Nerve Block Procedures: Recovery and Pain Management - Neurosurgery

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Nerve block procedure


Hello Dr.
Lai: My cervical vertebrae C4 and C5 were injured in a car accident in May, and after surgery, I have been experiencing pain and weakness extending from my left shoulder to my fingers, especially in my left middle and ring fingers, which not only hurt but also feel numb and weak.
Later, on September 5, I underwent nerve block procedures at C3 and C7.
During the injection at C7, my middle finger was already pain-free, but the entire neck, especially on the left side, was very sore.
Now my middle finger is pain-free, but there has been no improvement in my ring finger, and my left neck remains very sore (even more so than before the nerve block).
I would like to ask: 1.
Is it normal to experience neck soreness after a nerve block procedure? If so, how long does it typically last? 2.
Can I use a magnetic cervical traction device? I have been using it for about two weeks, once a day for about 10-15 minutes, and lying on the device makes my neck and shoulder feel a bit more comfortable.
3.
Can rehabilitation help improve the soreness? 4.
How can I upload my X-ray and MRI images for your reference? Thank you again for your answers, Doctor!

A J, 40~49 year old female. Ask Date: 2017/10/02

Dr. Lai Zhaokang reply Neurosurgery


Hello: You should consult with your original surgeon and the physician who performed the nerve block to assess whether a repeat MRI is necessary.
However, if you wish to seek a second opinion from another physician, it is advisable to bring your MRI and X-ray images.
It is best to visit the hospital in person for a direct consultation with the physician.
Wishing you all the best at Changhua Hospital.

Reply Date: 2017/10/02

More Info


Understanding nerve block procedures and their implications for recovery and pain management is crucial for patients experiencing chronic pain, especially after traumatic injuries like yours. Based on your situation, let’s address your questions and provide some additional insights into nerve blocks, recovery, and pain management.

1. Post-Procedure Pain: It is not uncommon to experience soreness or discomfort in the neck after a nerve block procedure. This can be attributed to several factors, including the trauma from the needle insertion, the manipulation of tissues during the procedure, and the body's inflammatory response. Typically, this soreness should gradually improve over a few days to weeks. However, if the pain persists or worsens, it is essential to follow up with your healthcare provider to rule out any complications or to adjust your pain management plan.

2. Use of Traction Devices: Using a cervical traction device can be beneficial for some patients, as it may help relieve pressure on the cervical spine and improve comfort. However, it is crucial to ensure that the device is used correctly and not excessively. Since you’ve been using it for about two weeks and feel some relief, it may be worth continuing, but always consult your physician or physical therapist for personalized advice. They can provide guidance on the appropriate duration and frequency of use based on your specific condition.

3. Rehabilitation and Pain Management: Rehabilitation plays a significant role in recovery after nerve block procedures. Physical therapy can help improve strength, flexibility, and function in the affected areas. Therapists often employ various techniques, including manual therapy, exercises, and modalities like heat or cold therapy, to alleviate pain and promote healing. Engaging in a structured rehabilitation program can significantly enhance your recovery and may help reduce the residual pain you are experiencing in your neck and left arm.

4. Sharing Imaging Results: To share your X-ray and MRI images with your physician, you typically have a few options. Many healthcare facilities provide a patient portal where you can upload documents and images securely. Alternatively, you can request a CD or digital copy of your imaging studies from the facility where you had them done and bring it to your next appointment. If you are unsure how to proceed, contacting your healthcare provider's office for specific instructions is always a good idea.


Additional Considerations
Nerve blocks are often used to manage pain by interrupting the transmission of pain signals from specific nerves. They can provide significant relief, but their effectiveness can vary from person to person. In your case, it seems that while the nerve block has alleviated pain in your middle finger, the discomfort in your neck and other fingers persists. This could indicate that additional treatment or a different approach may be necessary.

Chronic pain management often requires a multidisciplinary approach. In addition to medication and nerve blocks, consider exploring complementary therapies such as acupuncture, massage therapy, or mindfulness practices like yoga and meditation. These methods can help manage pain and improve overall well-being.

Lastly, maintaining open communication with your healthcare team is vital. If your pain levels are not improving or if new symptoms arise, do not hesitate to reach out for further evaluation and adjustment of your treatment plan. Your comfort and recovery are paramount, and there are various strategies available to help you manage your pain effectively.

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