Nerve Injections

What Are Nerve Injections?

Nerve injections, also known as nerve blocks, are medical procedures where medication is injected near nerves to manage pain. These injections typically contain local anaesthetics, steroids, or other agents to reduce inflammation and interrupt pain signals to the brain. They are used for both diagnostic purposes (to identify the source of pain) and therapeutic treatment (to relieve acute or chronic pain).

Dr Bassam Moses specialises in performing ultrasound-guided nerve blocks, ensuring precise medication delivery with real-time imaging. His expertise minimises risks while maximising pain relief, improving patients' quality of life.

Who Is Suitable for Nerve Injections?

Nerve injections may benefit individuals experiencing:

Chronic Neuropathic Pain
Acute Pain from Injuries
Post-Surgical Pain
Pain Related to Conditions such as herniated discs, facet joint arthritis, or certain types of headaches

Eligibility depends on the patient’s pain symptoms, duration of pain, and overall health. A thorough assessment by a healthcare provider is necessary to determine suitability.

Benefits of Nerve Injections

Targeted Pain Relief: Delivers medication directly to the pain source for maximum effectiveness.
Diagnostic Capabilities: Helps identify the nerve responsible for pain, guiding further treatment.
Reduced Dependency on Oral Painkillers: May help minimise the use of systemic medications with side effects.
Minimally Invasive: Provides a non-surgical option with minimal recovery time and fewer risks.
Improved Quality of Life: Helps restore mobility and function, allowing patients to engage in daily activities.

Types of Nerve Injections

Epidural Steroid Injections: Administered into the epidural space to treat radicular pain or sciatica.
Facet Joint Injections: Target the joints connecting vertebrae to relieve spinal pain.
Peripheral Nerve Blocks: Used for localised pain in areas like the shoulders, knees, and hips.
Sympathetic Nerve Blocks: Target the sympathetic nervous system for vascular or visceral pain conditions.

Alternative Options to Nerve Injections

Patients who prefer non-injection treatments or are not candidates may consider:

Physical Therapy: Strengthening and mobility exercises to improve function.
Acupuncture & Chiropractic Care: Alternative therapies for pain relief.
Electrical Nerve Stimulation (TENS): Uses electrical impulses to reduce pain.
Oral Pain Medications: Includes NSAIDs, muscle relaxants, and neuropathic pain relievers.
Lifestyle Modifications: Weight management, exercise, and ergonomic adjustments.
Surgical Intervention: Considered in severe cases where other treatments fail.

Preparation for a Nerve Injection

Before the procedure, patients should:

Consult with Dr Moses: Review medical history, allergies, and current medications.
Adjust Medications: Blood thinners or certain medications may need to be paused.
Follow Pre-Procedure Instructions: May include fasting or hydration guidelines.
Arrange Transportation: Some injections may temporarily affect mobility or require sedation.

Nerve Injection Procedure

Patient Positioning: Positioned for optimal access to the injection site.
Site Preparation: The skin is sterilised, and a local anaesthetic may be applied.
Imaging Guidance: Fluoroscopy or ultrasound is used for precise needle placement.
Injection: The medication is delivered to the target area.
Completion: Patients are monitored briefly before discharge.

Post-Nerve Injection Care and Recovery

Immediate Monitoring: Observation for any adverse reactions.
Pain Management: Ice, mild pain relievers, and rest as needed.
Gradual Activity Resumption: Avoid strenuous activity initially and follow medical advice.
Follow-Up Appointments: Evaluate effectiveness and discuss additional treatments if necessary.

Risks of Nerve Injections

While generally safe, potential risks include:

Temporary Pain or Soreness: Mild discomfort at the injection site.
Infection: Rare but possible if proper sterilisation is not maintained.
Allergic Reactions: Sensitivity to injected substances in rare cases.
Nerve or Blood Vessel Damage: Uncommon but may occur with improper placement.
Bleeding Risks: More common in patients on blood thinners or with clotting disorders.

Nerve Injection Long-Term Outcomes

The effectiveness of nerve injections varies; some patients experience long-term relief, while others may require repeat injections. Continuous monitoring and follow-up care are essential for adjusting treatment plans and optimising pain management.

Nerve injections provide a highly effective option for managing pain, helping patients regain mobility and improving their daily quality of life.