TREATMENT OVERVIEW
A Selective Nerve Root Block is a precision injection technique that serves dual purposes: diagnosing which specific nerve root is causing your pain and providing therapeutic relief. By delivering medication directly to an individual nerve root where it exits the spine, we can pinpoint the source of radiating pain and provide targeted treatment for conditions affecting the nerve roots.
PROCEDURE DETAILS
A Selective Nerve Root Block involves injecting a small amount of anesthetic and anti-inflammatory medication around a specific nerve root as it exits the spinal column. This targeted approach allows us to identify exactly which nerve is responsible for your pain while simultaneously providing therapeutic relief.
The procedure is performed using fluoroscopy (live X-ray) or CT guidance to ensure precise needle placement. After numbing the skin with local anesthetic, a thin needle is carefully guided to the targeted nerve root. Contrast dye may be injected first to confirm proper needle position and medication spread pattern.
Once positioned correctly, a combination of local anesthetic and corticosteroid is injected around the nerve root. The anesthetic provides immediate diagnostic information and pain relief, while the steroid reduces inflammation for longer-lasting therapeutic benefit, often lasting weeks to months.
TREATMENT ADVANTAGES
Selective Nerve Root Blocks offer both diagnostic clarity and therapeutic relief, making them invaluable for managing nerve-related pain conditions.
Identifies the exact nerve root causing your pain, essential for planning effective treatment strategies including potential surgery.
Delivers medication directly to the affected nerve root, maximizing therapeutic effect while minimizing systemic side effects.
While diagnostic effects are temporary, the anti-inflammatory medication can provide pain relief lasting weeks to several months.
May help patients avoid or delay surgery by providing significant pain relief and improved function through conservative treatment.
Reduces nerve pain and inflammation, allowing better participation in physical therapy and daily activities.
Can be safely repeated if needed, providing ongoing management option for chronic nerve pain conditions.
IMPORTANT INFORMATION
Selective Nerve Root Blocks are generally very safe when performed by experienced practitioners. However, as with any injection procedure, there are potential risks to consider.
Important: The use of image guidance and sterile technique significantly minimizes these risks. Dr. Fura will review your medical history and current medications to ensure this procedure is safe for you.
PREPARATION GUIDE
Proper preparation helps ensure a safe, comfortable procedure and optimal results. Follow these guidelines carefully.
Inform us of all medications, allergies, and medical conditions. Bring recent MRI or CT scan results to your appointment.
Stop blood thinners 5-7 days before if instructed. Continue other medications unless specifically told to stop.
Eat a light meal 2 hours before. Arrange for someone to drive you home. Wear comfortable, loose clothing.
Insurance cards, photo ID, list of current medications, and any relevant imaging studies or reports.
RECOVERY GUIDE
Recovery from a Selective Nerve Root Block is typically quick and straightforward. Following these guidelines will help ensure the best possible outcome.
You'll be monitored for 20-30 minutes after the injection. Temporary numbness or weakness in the affected limb is normal and expected. Keep a pain diary to track your response to the injection.
Rest and avoid strenuous activities. Apply ice to the injection site if sore. Do not drive or operate machinery if experiencing numbness or weakness. Take pain medications as prescribed if needed.
Gradually resume normal activities as tolerated. The steroid medication begins working within 2-3 days, with maximum effect typically seen at 7-10 days. Continue documenting your pain levels and functional improvements.
Your follow-up appointment typically occurs 2-4 weeks after the procedure. We'll review your pain diary, assess the effectiveness of the injection, and determine next steps in your treatment plan.
CONDITIONS TREATED
Selective Nerve Root Blocks are particularly effective for specific conditions affecting individual nerve roots.
When disc material compresses a specific nerve root causing radiating pain down the arm or leg.
Narrowing of the spinal canal causing nerve compression and radiating symptoms.
Nerve root irritation causing pain, numbness, or weakness along the nerve pathway.
Persistent nerve pain following spinal surgery requiring targeted diagnostic evaluation.
Slippage of one vertebra over another causing nerve root compression.
To identify the specific nerve root requiring surgical intervention.
The diagnostic information from SNRB is particularly valuable when:
If you're experiencing radiating pain, numbness, or weakness, a Selective Nerve Root Block can provide both answers and relief. Schedule a consultation with Dr. Fura to determine if this targeted treatment is right for you.