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S1 Nerve root block - what to expect?

waynuswwaynus Posts: 46
Hi,

After the MRI specialist didnt notice that my l5-s1 disc protrusion is irrating and very close to the nerve!!!

My Ortho specialist wants to give me an S1 nerve block injection!

Has anyone had this done and has this worked..what can i expect etc.

thanks in advance for replying :-)

cheers
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Comments

  • sunny1966ssunny1966 VIRGINIAPosts: 1,385
    I don't know about the block I just wanted to say I hope you get relief and that it all goes well for you. Have you scheduled it yet? Good luck. Hope you're having a good day.
    Debbie
  • Hi, I just received my first nerve block injection on the 26th. They injected around L2 and again around L3. I was very nervous because I had SI joint injections that were very brutal. Well to my surprise the only thing that really caused any pain was having the IV line inserted. My right hand didn't want to cooperate so into the left hand the DR went. Once they started the twilight medicine I didn't feel any pain. I was alert the whole time and could only feel light touching sensations on my back. I went home afterwards and iced. I can't really say that my pain level increased any at all because of the icing and taking my meds. So far I am waiting for some kind of relief. Next week I will get my next nerve block and I am no longer nervous about it. Hope that helps you out.
  • I hope you get some relief from the injection. I don't get any sedation only a local. I wish I could find a Dr that does twilight sedation. Take care. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • sunny1966 said:
    I don't know about the block I just wanted to say I hope you get relief and that it all goes well for you. Have you scheduled it yet? Good luck. Hope you're having a good day.
    Debbie
    Hi Debbie,

    Thanks for the reply and well wishes...sadly im still waiting on the NHS..seen privately (paid by my work) and they quoted £1500 for the injection...my specialist said get it done on the NHS, however i will have to wait till June/July now..i am complaining about how long i have to wait....i seem lucky..least its not major surgery compared to the stories i have read on here. X
  • bep1224 said:
    Hi, I just received my first nerve block injection on the 26th. They injected around L2 and again around L3. I was very nervous because I had SI joint injections that were very brutal. Well to my surprise the only thing that really caused any pain was having the IV line inserted. My right hand didn't want to cooperate so into the left hand the DR went. Once they started the twilight medicine I didn't feel any pain. I was alert the whole time and could only feel light touching sensations on my back. I went home afterwards and iced. I can't really say that my pain level increased any at all because of the icing and taking my meds. So far I am waiting for some kind of relief. Next week I will get my next nerve block and I am no longer nervous about it. Hope that helps you out.
    Hi bep1224,

    Thanks for the reply,s sounds like your on the road to pain relief..glad to hear it has gone well. The doc said i would only have a local anaesthetic due and numbing of the local area due to obstructive sleep appnea and will find discomfort. But from reading what you have written its more of a worry of the unknown rather than the procedure...please keep me updated of your progress..like wise. X

  • charry said:
    I hope you get some relief from the injection. I don't get any sedation only a local. I wish I could find a Dr that does twilight sedation. Take care. Charry
    Hi Charry,

    Thanks for the reply and hope you are well.

    Like wise re the sedation, because of sleep appnea...putting me out would be nice however a longer stay in hospital...going to dr.s on tuesday my pain killers are not working, apparently i need something stronger like a morphine base.




  • waynus said:
    Hi,

    After the MRI specialist didnt notice that my l5-s1 disc protrusion is irrating and very close to the nerve!!!

    My Ortho specialist wants to give me an S1 nerve block injection!

    Has anyone had this done and has this worked..what can i expect etc.

    thanks in advance for replying :-)

    cheers

    Hi!

    I had my second nerve block last tuesday and yes it works for me. I have a severely damaged L4/L5 and L5/S1. I had the injection in my L5. The nerve is so inflamed that it is double the size of the same on the other side. I can still feel the pressure but the FULL-ON intense pain has lapsed compared to before. Maybe don't expect TOTAL relief but definatley expect the pain to subside at least 60%

    Good luck and I hope it works for you too.

    x
  • I just thought I would let anyone who is going through these procedures that it is no walk in the park. I have had nerve blocks done on my L-4&L-5, and also on myL-5&S-I joints. They help for a little while, but then the pain just comes right back. I have been given these nerve blocks without any sedation and let me tell you, it is no fun! The problem that I am facing now is that I will either have to get a pain pump put in or have major surgery on my back to replace the 3 discs that are herniated and setting on the nerves which cause my numbness down my right leg. So if anyone has any sugestions, I am ready to listen.
  • Hiya,

    Thanks for the reply and taking the time to write.
    The doc said i would have local pain relief and already pridicting the fun it will be when they hit the nerve..the protusion he states doesnt warrant surgery straight away...ive got a feeling they are going through the motions of doing the jabs first...are they supposed to settle the nerve down..dr. has not made it clear of what happens after that etc and whether i will have another one or any further treatment!!!
  • Waynus,
    I had a nerve block for the S1 nerve root recently. They did it for diagnostic purposes. It wasn't too bad. It hurt somewhat when they put the die in (numbing agent??). But my S1 distribution area went totally numb for about a day, and then the regular pain came back. I didn't think it was that bad, but I had a great doctor, I thought.

    csp
  • Hi,

    I had a selective nerve root block right up against the S1 nerve about 2 months ago, supposedly to schrink scar tissue from the L5-S1 microdiscectomy last October. The pain went down from a 5 to about a 2 over the next 3 days and has remained around a 2 since then. They injected a little numbing medication locally first but it did not matter, it hurt really bad when the needle was up against the nerve. Good thing it only took about 10 minutes. I had tears in my eyes when I got back out to my car afterwords.
  • Well it has been 5 days since the nerve block and i have no relief yet. Actually my pain has been pretty bad since Friday. Alot of it is weather related i think. (Cold front and rainy) Today i had traction and have been on the ice all day. I don't the traction has helped either. The traction is causing my right side to hurt now. When they give me the next injection they said they would be going lower so maybe that is the lucky spot. lol I have had the nerve block years ago without this twilight they give me now and it was excruciating. They gave me valium for the second one and all it did was make me loopy and i felt the same excruciating pain and cried like a baby for an hour later. The third one i felt nothing. So by the third one everything was numb back there but the pain was still just as strong. This twilight makes a big difference this time. i keep hoping i will get relief but i am losing faith if you know what i mean. Without the twilight is no walk in the park but i will admit it didn't kill me. i survived. i will keep you posted on the next 2 injections.
  • Thanks for taking the time to write on my blog.

    We all sound very healthy!! all jokes aside it sounds a painfull procedure but worth putting up with 20mins of pain on the table for pain relief abit more long term.

    I saw my GP today and im now on morphine, diazapam, diclofenic and paracetamol for the pain and been signed off work for another month..feeling a bit low now...but will keep chin up.

    Looks like im going to be a regular on here now...this forum and members are helpful...xxx
  • I had two nerve blocks done, but for facet issues. They were only temporary to pinpoint just where the problems were, and once we knew they'd hit the right spot, I had rhizotomies done. The first and second rhizotomies were L2 to S1, bilateral and I got about six weeks relief from them; the third rhizotomy was sections of my C and T spine and again L2 to S1, bilaterally, and I had almost six MONTHS of relief from it.

    Has your doctor talked about this option at all? They may be known as radiofrequency ablation where you are.

    I hope you get relief; I know how miserable the low back pain is. Out of curiosity, so you do any stretching daily?? If not, it would be worth having someone teach you a good but gentle routine; it can really take the edge off. I learned a routine at two residential pain clinics I attended, and have stuck with doing some stretching every day since I was there two years ago.

    Tracy
  • Yeh, NHS isn't too brilliant for speed is it!

    I had a nerve root block for L5/S1 about 5 months ago. Apparently they can work for up to 6 months. Mine was done for diagnostic purposes and numbed my leg for only one day, like csp above.

    Based on this positive sign the ortho surgeon advised that surgery (microdiscectomy) was the best option, so I had that last week. Nerve is obviously still inflamed so I still have the sciatic pain just now

    The nerve root block itself is a fairly sound procedure. Local anaesthetic takes away most of the pain. When I had it done, the doctor inserted the needle into the right area which shows up on the monitor, which you get to see, and wiggled it until I felt a shooting pain down my leg, then he inserted the fluid.

    One funny (although potentially very negligent/dangerous) thing about my nerve root block was that straight after the procedure, the b@stards left me alone to get changed back into my clothes. I was so close to fainting that I fell on a metal trolley, which had the nurse rushing to see me (although I'm not good with needles so it could have been expected)

    Hope all goes well with your one!
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