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back pain

Nerve Block

A nerve block is an anesthetic injection administered directly into a painful area of the back. These treatments are commonly called back pain injections or epidural injections when used in the spine. These minimally invasive procedures are used to treat a wide range of painful back conditions and are one of the most popular moderate therapy modalities within the back pain industry.

Nerve Block

What is a Nerve Block?

Regional neurological block are used to prevent painful sensory messages from traveling on a nerve affected by some form of painful dorsopathy condition. These injections are used for virtually the entire gambit of causative back pain diagnoses, from herniated discs to arthritis in the spine. Nerve injections are typically made up of powerful local anesthetics, corticosteroids and epinephrine. Injections can be given as a single shot or a series of shots into a regional area. Other forms of neurological block, such as radiofrequency lesioning and cryoanalgesia use heat or cold to affect painful nerve tissue and typically are longer lasting than anesthetic injections.

Nerve Injection Diagnosis

Many back pain diagnoses are made using a nerve injection to confirm a suspected causative condition. This is a problematic and inaccurate diagnostic method which is often responsible for causing a misdiagnosed back pain condition for the patient. An injection of anesthetic to prove a certain structure is the source of pain is rarely a perfect science, even when performed under live x-ray (fluoroscopy). Be very careful of any diagnosis made using injection therapy. The anesthetic used can spread to other potentially symptomatic structures and can also alleviate the pain of an unrelated condition, such as psychosomatic back pain enacted through ischemia.

Nerve Block Advice

Using epidural injections as a moderate back pain treatment is both popular and generally effective in the short term. Many patients with a variety of problematic complaints experience generally good relief from their first round of injections, but less relief and shorter term relief from subsequent rounds of treatment. Do not believe that injection therapy will generally be a cure for your pain, for you are sure to be greatly disappointed in most instances... Neurological blocks merely buy you some asymptomatic time to investigate treatment modalities which might create a real cure. Injection therapy is merely symptomatic back pain treatment and as such, demonstrates all the risks of all temporary therapy modalities…

The bottom line comes down to this… Use nerve injections to deal with acute back pain in the present, but find a more effective plan which might actually solve your pain condition in the long term, if and when your symptoms return.

Nerve Block to Back Pain Home 3/2/09 Revised 9/9/09


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