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All Posts Tagged: intercostal nerve

2018-08-11 p

Relieving Chest Pain just got easier!

It gets hard to describe what to do when you feel pain or discomfort in the chest. Is it a heart attack or another, less serious problem? Since chest pain can be a sign of a heart attack, if the pain is due to heart disease, it is important to seek help and get treatment as quickly as possible.

One of the ways of treating chest pain is to undergo the Intercostal Nerve Block Treatment. Intercostal nerve blocks are popular with physicians treating chronic pain and inflammation in the abdomen or chest for a prolonged period of time. Patients with pain that is resistant to opioid treatments, or who wishes to avoid using them, often find intercostal nerve blocks are a practical and less risky pain management option. Surgeons may also use intercostal nerve blocks as part of analgesia during major thoracic or abdominal procedures.

An intercostal nerve block is an injection of medication that helps relieve pain in the chest area caused by a herpes zoster infection (or “shingles”) or a surgical incision. Intercostal nerves are located under each rib. When one of these nerves or the tissue around it gets irritated or inflamed, it can cause pain. A steroid medication and local anesthetic injected under the rib can help diminish the inflammation and ease the pain. Intercostal nerve blocks also can be used to help identify the source of pain.

Soon after the injection, you may notice that your pain may be gone or considerably less. You will be kept in the recovery room for a short period for observation. The risk of complication from an intercostal nerve block is very low. However, there could be bruising or soreness at the injection site. Very rarely, this injection can result in a complication called a pneumothorax (collapsed lung) so a chest x-ray may be obtained.

Some patients account for pain relief to take place immediately after the injection, but the pain may return a few hours later as the anesthetic wears off. Longer term relief usually begins in two to three days, once the steroid begins to work. The duration of this relief is different for each and every individual patient. For some, the relief lasts several months. If the treatment works for you, you can have periodic injections to stay pain-free.

An intercostal nerve block may be right for you if you have a recent onset of pain in the chest area especially due to shingles or a surgical incision which does not respond to other treatment. Talk to your physician about it. Give a call to Pain Management Institute at 815-464-7212 and schedule your evaluation with Dr. Zaki Anwar. He is very experienced in interventional treatments and a world renowned Pain Medicine Physician who has been practicing ways to cure pain leading to serious problems for the past several years After determining the cause of your pain, he may use a variety of treatments to provide you with pain relief.

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2018-04-27

Nerve pain? Experience an intercostal nerve block

An intercostal nerve block is a unique method to combat pain, persistent pain syndromes, either acute or chronic in the area of the chest. The procedure was first introduced by Heinrich Braun. Intercostal nerves lie below the lower margins of the ribs. Intercostal nerve blocks involves the injection of a local anesthetic, with or without a steroid in the area near to intercostal nerves. The procedure is a component of an integral method for the treatment and management of pain. Intercostal nerve blocks are sometimes the only prescribed treatment and blended with other treatments such as anti inflammatory medicines, chiropractic care, oral or intravenous Opioids, occupational therapy and antidepressants

Intercostal nerve blocks are often for treatment purpose, but it can be also used for diagnosis in some conditions. If pain is not reduced with injections an intercostal nerve might not be the root cause of the pain

If the pain is acute, an intercostal nerve may be the cause, with insufficient pain, recovery performed by the Co injected steroid. If the pain is alleviated for longer  periods such as hours, days and weeks an intercostal nerve is the root cause. If this is the situation repeat injections of the local anesthesia with or without a steroid

When should I avoid an intercostal nerve block?

Intercostal nerve blocks should not be taken by patients having any of the following symptoms

  • Allergy to any local anesthetic
  • Infections breakout whether bacterial or viral
  • Influenza A or B
  • Poorly controlled hypertension
  • Treatment with blood thinners
  • Poorly controlled diabetes

If you are taking any blood thinners, it is advised to stop taking the blood thinners at least a week before the  procedure

Risks and complications

An intercostal nerve block is a safe procedure, however, there are possibility of complications, which may include;

  • Bruising or soreness at injection site
  • Infection
  • Nerve damage
  • Collapsed lung
  • Bleeding
  • Systemic toxic reactions
  • Death (very rare)
  • Increased blood sugar levels

What conditions are treated with the intercostal nerve blocks?

There are several conditions that are treated from an intercostal nerve block which includes;

  • Post-traumatic pain from rib fracture, shingles (herpes zoster), or post herpetic neuralgia
  • Postoperative pain from chest wall surgeries or procedures
  • Chronic non-malignant pain
  • Pain from malignancies involving the chest wall

The above discussed conditions compresses the intercostal nerves and causes inflammation, which leads to pain in the chest wall

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2018-04-16

A twenty five year old talked about her painful journey to Intercostal Nerve Blocks

For the past few months I felt like someone has been piercing in my lower right rib. Or sometimes it felt like someone has just hit me in the ribs with a baseball bat. The pain often varies during the day in intensity. The recent diagnosis showed up nerve pain from post procedure scar tissue formation from my gall bladder surgery. During my surgery a few years ago I wasn’t even aware of the scar tissue formation as a possible side effect. During the whole day the pain makes me feel like being stabbed in the ribs with an imaginary knife

Last week I had a very slightly invasive procedure called an Intercostal Nerve Block performed by Dr Zaki Anwar, Founder of the Pain Management Institute Anesthesiologist and Pain Management Specialist, which is what I can say was the only hope for me. And to my expectation the pain relieved I had my mother and brother accompanied me an hour drive to The Pain Management Institute, Chicago, Frankfort as, at first the procedure seems like a bit frightening

Dr Zaki Anwar, MD told me in advance that I may be put to sleep, but when I reached there on the day of the procedure he only discussed my medical history and gave me some relaxants and local anesthetics

The procedure was split into a few steps

The very first I was given an IV sedation that helped me relax without putting me to sleep, I was directed to lay on my stomach on the examination table wearing a hospital gown. The my back and rib area was marked and I was told, I was about to be injected with local anesthesia. At first the injected anesthesia burned really bad, all in all the local anesthetics were three. And after a burning sensation I felt like my ribs and back has been numbed.

The most important part of the whole procedure was the intercostal nerve blocks, I was lying still stomach down as if I had moved there might be chances of needle damage my lungs, and Dr. Zaki Anwar, MD uses the X-ray guidance for the intercostal nerve blocks. When Dr. Zaki administered the injection I felt pressure as I was told before. During the whole procedure of performing Intercostal Nerve Blocks Dr. Zaki Anwar kept asking me if it hurts and I answered that I only felt pressure

After the intercostal nerve blocks I was under observation for half an hour, meanwhile the sedation wear off. Dr Zaki Anwar already told me for a couple of days the pain may increase, but soon after I will feel better

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Intercostal-nerve-block

Intercostal nerve block; what you need to know?

Ash Walsh concluded  at 3am this morning that pain from four fractured ribs was too much to race in this weekend’s Supercheap Auto Bathurst 1000

The 29-year-old had idea he’d fend off from the sports car crash with only bruising, but a CT scan yesterday unveiled four fractured ribs. “After a few laps in my friend’s car I thought  I’d be alright and I just woke up this morning a lot terrible,” Walsh explained.

“I hardly slept and at 3 am, I concluded, I can’t do this. It’s more terrible than ever, I was on pain killers and it wasn’t easing. I have been taking plenty of rest from the last weeks, but getting up and doing routinely activities or driving and then rest making it extremely uncomfortable” thanks to Dr. Zaki Anwer, MD, at The Pain Management Institute who introduced intercostal nerve block and helped me get back to competition.

Some of the most recurring complaints from patients visiting emergency rooms all over the United States with chest and abdominal pain

An intercostal nerve block is an injection of medication that assists in relieving chest pain caused by rib fracture resulting from sudden injuries, tragic accidents and shingles. The intercostal nerves are found under each rib, when any of the nerves or tissues encircling get damaged or inflamed, it causes severe pain.

A steroid medication and local anesthetic injected under the rib can help you ease inflammation and eliminate pain explains Dr. Zaki Anwer, MD

Intercostal nerve blocks can also be practiced to help diagnose the source of pain”. Dr. Zaki Anwer, MD

How is an intercostal nerve block done?

Dr. Zaki Anwer, MD, explains the intercostal nerve block procedure At Pain Management Institute.

My patient’s comfort is my primary concern, I will give an Intravenous medication to relax, then you’ll lie on your side, the one not causing pain. I will use an antiseptic solution to clean an area of the skin where the injection will be given.

I will then insert a thin needle under your rib to inject anesthesia. An X-ray guidance will be used to insert a second needle and inject steroid pain medication. Typically the procedure takes less than half an hour and you can go home the same day

Talking about the post procedure outcomes and pain reduction after the injection Dr. Zaki Anwer, MD, elucidates, some patients experience pain relief immediately after the injections, but the pain may return a few hours later as the anesthesia fades.

Lasting relief typically begins in two to three days, once the steroid taking action. The pain relief may be different for every patient, for some patients it may last months, if the treatment works for you I recommend, you can have intercostal nerve block injections from certain intervals to stay pain free

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Intercostal nerve block and your rib pain

Overview

An intercostal nerve block is a medical procedure followed  by injections given with a small amount of local anesthetic in the intercostal  nerves to relieve severe pain arising from rib fractures, nerve damage, injuries to the chest wall, postoperative pain along the rib nerves, and shingles

The intercostal nerves are placed under each rib, the pain arises when one of these nerves gets inflamed or irritated. The steroid medications and local anesthetic intercostal nerve blocks  can help reduce pain and inflammation

The procedure

The procedure is done with  the patient lying face down with the arms stretched upwards, if convenient. The blood pressure and the oxygen level are constantly observed, the physician will ask questions to make sure if the patient is not feeling any discomfort during the whole procedure. The area to be treated around the ribs is cleaned with an antiseptic solution, a  very small, thin and lightly blunt needle is attentively placed under the rib and a different colored substance is injected to the intercostal nerves, the injections are guided by X-ray

The intercostal nerve block injections are a blend, of local anesthetic and steroids, the injections only take a  few minutes, however, the whole procedure takes about an hour to complete. The intercostal nerve blocks feels like a little pinching and stinging effect soon after the skin in numbed the feeling fades, the injection needle exerts a little pressure at the site of injection

What to expect after the intercostal nerve block injections?

Soon after the intercostal nerve block the patient will experience a potential reduction in pain, the patient will be kept in observation for a short period. The physician might advise to take rest for a few days, however, the patient can carry with light activities. The intercostal nerve block will provide relief for the period of effectiveness of the local anesthetic

Risks and side effects

The intercostals nerve block exhibit a minimal amount of risks, however, any procedure that involves injection brings some complications that  may include pain at the site of injections, a puncture in the sack containing CSF because of mishandling that may result in headaches, infection, excessive bleeding, nerve rupture or sometimes no reduction in pain. In very rare cases there might be a complication of collapsed lungs. If you experience difficulty in breathing soon after the procedure of the intercostal nerve block, call your doctor immediately

If you or your loved ones are suffering from rib pain, and looking for potentially safe and affordable treatment, know the benefits of intercostal nerve block by a professional advice from Dr. Zaki Anwar, by placing an appointment at 815-464-7212. He is a world renowned Pain Medicine Physician who has been practicing regenerative injection therapies for the past several years with remarkable results.

 

 

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