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What if nerve blocks don't help? What if nerve blocks don't help?

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Unread 10-30-2005, 07:18 PM
What if nerve blocks don't help?

I've had three nerve blocks done by 3 diffrent PM doctors since April and none of them really seemed to make a diffrence. The last one seemed to help until the numbing medication were off & then the pain was back. The doctor wants to do something diffrent the next block on Nov 17th. What happeneds if the nerve blocks don't work?

Has everyone had the nerve blocks work for them? What other kinds of treatment are there? I am so afraid that I am going to have to live with this pain & the guessing game of were to enject the next block.

When I went for my last block I was informed in the exam room that the prior PM doctor quit & I would have another PM doctor. By the way this is the 4th one at this clinic since April. I am really unsure unless they say this block will help that I want another one as the last one left me screaming & crying when they did it. (Nothing for pain was given prior, just suck the needle right in my groin area)

My normal nurse was not in when I called Friday to give an update. The other nurse said she would have the doctor call in more pain meds for me. Tremedal... Well I went to pick up the meds today & I was told my insurance would not cover this doctor who prescribed them that it would be $125.00, as well as this doctor changed my normal script from 1-2 tab every 4-6 hours to 1 tab ever 6-8 hours. The one tab will not even touch the pain.

Some days I am ready just to give up. Which I could find that little nerve as I would cut it myself if it would make the pain go away. My pain was so bad yesterday when we were shopping & I was out of pain meds because of this insurance problem DH bought me a cane at Gander Mountian hoping that it might help, as I fell in the store.

So I guess its back to calling the insurance company to see if they will cover the doctor (I had not much choice when I saw him as I was already undressed when I was told the other PM doctor was no longer there) I dont see why this new one would not be covered as he is in the same clinic as the other & we only have one PM clinic in our insurance.

I am truelly getting to the point that I am so sick of fighting with insurance company's, and doctors to get pain releif. I was up all night because of the pain. Its effecting my work more & more.

I dont know how many more of these nerve blocks I can do. When do they normally say hey this is not working & lets try something else?
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Unread 10-30-2005, 07:43 PM
What if nerve blocks don't help?

I have been there and done that. The pain is still there and I can't take pain meds due to severe allergies. I have been fighting the pain for almost two years now and have finally said to heck with it. When the pain gets to the point I can't function at all then I will pursue other routes (I have pretty much done all of the routes). PM was a joke. The dr even said he knew it wouldn't help because the pain is deeper then he can reach with a needle. I have been to uro, all is fine. All of my drs (except gyn) are convinced that the problem is scar tissue that is adhered to the back[i] of my bladder. Surgery is basically all I have left and that is NOT an option for me right now. 8 surgeries in two years is enough. Surgery is not a guarentee either. So for now, I have my phenagran when I start barfing because of the pain (ususally 3-4 times a week) and then just deal. I am being monitored by all drs involved so if there is more of an issue with barfing then they will discuss what to do next. Good luck!!!! the pain is really a pain (no pun intended) hang in there. I haope you get some relief soon.
Unread 10-31-2005, 04:41 PM
What if nerve blocks don't help?

(((Sweety))) I know how it feels to wonder what avenue to take next to get your pain under control. I had 3 sets of SI injections last year and 1 set of trigger point injections. They did help for a couple of months. However, the last time around she hit a nerve or something and I had excruciating pain and almost passed out while she was doing it. Makes me leary of going through that again for mere weeks of "some relief." Ya know?! She has me on 5mg Lortab 4x daily and she doesn't want to increase that because she says she doesn't know if more medicine will even do the trick. Hmm...am I just suppose to suffer? I am really tired of feeling like I'm all out of options! Anyway, I didn't mean to ramble...just wanted to send some your way!!!

(((Sally))) s to you too! I can't imagine not being able to use any pain meds. I am sensitive to Phenergan...it makes my back and legs ache horribly!! (Most antihistamines do for some reason.) I had a bad, bad stomach bug last weekend and had to go to ER. Of course, they gave me it to try and stop the vomiting. Didn't work and then I hurt on top of it.
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Unread 10-31-2005, 08:24 PM
What if nerve blocks don't help?

BillsSweetie68, it just makes it hard when your only given one option. I would like to be able to make some choices. But it seems like my choices are more nerve blocks. I guess to me I feel that if we do 3-4 nerve blocks & they dont help that its time to try something else. It's also fustrating were I go because they say after each nerve block give me a call in 7-10 days & let us know how your doing & each time when I call back it takes them almost another month or more to get me back in for more treatment.

The last PM doctor was atleast telling me well we'll try the nerve block & if that does not work we will try a Spinal cord stim & if that does not work he would try something else. When I asked now what they the next step of the process is I don't get an awnser. I think the patients at this clinic are being sacraficed at the turn over rate of the doctors.

I tried to call today to talk to the nurse about my conserns but my normal nurse is on vacation until Wednesday. I plan on calling her back. Because the pain when the did the last nerve block was really really bad. I dont know that I want to go through it again when I did not recieve much releif.

Ugh... I just try to take it one day at a time, but it's hard. If I take my pain meds it makes it hard for me to do my job, but if I don't I hurt & it makes it hard for me to do my job. I just stuck in between two rocks & I can't get out.
Unread 11-02-2005, 09:13 AM
What if nerve blocks don't help?

(((Sweety))) Big s to you!! I know what you are going through is the pits!! It is so important to have a doctor that will keep looking for answers with you.

I went to a new GP yesterday and I really got a good vibe from her. She said that Cymbalta is working wonders in many chronic pain patients...especially those with nerve pain. I am going to try it starting next week. (Was on Zoloft anyway.) Don't know if that would be an option for you or not, but maybe something worth looking into??
Unread 11-02-2005, 10:59 AM
What if nerve blocks don't help?

((sweetiy)) : I'm so sorry.

((Bills)): I sure hope this is finally the doc you've been waiting for!

Gentle s for you both!
Unread 11-02-2005, 09:32 PM
What if nerve blocks don't help?

Hey ladies, just wanted to chime in here and say that I am going through the same darn thing. Did another spinal nerve block this time in the sacral nerve and again it did nothing...ok, when the general anesth. was still working I felt great...but once that wore off, my pelvis hurt AND my back hurt. So for several days I had 2 pains..like I need that! So, right now, I'm at a loss of where to go from here. I have read about the stimulators and the pump...but have heard they work great for some and not for others...then add the surgery to have it implanted, the possibility of infection and another surgery if it doesn't work...I don't know, guess I'm just not mentally ready for that right now.

What I've been doing is Neurontin 3x/day, 1/2 Norco every 4 hours (if I'm in pain or not), Advil, Zoloft and other non-pain meds....The pain is not gone but at least it is at a tolerable level and I'm not on such a roller coaster.

Anyway, just wanted to let you know that I'm in the same place you are.

Take care and let us know what you try.
Unread 11-03-2005, 05:48 PM
What if nerve blocks don't help?

Rubystar its nice to know I'm not alone, but yet it's not. I would not wish for anyone to go through any of this, but then again I think all of us out here feel that way. I hope we are both able to find pain relief that leaves us comfterble to live a some what normal life.

BillsSweetie, I am going to ask the doctor about maybe switching from zoloft & giving the Cymbalta a shot if they feel it may help. Anything is worth a shot at this point. Please let me know how it works for you.

Michelle, thanks for the hugs!
Unread 11-29-2005, 10:28 PM
What if nerve blocks don't help?

Cymbalta was the magic bullet for me--truly miraculous neuropathic pain relief since May. I combine it with Lyrica and Duragesic fentanyl patch but these two without the Cymbalta did not work that well. I've had one nerve block Nov. 15 and am going for second one Dec.6 to try for longer-lasting relief as I got only 4 days after the first one. They gave me Iv fentanyl and versed during the procedure and it was fine. I'd insist upon that.
Did you have Depo-Medrol injected with the marcaine? I'm nervous about injectable cortisone but I'll try 3 in a year I guess.My PM did suggest pulsed radiofrequency as the next procedure to try if nerve blocks fail. Anyone had this done or know about it?
Unread 11-29-2005, 11:07 PM
What if nerve blocks don't help?

Girls, sorry for all of you. Have you sought alternative
methods??--acupuncture, realignment????Was at our local health & nutrition pub 2 months ago. Took the owner's advice for a product that was giving customers
relief from pain. It really worked and fast..My hip had been in pain for months--difficult as I've a 30 yr passion for hiking..Product is called Serrapeptase Bioactive Enzyme made by SerraZyme. You are tough babes--
enduring like you do---Pray for you all to be healed and pain free. In Jesus name.

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