konservativ therapy
Nerve block
During a spinal nerv lock we will apply a local anesthetic sometimes in combination with cortisone directly on the affected nerve root. This procedure is monitored with the help of an X-ray or CT.
The injection helps to release the irritation and the swelling of the affected nerve root which releases the pain. This injections need to be done 6- 12 times in alternating periods of time and have a positive effect in 60- 70% of cases.
We must monitor the patient after the injection for about 30 minutes. During this time we need to observe the pulse- rate, the Oxygen concentration in the blood or sometimes an electrocardiogram. In rare cases the injection of an infusion is necessary.
Because the patient experiences a very strong pain therapy numbness or weakness in the lower extremities could occur this is why we would like to monitor you in our medical office. Empirically this effect decreases after 3 hours.
Sacral block, peridural block
I fit comes to a peridural or scral block the surgeon infiltrates and floods the nerve root in the area of the lower lumbal spine. With the help of a small entrance the surgeon will place a small canula or catheter in close relation to the dural sack through which an anesthetic gets applied.
We try to block the lower lumbal and sacral nerve roots which can be irritated after an slipped disk or a stenosis. The pain and the swelling need to be reduced. Empirically we have a succeed rate of 60- 70%. It is necessary to perform 6- 12 injections in alternating periods.
We must monitor the patient after the injection for about 30 minutes. During this time we need to observe the pulse- rate, the Oxygen concentration in the blood or sometimes an electrocardiogram. In rare cases the injection of an infusion is necessary.
Because the patient experiences a very strong pain therapy numbness or weakness in the lower extremities could occur this is why we would like to monitor you in our medical office. Empirically this effect decreases after 3 hours.
Plexus block
Ultrasound guided injection
The physician will inject an anesthetic in close relation to the arm nerves at the arm pit. For the correct localization it is very useful to use an ultrasound device.
Can be taken into consideration for Morbus Sudeck