Surgery and Blocks
 

I am seeing my surgeon this afternoon to discuss my Friday procedure. I am giong to talk with him about the 900 mg Gabapentin and 100 mg Minocycline.

What type of block or regional Anesthesia is recommended for foot (prodecure is to remove pin staple mid foot, then bone spur big toe). The current plan is Local with IV Sedation but I want to ask about regional if on the off chance what I do have is RSD to avoid spread.

Thank you all for your support and recommendations. It has definitely increased my confidence in having the procedure.

Hi GoBlue,

I think it depends on what they mean by "local". Usually local means the soft tissue of the area they are going in but maybe they mean more than this. Regional means they do an actual block of the nerve or nerves supplying the area. For example, when the medial ankle is blocked they often block both the posterior tibial nerve and the saphenous. The dorsum of the foot would be saphenous and peroneal. It totally depends on where they go in. Some docs block regionally at the ankle some go above the knee. Blocks do have potential risk, so perhaps they are thinking this a quick procedure and local is all that is needed.

Questions, Have they said how much time they need? Is an anesthesiologist going to be there?

PS....Don't be fearful of tourniquet if they use one. It greatly increases visibility and hemostasis in the surgical field. Not a bad thing.

Let us know your surgery day so we can send healing vibes. :hug:

Thanks Littlepaw

Surgery is this Friday and should only last 45 minutes or so. Should be very quick, he thinks the most difficult part will be getting the staple but his goal it to get at last all the exposed surfaces which of course would be what is causing irritation.

I had read that Touniquets weren't recommended. I know my last procedure didn't use.

One of my questions for Doc today is if Anesthesiologist will be in with me too. The surgeon doesn't like to use general since increased risks but I was curious on the nerve blocks.

hi goblue. i had eight nb in my neck for my rsd in my wrist and was put to sleep for all of them at my request. i didn't have any spread from them but had moments of burning sensations at the site where the needle was put into my neck. but it didn't last too long. i'm not a dr and am just letting you know my experience but if i were you i would talk to you dr to make sure he knows your concerns. i hope that whatever you do you feel better soon. sending caring thoughts and hugs your way.
P.S. i have always had an anesthesiologist accompany my dr for every procedure and surgery i've had. and i make sure they all know i have rsd and to not touch the rsd site. i think its very important to have an anesthesiologist along with my drs. even my pm dr uses one. take care.:hug: