Fluoroscopy-guided blocks

[carolynm]

Anyone have their PN blocks done under fluoro? I can't imagine how they would see the nerve. My previous ones were done under ultrasound and were + at the ligaments.

Thanks, cari

[Faith]

They don't "see the nerve" when they are done under fluro, they just look for anatomical landmarks (i.e. ischial spine) and mark your butt with a sharpie then take another "picture" when the needle is in to make sure they are in the right spot before injecting the anesthetic/steroid. They really don't "see the nerve" when done under ultrasound either. They see the pudendal artery which runs alongside the nerve. Mine where done with fluro and ultrasound and I still was numb down the back of my leg (so it spilled over and hit the posterior femoral cutaneous nerve because I was just number part way down my hamstring).

[Violet M]

I had 2 blocks done under fluoroscopy. The procedure was faster and easier than the one I had under CT scan.

[AroraNightfire]

Violet,

Did those pudendal blocks done through floroscopy guidance make your vulva numb for a few hrs?

[Violet M]

Violet,

Did those pudendal blocks done through floroscopy guidance make your vulva numb for a few hrs?

Yes, mostly. I wouldn't say entirely numb but it was sort of like I lost sensation temporarily.