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types of blocks (which is best)
Posted: Sun Dec 18, 2011 3:00 am
by lightmail
going to have done soon, please give input. I know not to go with unguided. I think ct guided has to be done in hospital. the others i think are out patient done at drs. office. Also are steroids good idea or necessary? Please advise...Robert
ct guided block
ultrasound
fluoroscopic
Re: types of blocks (which is best)
Posted: Sun Dec 18, 2011 5:15 am
by Alan
Steroids help with any inflamation. The block will or 'should' reduce pain. My first block was a caudal block but I hurt for a few days. Then I found relief for a week. Last month I had a different block called a sympathy block-it took my pain away for nearly five weeks. I am having my doctor get aggressive with this to find answers. Hang in there.
Re: types of blocks (which is best)
Posted: Sun Dec 18, 2011 10:37 am
by flyer28
Alan, did you have block on Superior hypogastric plexus?
I have also read that this is viable modality, bringing relief for 2-5 months (according to dr. Urban who is performing these blocks).
and I would say that this procedure is safer than Alcock.
Matt
Re: types of blocks (which is best)
Posted: Tue Dec 20, 2011 4:22 am
by Violet M
lightmail wrote:going to have done soon, please give input. I know not to go with unguided. I think ct guided has to be done in hospital. the others i think are out patient done at drs. office. Also are steroids good idea or necessary? Please advise...Robert
ct guided block
ultrasound
fluoroscopic
If I had a choice, I would go for ultrasound because there is no radiation involved. There are some pretty high powered ultrasounds coming available that can see nerves....in Germany especially I've heard.
Steroids can reduce inflammation although I think it's possible they can cause nerve damage in some people based on some of the reports I've heard from PNE patients. It's a very tough decision to make.
Re: types of blocks (which is best)
Posted: Tue Dec 20, 2011 5:23 am
by Alan
In response to flyer28-yes my nerve block was given to the sympathetic nerves, but did not have the same name that yours has. However, I had good results for 4-5 weeks. I did take a vicodin prior to the procedure and didn't feel a thing when given the block. I am still searching about my next move. I am considering physical therapy up near San Francisco. There is a six day intensive course given monthly by the author of Pain in the Pelvis. Apparently tight pelvic muscles can cause pudendal nerve problems. I have also read on the internet that some people have nerve block procedures along with physical therapy to help alleviate muscle spasm, nerve problems, ect.