My Spine - Lumbar
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 on bol-
sters or pillows. Your specialist will use an X-ray machine to guide the nee-
dle 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 have a bit of discomfort directly after the procedure, but
this will clear up very soon. You will be allowed to move around freely fol-
lowing 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.
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