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-   -   Sympathetic Nerve blocks - the good, the bad and the ugly (https://www.neurotalk.org/reflex-sympathetic-dystrophy-rsd-and-crps-/252505-sympathetic-nerve-blocks-bad-ugly.html)

BioBased 12-12-2018 06:38 PM

Mike,

How did you get over C-diff? Are you accessing Boston Pain Management or are you using a local facility?

Mike in Holden 12-13-2018 07:11 AM

Quote:

Originally Posted by annabanana123 (Post 1270475)
Did it help you? So far it's done nothing for me but I have my second injection tomorrow. Fingers crossed it works because I'm at a loss as to the next steps beyond just dealing with it. I definitely don't want to do the SCS. It's tolerable-ish most of the time with meds, I guess.

The first one helped. It took about two weeks before the effects were felt but the pain subsided considerably. I don't get the purple foot I used to get from standing for half an hour. It still swells and by night time It gets stiff, but otherwise, it's a lot better than before. The second shot included prednisone:

Patient laid on the fluoroscopy table in the prone position.
Procedure Details:
Body area: trunk
Location: sympathetic

Needle size: 22 G
Location technique: anatomical landmarks (Fluoroscopic guidance)
5 mL lidocaine PF 1% (10 mg/mL); 10 mL bupivacaine PF 0.5% (5 mg/mL);
5 mL iohexol 300 mg iodine/mL; 40 mg methylPREDNISolone acetate 40 mg/mL
Patient was prepped and draped in the usual sterile fashion.
Post-procedure Details:
The patient was observed in the ambulatory surgery department.
Instructions: post-procedure instructions were reviewed
The patient discharged from clinic in stable condition.

annabanana123 12-17-2018 09:54 AM

Sorry to say these did not work for me...wanted to update for anyone else reading this. Now debating between ketamine, a SCS or doing nothing.

Mike in Holden 12-19-2018 01:51 PM

Quote:

Originally Posted by BioBased (Post 1270489)
Mike,

How did you get over C-diff? Are you accessing Boston Pain Management or are you using a local facility?

The c. dif was taken care of in the hospital, UMass Memorial. I was there for thirteen days. Intravenous Vancomycin for three days as well as orally for two weeks. I ordered yogurt with every meal and it was suggested that, once home, I take a probiotic.

BioBased 12-21-2018 12:44 AM

Tky. I asked, because I wondered if you needed a fecal transplant. I am considering one, not for C-Diff which I do not have, but for CRPS. My stomach issues, began right after my accident that triggered CRPS, so I am hoping that restoring my lower bowel microbiota might help with a remission.

RSD31 12-25-2018 04:05 PM

Blocks
 
I have a had 175 plus blocks in the upper and in the last 5-10 years it has spread to my legs so know I'm getting blocks for the legs know, I find that i have a harder time getting the lower done than the upper ones. but it is the the only thing that has help with the pain .


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