A celiac plexus block is a pain killing injection around the celiac plexus of nerves that surrounds the aorta, the main artery in the abdomen. This procedure blocks the celiac plexus of nerves from going to various organs and parts of the abdomen that created pain for the patient. This is a common procedure to control pain symptoms from pancreatitis and other abdominal pain. The procedure only lasts 20 minutes and is virtually painless due to a local anesthetic and a light sedation medication given to the patient.
Catheters are plastic tubes inserted near bundles of nerves that allow the doctor to administer pain medications and IV fluids through a direct line into the body. It is common for a catheter to be inserted into a patient before any surgery. The catheter works by blocking pain causing numbness or loss of feeling in an area of your body.
Ganglion impar block is a fast, minimally invasive procedure used to treat chronic pelvic or rectal pain by blocking nerve impulses. Your physician will use intravenous sedation to make the procedure more comfortable and usually takes less than 15 minutes. All with all injections, extreme care and safety is our utmost priority by cleaning the injection site and guiding the needle into the correct position using a fluoroscope. The steroid takes two or three days to have an effect in most patients and peaks in about two weeks.
Occipital nerve blocks are a temporary safe easy way to help diagnose and treat certain kinds of head pain. The two greater occipital nerves on each side of the head are the two main nerves that allow someone to feel sensations around the head. These nerves can be blocked with pain relieving medication. Patients with frequent pain in the back of the head or that experience intense migraines are good candidates for this procedure.
The sphenopalatine ganglion is a collection of nerves that lies in a bony cavity deep in the midface. A pain relieving nerve block injection may be used to reduce the pain from chronic headaches and facial pain. During a sphenopalatine ganglion block, pain-relieving medicine is injected fluoroscopically to the area where the ganglion lies while the patient is lightly sedated. As with most injections, pain relief is not immediate and might take a few days to reach full effect.
The splanchnic nerves communicate pain signals from the abdominal organs to the spinal cord where they continue on to the brain. Patients suffering from frequent severe abdominal pain can receive pain relief from a splanchnic nerve block that involves injecting anesthetic medicine into a group of nerves to numb the pain. The patient lie on the stomach and a needle is inserted into the back guided by fluoroscopy. The procedure takes less than 30 minutes and the local anesthetic numbs the splanchnic nerves and inhibits the transmission of pain messages to the brain. This nerve block allows patients to have an improved quality of life and may reduce the patient intake of narcotic pain medications that have many unwanted side effects.
A stellate ganglion block is an injection of local anesthetic in the sympathetic nerve tissue of the neck located on either side of the voice box. This procedure blocks the sympathetic nerves that go to the arms and face reducing pain and swelling while improving mobility. The stellate ganglion nerve block is done either with the patient slightly sitting up. The skin in the front of the neck next to the voice box is cleaned with antiseptic solution and then the injection procedure begins only lasting a few minutes. For optimal results usually a series of such injections will be administered to treat the problem. The pain relief duration gets longer after each injection.
The superior hypogastric plexus is a group of nerves that functions by transmitting signals to the organs of the pelvis. A superior hypogastric plexus block involves injecting anesthetic medicine into that group of nerves to numb the pain in the pelvis region. This pain block may be effective in treating severe pain in male/female urinary and reproductive systems, as well as problems in the pelvis region. The patient will lie down on their stomach and the needle will go into the patient’s lower back. Two needles will be inserted and once their correct placement is verified by the contrast dye, the anesthetic is injected to inhibit pain signals through the superior hypogastric plexus. The superior hypogastric plexus block is a fast, minimally invasive procedure that will support pain relief in the pelvic region, most notably pain related to cancer in that area.
A lumbar sympathetic block is an injection of local anesthetic into the sympathetic nerves that go to the leg. The sympathetic nerves are located on the either side of spine in the lower back that control basic functions like regulating blood flow and carry pain signals in that region to the spinal cord. This procedure may be useful for someone that experiences continuous severe pain in the legs. As for all types of injections, the lumbar sympathetic block is performed under sterile conditions and only takes about 10-30 minutes.
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