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Neurology (Expert Forum)
Awaiting Diagnostic Nerve Block
This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.
Awaiting Diagnostic Nerve Block
by SPONDY, Sep 19, 1998 12:00AM
Last time I entered forum, I was awaiting CT/Myelogram results. The results
were consistent with first Ortho Surgeon- lytic spondylolisthesis on L5 -S1
causing nerve root compression and numbness/weakness into right leg and foot.
The Neurosurgeon has ordered a "Nerve Block" test in which he said an
anthesiologist will insert a needle in my back and inject novacaine into the
nerve root. Depending on my response to the test (either it helps or doesn't)
will determine what to do next.
My question is this. At this time, I am not experiencing much pain at all. My
concern has been over the weakness/numbness. Is this test serving any purpose?
I have a hard time understanding shooting novacaine into a leg that is already
numb!! I am beginning some aggressive physical therapy this week, also.
The Neurosurgeon talks as if I'm close to the end of non surgical options and
that fusion surgery would be the next step. These symptoms have been present
since May '98.
Thank you for your help.
==================================================================
Thanks for your feedback. The rationale for your neuro-surgeon's approach
is an attempt on further confirmation that your symptoms are indeed caused
by the spondylolysthesis ("vertebrae slipage") at the L5-S1 level.
On one hand, his "caution" is somewhat reassuring because he wants as much
certainty as possible before performing the procedure. After all, even the
most routine surgical procedures carries a risk of complications - and a
vertebrae fusion is a moderate procedure. The major complaint of surgical
patients is the lack of symptomatic improvement after the procedure.
On the other hand, the proposed pre-operative procedure - evaluation of the
nerve root via temporary anesthesia - is not absolutely risk free.
The bottom line of the situation boils down to your level of comfort with
the evaluation that has been performed so far. From all your previous
postings, the course of action suggested by your neuro-surgeon has been
a reasonable one, in accordance to the general medical/surgical practice.
It does not mean that another surgeon in this field would follow exactly
the same steps, but the diagnosis and treatment plan for your problem is
being accomplished.
I hope this information is helpful. Best of luck.
This information is provided for general medical education purposes only.
Please consult your doctor regarding diagnostic and treatment options.
