Nerve Blocks:
Studies have shown nerve
blocks to be very effective in relieving pain from multiple causes. When
combined with medications and physical therapy, nerve blocks are often very
effective in treating neck, upper and lower back pain, shoulder and joint
pains, shingles, headaches and cancer pains.
Nerve blocks are usually
easy to perform and help quite quickly. They are nothing more than placing a
potent anti-inflammatory medication, combined with a local anesthetic, directly
on a nerve that is causing pain. Pain is usually caused by a nerve that is
irritated or inflamed by trauma etc. By placing a potent anti-inflammatory on
the nerve that is causing the pain, hopefully that nerve will heal much more
rapidly causing a reduction in pain. Oral anti-inflammatories
have been the cornerstone for treatment, but these become diluted in the blood
stream and go to all parts of the body usually in decreased concentration that
are needed to heal the nerves. By directly placing this medication on the
nerve, we avoid the problems associated with giving medications by mouth,
including upset stomachs, etc.
Anatomy must be fully
understood by the pain specialist performing these blocks. The real skill comes
in knowing which nerves are causing your pain and then placing the medication
on those nerves. The anatomy must be understood to avoid any possible
complications that may arise. When performed by a trained physician, nerve
blocks carry very few risks.
Nerve blocks
alone are effective in reducing pain but then begins the hard job of
rehabilitation to continue the relief. It is important for patients to begin an
intensive physical therapy/ exercise/ rehab program to strengthen the areas
that were weakened and causing pain so that the pain does not reoccur. This,
along with utilizing certain medications to treat other pains, cramps, etc., is
one of the most effective methods in the treatment of pain.