Nerve Block Variance

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skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 10/4/2008 4:09 PM (GMT -7)   
Hello all,

I know a lot of you have had experience with nerve blocks. I realize that results are highly individualized, but I was curious if anyone has had a similar experience, or heard of this happening.

I had my first block done a little over a month ago and was thrilled to receive the most significant and longest period of pain relief out of anything that I have tried in the last year and a half. I had a second one done last week and got no relief, so we tried again this week, and still nothing (although theoretically, the relief could still kick in over the next day). Granted I'm not sure I got a full block the second time, but the third time the block was as good as, if not better than, the first one, judging by the extent of a secondary syndrome induced by the block. I responded to the first block within several hours, but its now been several days since the third...

What I don't understand is why one one block could work so well, and another doesn't work at all. It's extremely frustrating and disappointing (to put it lightly). Has this happened to anyone else?

Skeye

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 10/4/2008 4:58 PM (GMT -7)   
Skeye,
I've had a lot of injections - nerve root blocks, edidurals, etc. and I can't say that I've had that experience, but then I never had the good response you did to the first injection - except when I had an SI joint injection.

I was wondering if it's possible the needle was just placed differently? Offhand I can't think of others reasons, but maybe someone else can. I think it's a good sign you got relief the first time. What does your doc say?

PaLady

skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 10/4/2008 6:23 PM (GMT -7)   
I think that there is a good chance that the second time the needle placement wasn't quite right, but the third time everything went perfectly. I talked to my doc's office yesterday & they asked him about the length of time that it could possibly take experience some relief & he said to give it a couple of days (its now been 2+ days). I'll talk to him about it in person next time I see him. If this last one doesn't have any effect, then he doesn't want to try again. But if it worked one time... I just don't understand. I don't want to give up if it still has the potential to help. The first one helped for only a couple of days, so the idea was the more that I did, the more relief, and the longer the relief I would get, but it seems to be exactly the opposite. I wish we knew everything about medicine.

Skeye

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 10/4/2008 8:24 PM (GMT -7)   
Skeye,
I guess I didn't read your initial post quite accurately. I was thinking you got about a month's relief from the first injection. If all you got was a couple of days, that's likely just the short acting anethestic that's often given as a numbing agent. The steroid is supposed to be longer acting, and usually a series of shots should have things slowly getting better. So it may be that the steroid isn't going to work, although they did find the location of your pain. One of the series of nerve root blocks I had (I had 3 summer's worth - felt like the movie Groundhog Day!) was soley for diagnostics just before I had back surgery last year. But if you had as what most do, a steroid, and you have 2 or 3 without significant relief then I think it's true they're not going to help. Some people get relief, some don't.

I sure wish all of us knew more. In truth, I think most doctors wish they did, too. There's be plenty else for them to do!!

Hope this helps some.

PaLady

Baybreeze
Regular Member


Date Joined Oct 2005
Total Posts : 315
   Posted 10/5/2008 1:13 PM (GMT -7)   
Hi,
 
My first thought was also possible error in the needle placement. Although ESI's and nerve blocks can always end up being hit or miss...whether they work or not. Did you ever have surgery? If so, do you have any scar tissue? I ask because that can be a cause, if the needle isn't placed in the correct area, the meds might not even reach the problem spot. And maybe it's even possible that when you felt better, you might have overdone things and now the problem is worsened...And of course, sometimes there is no explanation.

skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 10/6/2008 5:39 PM (GMT -7)   
Thanks for the input! I never did ask my doc about what was in the injection, although I suspect that it was a combo of something like lidocaine & cortisone. That is interesting about the scar tissue, I never thought about that as a possibility. I'll definitely ask my doc about all this when I see him. Maybe he'll have some answers. Unfortunately, I have to wait 3 more weeks till I see him. I have no idea how I'm going to make it that long in my present state, especially without another block or some other little glimmer of hope of relief to look forward to in the mean time.

skeye

Chartreux
Veteran Member


Date Joined Aug 2006
Total Posts : 9622
   Posted 10/6/2008 8:23 PM (GMT -7)   
The common steroid used in injections is Kenalog. Had them done,
had a allergic reaction to Kenalog, so doctor quit giving me injections...
The Asthma doctor keeps telling the Pain Management doctor to try
other steroids.
Anyways, I'm talked out, sure hope the injections start working for you.
take care and keep us posted.
Lots of soft hugz...
**********************************************
* Asthma, Allergies, Osteoarthritis, Spinal Stenosis, Degenative Disc, Fibromyalgia, Gerd, Enlarged Pituitary Gland
******** "We could never learn to be brave and patient if there were only joy in the world" from Helen Keller *********

********>^..^<********>^..^<********>^..^<********


ekkorose
Regular Member


Date Joined Jul 2008
Total Posts : 329
   Posted 10/7/2008 11:33 AM (GMT -7)   
I just got mine today so we will see how it goes. So far my leg is numb and it is creeping over to my other leg. The actual pain is pretty much absent at the moment so I am really hoping this continues. The only bad part was the sleepy juice burned through my veins like the fires of hades!

Hysterectomy at 25

4 laproscopic surgeries since 24

 

Meds - vicodin : nexium : skelaxin : klonopin

 

Supplements : calcium : magenesium :potassium : milk thistle : fish oil : B complex : vit E


In the United States today, there is a pervasive tendency to treat children as adults, and adults as children. The options of children are thus steadily expanded, while those of adults are progressively constricted. The result is unruly children and childish adults. ~Thomas Szasz 


skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 10/7/2008 7:22 PM (GMT -7)   
Ekkorose --

I'm so happy that your block went well and is already giving you some relief! I hope it holds up for you!!

Skeye

Baybreeze
Regular Member


Date Joined Oct 2005
Total Posts : 315
   Posted 10/8/2008 3:40 PM (GMT -7)   
Skye,
 
I'm so sorry that you have wait so long being in pain. I soo hate that, it really makes me mad. That has happened to me many time before. Once I waited almost 3 months in agony, and for 2 of those months my left foot numb (to the point i couldn't feel where I was putting it on the ground). So I really sympathize for you! It does take alot of strength to hold out that long, I will tell you that much. I wish I could offer some advice as to how to do it..I don't know how I did it, I just took everything hour by hour and day by day. Maybe you could call the office and tell them your pain is just too much to handle, maybe they can call something in for you while you wait?

skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 10/8/2008 7:38 PM (GMT -7)   
Wow! I can't believe no one saw you with a numb foot!

It is frustrating to have to wait. They know that I'm in pain & that I'm struggling to get through school because of it, but I suppose since its a pain doc, everyone is in pain, so it wouldn't necessarily be fair to make someone else in pain wait just because I am. I'm just taking things as you said, one hour at a time, one day at a time.

skeye
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