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All Posts Tagged: selective nerve root


What Is Selective Nerve Root Block And What Are The Risks And Complications?

Selective nerve root block is another standard injection is fundamentally utilized to analyze the particular source of nerve root pain and, secondarily, for therapeutic help of low back pain and additionally leg pain.

At the point when a nerve root ends up compressed and inflamed, as a result, it can create back or leg pain. At times, an imaging study may not obviously demonstrate which nerve is triggering the pain and selective nerve root block is performed with an objective to help with disconnecting the cause of pain. Additional to its analytic function, this sort of injection for pain management can likewise be utilized as a treatment for a far lateral disc herniation.

The Experience during Selective Nerve Root Block 

The procedure is carried out by a specialist with the patient requiring lying on the stomach on an X-Ray table. The doctor utilizes fluoroscopy with an objective to find the particular nerve root. Moving forward with the procedure, the doctor inserts a needle into the area, then the medication and an anesthetic are inserted. This step requires only a couple of minutes.

After the injection, the patient is observed for around 15-20 minutes and after that discharged. Most individuals begin observing relief after the third to seventh day, which can endure weeks or months. On the off chance that the initial injection does not produce fruitful results within one to two weeks, the specialist may prescribe another injection. In most cases, specialists limit in injections to three in a year time.

Selective Nerve Root Block Outcomes

Instantly after the injection, the patient may feel legs or arms, along with that particular nerve root, getting slightly heavy or numb. The patient may observe that the pain might be gone or significantly less. This is because of the impact of the local anesthetic and keeps going just for a couple of hours. The pain may return and the patient may have some soreness at the injection site for a day or so.

The patients are usually advised to relax for a day or so after the selective nerve root block. Execute the activities as endured by them. The recuperation room nurse will recommend applying ice to the site.

Risks and Complications after Selective Nerve Root Block 

Comparatively, the selective nerve root block does not have many risks. Though, similarly as with any procedure, there are a few risks and complications. Most observed adverse effects are enhanced pain from the injection (normally short term), hardly ever inadvertent puncture of the “sack” containing spinal fluid (may result in headaches). Further complications include:

  • Infection
  • Bleeding
  • Nerve damage
  • Or no easiness from usual pain
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2018-07-01 (1)

Are you going through severe back pain? Now NO more!

Resolving a single structure within the spine as the source of pain can prove to be a diagnostic challenge due to the complexity and complication of the structures involved in the spinal column. Additionally, discrete anatomical structures can clinically present with related symptom patterns and no physical examination finding can be specifically ascribed to any one structure. To further complicate this dilemma, multiple structural abnormalities noted on imaging studies are frequently found to be painless.

Selective nerve root blocks are based on the assumption that delivering a small amount of medication to a specific target can precisely point out  the source of pain and provide information that could affect or predict their surgical outcome.  At the Pain Management Institute,  we offer cervical nerve root blocks under fluoroscopy guidance. Dr. Zaki Anwar is very experienced in these procedures and has a very meticulous approach and safety record.

When a nerve root becomes condensed and swollen, it can cause back and/or leg pain. Occasionally, an imaging study (e.g. MRI) may not clearly illustrate which nerve is causing the pain, therefore selective nerve root block injection is performed to assist in separating the source of pain. Adding more to its diagnostic function, this type of injection for pain management can also be used as a treatment for a far lateral disc herniation (a disc that ruptures outside the spinal canal).

The rate of success differs depending on the primary diagnosis and whether or not the injections are being used primarily for diagnosis. Those who are facing the symptoms of  herniated disc, sciatica or swelling or irritation are the appropriate candidates for selective nerve root block. The following patients should not undergo this treatment:

  • If you have an allergy of any medication which is needed to be injected
  • If you use medication for blood thinning for instance (Coumadin injectable Heparin)
  • If you have an infection currently you are suffering from

During a Selective Nerve Root Block, your doctor will target exact condensed or irritated nerves in your neck, upper back, or lower back, injecting an anesthetic, anti-inflammatory corticosteroid or a mixture of these two medications into the space immediately surrounding the nerve or nerves.

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2018-03-08 (1)

Your Pain Stops Here

A selective nerve root block is a slightly surgical procedure that is done to diagnose and treat cervical and lumbar pain and related pain suffering areas. The procedure includes injecting local anesthesia straight into the expected problematic nerve root of the spinal column to help recognize the cause of a patient’s pain also it helps to relieve pain for the shorter period

Symptoms of an irritated nerve root

The spinal pain happens when any of the spinal nerve becomes irritated, inflamed or compressed. The pain may spread in the upper and lower areas depending on the location of the nerves

If a nerve is damaged in the cervical region, the pain and other symptoms will be felt in the neck, shoulder and arms, whereas the nerve irritation in the lower spine causes numbness, tingling in the lower back, hips, buttocks and legs

Sometimes it becomes difficult for a physician to identify the exact nerve causing pain, at times MRI may not indicate the problematic nerve. In such condition a selective nerve root block is recommended to restrict the nerve root that is the source of pain

How a selective nerve root block is performed

A selective nerve block involves injecting a local anesthetic formulated with Corticosteroid to the targeted nerve root. The local anesthesia numbs the nerve sensation, while the steroids help in decreasing inflammation and the pain arising

The selective nerve root blocks are much the same as the epidural injections, however the medications are administered in the pain causing nerve root and not in the epidural space. The selective nerve root block results may vary from person to person as some nerve roots are difficult to reach and administer

What to expect after the procedure?

Many patients undergoing selective nerve root block can resume their routinely activities following the procedure. Some patients may report a sudden relief from the symptoms that is because of the numbness. The pain may reappear until the steroid shots initiate its effects. The relief of pain symptoms from a selective nerve root block depends on the levels of your pain and lasts from several days to several months

What will happen following the procedure?

Soon after a selective nerve root block, patients may experience incremental pain at the site of injection, pain while movement, lightheadedness, nausea, headache and vomiting all these symptoms will last in a day

Risks and complications

Risks related to selective nerve root block are very rare, including, infection, bleeding and allergic reactions with the medications applied during the procedure. Very rare and serious complications include, nerve damage and paralysis

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