Brachial Plexus Block
A brachial plexus injury affects the nerves responsible for communication between the spine and the arms, shoulders and hand. This condition occurs as a result of stretched or torn nerves, which is most commonly associated with contact sports. A brachial plexus injury may also be caused by tumors, falls, congenital defects, inflammation or car accidents. Depending on its severity, the symptoms of a brachial plexus injury may vary. Patients with mild brachial plexus injuries may experience weakness and numbness or a burning sensation in their arm, while patients with severe brachial plexus injuries may experience loss of shoulder and elbow control, inability to use their fingers and inability to move or feel their arm.
A brachial plexus block can be performed with only a local anesthetic, although sedation is an option for anxious patients. Once the local anesthetic has taken effect, the skin surrounding the affected area will be cleaned. With the assistance of x-ray and contrast dye, a needle is inserted. Once the needle is situated properly, the medicine is injected. You will be monitored after the procedure is completed. The pain you have been experiencing should be reduced almost immediately, but the length of time it lasts varies from patient to patient.
At the Innovative Pain Care Center, we offer 2 types of Brachial Plexus Blocks:
- Axillary - hand, wrist and forearm
- Interscalene - neck
Caudal Steroid Injection
A caudal steroid injection is a minimally-invasive procedure for treating leg and lower back pain. Once a local anesthetic has numbed your skin, a small needle will be placed through your tailbone and into the epidural space. Once the needle is properly situated, the medicine will be injected.
Celiac Plexus Block
A celiac plexus block is a procedure performed to relieve severe abdominal pain by blocking the signals of nerves in the stomach, intestines, liver, pancreas, adrenal glands and other organs around the midsection. The injection will provide a dose of anesthetic to numb the area and produce immediate pain relief as well as a medication such as a corticosteroid or alcohol that will provide much longer-term respite from pain and related symptoms.
A celiac plexus block is generally conducted with the patient lying on his or her stomach. The skin surrounding the affected area will be cleaned. With the assistance of an X-ray and contrast dye, the needle is inserted. Once the needle is situated properly, the medicine is injected. The procedure typically lasts for 30 minutes. You will be monitored after the procedure is completed. The pain you have been experiencing should be reduced almost immediately, but the length of time it lasts varies from patient to patient.
Cervical Epidural Steroid Injection
The cervical vertebrae are essentially the neck vertebrae. When neck pain is present as a result of a pinched nerve or nerve irritation, often the best solution is a cervical epidural steroid injection. During the procedure, an anti-inflammatory steroid is injected directly into the epidural space, flooding the nerve with the powerful medication. The entire procedure is performed using fluoroscopy guidance, to ensure patient safety and surgical accuracy. You can think of fluoroscopy as a sort of real-time x-ray imaging.
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