I just had a C5 C6 C7 MBB performed yesterday. I thought I was going in for steroidal facet injections. While lying prone, the doc told me to prepare for a little prick. I assumed it would be lidocaine, it wasn't, just the guide needle being inserted without sedation or local.
He inserted the three needles, it was very uncomfortable but tolerable. I told him I was experiencing some pretty serious discomfort and he apologized and said it wouldn't take much longer. He then started at C5, using the flourascope to guide the needle, at this point it became incredibly painful. I have a very high tolerance for pain but this was just brutal. By the time he had done all three levels my whole body was trembling and I was having a hard time catching my breath and staying prone. As soon as the needles were out I was OK although it took a few moments to compose myself. The doctor apologized for the discomfort, said that it was highly unusual for someone to be in that much pain during the procedure. He mentioned that there must have been some pretty severe inflammation to cause the reaction I had. When he left the room, the nurse came over and apologized for the pain. She said she could tell it was intense and that she didn't understand why he didn't use any local anesthetic. Up until now I had assumed he did but didn't use enough, that when I told him I was in pain he didn't add more because he couldn't.
The doctor checked on me once more while I was checking out, he apologized once again and asked if I wanted any meds, I said no but asked why this was the most excruciating spinal injection that I have ever had and that I have had many. He said this particular procedure was to give a better diagnoses (at this time I thought I had just had a facet injection).
When he walked away, the office manager came over (we are buddies) and said she heard it was a pretty nasty session. I asked her to find out what procedure was performed and she said it was a MBB. She had no idea why he didn't use a local, or what an MBB was. She said "they" always use a local and she would try and find out why he didn't. I called her today and she hadn't found out why as of yet.
Sorry about the long post, in a nutshell, why in the hell didn't he use a local? Why was I made to suffer? Please offer up any explanation why a PM specialist would not follow standard protocol.