CRPS

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Hi i have recently been diagnosed with crps after an operation on my foot in November and i have now been referred to a neuro pain management clinic for them to try some nerve block....can anyone tell me what a nerve block is and what do they do

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  • Posted

    You are probably talking about a sympathetic ganglionic block usually done in a series of six. This is a dangerous procedure and has not been proven to be measurable benefit. There is a procedure that can be tried that is safe. This involves an anesthetic using lidocaine and marcaine injected parallel to the sural nerve . As in everything in Medicine there is no promise. However this is a safe procedure and is non-toxic.  This will involve several injections depending on response. Generally a good response is noted immediately and continues to improve as injections or repeated.  This is only good for CRPS 1
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  • Posted

    oh that sounds scarey.... will they sedate me for that?
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    • Posted

      No. It's a simple injection like a shot . If infused slowly it should sting at first but then the area is deadened by the lidocaine .  If you have CRPS anything is less painful than that . It's simply numbing the area like the dentist numbing a tooth .  It allows the Sural nerve a break and stops pain signals from going to the central nervous system to the glial cells and other brain areas .  It interrupts the feed-back mechanism . 
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    • Posted

      My pain doctor wants to do a nerve block, and he uses general anesthesia; so at least in the US some doctors put you under for the stellate ganglion block.

      ( I won't let him give me one, at least not yet.  I don't think  I need it.)

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  • Posted

    Hi Jane. I just had a second sympathethic lumbar nerve block done and it was a piece of cake. I see a dr at Spine Team Texas and he is awesome! Both times I was put to sleep and felt nothing. Sadly, this second one was just a "it can't hurt to try" shot at pain relief but I've had CRPS for 5 years and after breakng my ankle and having 2 plates put in the pain has worsened and the burning is moving up my leg at a high rate! I hope the nerve blocks work for you!
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  • Posted

    Ganglionic blocks have not been shown to alter the course of CRPS .  They ca be lethal though this is rare .  There is a lot of frustration among physicians when treating CRPS to " do" something  . As a physician I had to find my own pathway to relief . The Sural nerve blocks have been remarkable but have a downside . They have to be administered several times , often 3 times a day initially . The only practical way to do this is train your partner to do the injections.  I provide pts with 5cc syringes needles marcaine and lidocaine in quantity and give specifics.  
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  • Posted

    How did it go at neuro pain management? I'm having the same thing done on Thursday and I'm unsure what to expect.
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  • Posted

    Hi Jane, I too had an operation in November last - it was a bunion removal op on my right foot, I am waiting for a scan - but the Drs are 90% sure I have CRPS. I suffer from Asthma, so they thought it best to give me the spinal block anesthetic, now I wonder if if was some nerve damaged in my spine - or during the actual op on my foot. I am really worried as my foot is still badly swollen - and I cant move my toes properly.Any advice/help would be very much appreciated. Thank you.
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    • Posted

      Hi Monica.  What crps symptoms do you have?My bunion op was January and I still hVe swelling and discolouration as well as minimal movement in big toe and burning pain in the toe if I do too much. I have been referred to a pain management clinic but hoping that the physio massage will sort it out...fingers crossed and I may be being too optimistic here.
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    • Posted

      Hi Sue,

      I have swelling mostly around my big toe area, and stinging pain that is intermittent, but sometimes its that bad my foot jerks. I am having a scan on my foot on Saturday, I have been told that this problem could be one of two causes, either the bones in my foot havent healed - or its CRPS, which two of the Dr's Ive seen, have said they are fairly sure I have this condition.I am not familiar with the condition, but I have read that the earlier its diagnosed, the better chances you have. I feel disappointed that I have repeatedly told my consultant about this stinging pain, but feel that she didnt really explore any caused as to why this was happening to me, I am so worried, that I wont walk properly again, nor drive. I feel like a prisoner. I am taking legal advice at present, although Ive been told this condition can appear at any time, however I really feel my case could have been handled more professionally. Good luke with the physio, Im just waiting for my appointment for that.

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  • Posted

    I have had CRPS for at least 2 yrs now. I go to a pain clinic and see a specialist. It originally started in my right knee but have also have symptoms in my right toe. I have had 9 sympathetic lumbar blocks with some sedation that has helped quite a bit . I was on crutches, went to a cane and now nothing. Its still not normal and u still get the pain and heaviness but I will be going for some new injection treatments next month and will report back.
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