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Blocks: Yes or no? That's the question.
Posted: Mon Aug 26, 2013 9:14 pm
by bma
Blocks are recommended or not. Anyway? I read horrible stories and other very good. Unable to rely on scientific papers (conflict of interest), which is recommended? From what I read, the problem are the steroids that irritate the nerve, causing flare up. Thanks!
My dilemma is I can not find in Brazil, the country where I live, doctors experienced in this nerve blockade. But there are good doctors, pain specialists, and they make blocks on other nerves. And optionally the pudendal nerve.
Re: Blocks: Yes or no? That's the question.
Posted: Sat Aug 31, 2013 10:09 pm
by Violet M
BMA, we do occasionally hear from people on the forum who got worse from nerve blocks but the majority of people don't have any permanent worsening and a few get better. Nerve blocks are partly diagnostic to see if PN is what's causing your pain.
If you have significant improvement from conservative treatments like medication and pelvic floor PT maybe nerve blocks aren't worth the risk. But if those don't help and you are in a lot of pain it might be worth the risk.
Violet
Re: Blocks: Yes or no? That's the question.
Posted: Tue Sep 17, 2013 4:51 pm
by flyer28
agree with Violet.
always wondered why doctors consider them curative, when there is so little proof from patients.
But maybe there are some cases when the blocks helped in long-term.
Risks are associated with unguided blocks. Safest option is in my opinion ultrasound guided block, because high resolution ultrasound offers the best option to control the situation in real time.
I would consider upper blocks (in between sacrotuberous ligamnets) slightly more risky than Alcock blocks. According to my urologist, Alcock block are pretty convenient and with ultrasound control pretty safe.