    It is not as rare as the doctor says to have bi-lateral leg pain. Bi-Lateral problems usually come from disc bulges/herniations in the center of the canal pressing on both sides. Sometimes when you start a problem on one side it puts added pressure on the other side because you favor the hurt side, you get up and down in weird positions and cause problems on the other side.

    You have a slippage, or should I say movement in your vertebrae. That means it is slightly moving where it shouldn't go when you move. It is not a high grade slip, but from your symptoms I am thinking it adjusted a little and now your other side hurts. You need a referral to an orthopedic or neurologist for an assessment. If all you have seen if your primary care doctor it is time to go to a specialist. And you definitely need an MRI.

     
    Old 09-19-2009, 11:15 PM   #8
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    Re: Can a nerve block wear off?

    real quickly--like the other poster said-- usually u tend to over compensate the other leg and putting alot more pressure on it. or you got other things goin on.

     
    Old 09-20-2009, 03:03 AM   #9
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    Re: Can a nerve block wear off?

    Thanks broke. I'm sure something is going on. I'm up at 5:00 am and boy am I paying for that walking yesterday. My whole lower back is screaming at me! I've done some searches on Ortho's in my area and there doesn't see to be a whole lot.

     
    Old 09-24-2009, 04:21 AM   #10
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    Re: Can a nerve block wear off?

    Hi Everyone. Well, I went to the chiropractor last night. He seemed pretty positive that he could help with my lower back. He seemed pretty sure he could help with my neck. However, he did not think he could a whole lot with my T6 T7 fractures. He said that was a very hard place to treat. He gave me an 8 minute electron thing message. After seven minutes, one of the ladies came to check on me. I was in tears! My pelvis and hips hurts so bad from laying on my stomach. She put some foam blocks under me. That seemed to help. Unfortunately, I only had one minute left. I'm supposed to go back tonight to get results from the X-rays he took. I'm also supposed to go the Orthopedic this afternoon. I am so achy this morning. Not too sure if I should go back. Any suggestions? Thanks

     
    Old 09-24-2009, 10:06 PM   #11
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    Re: Can a nerve block wear off?

    Hi - chiro have a place and help lots of people. However, when one has serious issues going on in their back - I am not in favor of chiro. As you just said you actually hurt worse. Well, you have movement in your spine - if the chiro does adjustments and moves you "back" to where they think you should be it could actually be on a disk fragment or back on a nerve. I just am not in favor of adjustments. Treatment like heat/ice/estim are ok in my mind. I would not go back until the ortho clears you for chiro type treatment. Did the chiro see MRIs before they did this treatment? Xrays only show the bones.

     
    Old 09-27-2009, 02:37 PM   #12
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    Re: Can a nerve block wear off?

    Hi Sorry it's been a while since I've been back. No, the chiro did not see my x-rays. He did however take some. But, I did not go back to follow up. I went to the ortho doctor and he has ordred an MRI. He thinks I have pinched nerve and seemed to be a little surprised that i had nerve block done but not an MRI on my lower back. I go in to two weeks for the MRI. He also informed me that a lot my upper back and neck is muscle spasms. He said something to the effect that from my C1 down is compressed. This surprised me. I knew I had problems with C6 but nobody mentioned compression. When I told him about the feeling my back was caving in, he right away said I was having muscle spasms. They were so bad the past couple days. I go to my PM doctor tomorrow and I'm going to tell what he said and we'll see what happens I guess. I'll let you know!

     
    Old 09-29-2009, 06:57 AM   #13
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    Re: Can a nerve block wear off?

    I have to agree with neckpatient on this one. chiros can really help but when there are any hernitions or disk problems I think it could make matters worse & put you at risk. A chiro could be working on areas without a clue as to whats going on in there. Although nerve blocks & ESIs can be used as a diagnostic tool to help find the problem area.
    Chiros, orthos & so on ...see & treat different. I think chiros look at the spine as a whole where other specialists look at the injured or at risk areas. Ive found relief from chiros in the past but that was short lived & at the time I did not know of any injured areas. I feel the same about certain aspects of PT. Without knowing what condition the spine is in aggressive treatments should never be used. I dont doubt what he stated about the muscle spasms as I imagine most everyone who has any cervical or back problems suffer with mucsle spams.
    I would see what your doctors opinions are about the chiro before going back.
    As far as nerve blocks yes they wear off. I had 2 a couple months ago. I can feel the lower one already worn off. It was nice while it lasted. I will say this is the first set I ever had any relief from so thats something. Good luck, Sammy

     
    Old 10-01-2009, 02:34 PM   #14
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    Re: Can a nerve block wear off?

    Hi Everyone!

    Thanks for the respond Sammy.

    Well, yesterday I went to my PM under the impression that she was going to give me a nerve block for my right leg. I have been having the same pain that I had in my left leg since July. Although, I will admit that it has been a bit more excruciating. I was completely thrilled all day thinking that finally I would be pain free in my leg.

    When I got there, my PM informed me that she did not want to give me another block simply by going from the X-Ray. She wanted to wait until she got the results from the MRI that I will be getting next Monday. Now, keep in mind that when she gave me the nerve block last year in my left leg, there was no X-Ray or MRI. She went from a previous doctor report.

    She thought the pain was coming from my Sacroiliac Joint since I have a bump on my right side. She did give me two injections there. She also informed me that she would be dropping my insurance company because she has to fight to get her money.

    To my embarrassment, I had a complete breakdown. I cried like a baby. She finally asked me if I was alright. I told her no Iím not alright. Do you realize how long Iíve been going through this? I told her she has been the only one to give me some relief in years. Since July I havenít been able to hardly anything. I canít stand and was dishes, I canít go shopping, I canít even run a vacuum without this intolerable pain. (I actually get to where I feel like Iím going to pass out), tingling and numbness. The only thing I have been doing is working and coming home. And, Iím to the point that I donít even want to go to work.

    So, where do I go from here? My head is spinning. From the base of my neck to my bra strap, I have muscle spasms (told from three doctors). I have pulling sensations in my throat and in the back of my neck. I have pain in my thoracic area. I have pain in all of my lower back with tingling and numbness clear into my foot.

    Why was she so fast to give me a nerve block last year without any X-Rays or MRIís and she wonít now? The block actually worked last time.

    I am so frustrated and aggravated. Iíve been crying since yesterday. Iím so tired of this.

    Also, I took everyone's advice and have not been back to chiro. I too think it may be better to wait until the MRI. I certainly do not want any more damage or pain.

    Thanks for letting me ramble, cry and scream.

     
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