Dr Adriaan Liebenberg My Spine Cervical | Page 81

My Spine - Cervical In other cases where the foramen through which the nerve runs (see the chap- ter Anatomy of the Spine), is permanently obstructed by a disc fragment or because of a bony narrowing, the relief will only be temporary. The block will, however, serve to determine the level at which an operation should take place. When undergoing this procedure, you will be lying on your stomach or on your back on bolsters or pillows. Your specialist will use an X-ray machine to guide the needle that is used to do the procedure with. The needle is placed directly into the foramen and a mixture of steroids and local anaesthetic is injected into the foramen and around the nerve. This procedure can also be performed on an out-patient basis under CT guidance by a radiologist. Ward care You may sometimes experience a bit of discomfort directly following the pro- cedure, but this will clear up very soon. You will be allowed to move around freely after your procedure. Discharge This procedure is usually performed as a day procedure and you will be allowed to go home soon after your procedure. Rehabilitation It is incredibly important to get a lot of rest and exercise following your pro- cedure. It is frequently useful to supplement your treatment with physiother- apy and local treatment such as massage therapy and chiropractic treatment. The nerve root block is both a test and a treatment. Neural stretch exercises are important to allow the nerve to mobilise freely in the foramen. Your phys- iotherapist will assist you with these. 81