Nerve block technique
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, particularly in my left middle and ring fingers, which not only feel painful but also numb and weak.
Later, on September 5, I underwent a nerve block procedure at C3 and C7.
During the injection at C7, my middle finger was already pain-free, but the entire neck, especially 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 procedure).
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 neck traction device? I have been using it for about two weeks, once a day for 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: 2017/10/03
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: 2017/10/03
More Info
Understanding nerve block procedures and their implications for recovery and pain management is crucial for patients experiencing chronic pain, particularly following traumatic injuries such as those sustained in car accidents. In your case, the nerve block procedure performed on your cervical spine is intended to alleviate pain and improve function in the affected areas. Here’s a detailed response to your questions based on medical knowledge and practices.
1. Post-Procedure Pain: It is not uncommon to experience some discomfort or pain in the neck following a nerve block procedure. This can be attributed to several factors, including inflammation at the injection site, irritation of surrounding tissues, or the body's response to the procedure itself. Typically, this discomfort should gradually improve over a few days to weeks. However, if the pain persists or worsens, it is essential to consult your physician to rule out any complications or to adjust your pain management plan.
2. Use of Traction Devices: Utilizing a magnetic neck traction device can be beneficial for some patients, as it may help relieve tension in the neck and shoulder muscles. However, it is crucial to ensure that the device is used correctly and that it does not exacerbate your symptoms. If you find that the traction provides temporary relief, it may be a helpful adjunct to your recovery. Nevertheless, it’s advisable to discuss the use of such devices with your healthcare provider to ensure they are appropriate for your specific condition.
3. Rehabilitation and Pain Management: Rehabilitation plays a vital role in recovery following nerve block procedures. Physical therapy can help strengthen the muscles around the affected area, improve flexibility, and reduce pain. Techniques such as manual therapy, exercises tailored to your condition, and modalities like heat or cold therapy can be beneficial. A physical therapist can design a personalized rehabilitation program that addresses your specific symptoms and functional limitations, which may help alleviate the persistent neck pain you are experiencing.
4. Sharing Imaging Results: To share your X-ray and MRI images with your physician, you can typically obtain digital copies from the imaging center where the scans were performed. Most facilities provide a CD or a secure online portal where you can download your images. Once you have the images, you can either bring them to your next appointment or upload them to your physician’s patient portal if available. This allows your doctor to review the images in conjunction with your clinical symptoms and tailor your treatment plan accordingly.
In summary, while some discomfort following a nerve block procedure is normal, persistent or increasing pain should be evaluated by your healthcare provider. Utilizing supportive devices like traction can be beneficial, but should be done under medical guidance. Engaging in a structured rehabilitation program can significantly improve your recovery and pain management. Lastly, ensure that you have a clear method for sharing your imaging results with your physician to facilitate comprehensive care. Always keep an open line of communication with your healthcare team regarding any changes in your symptoms or concerns about your treatment plan.
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