Yesterday, I had another epidural in my neck. The neurosurgeon told me if this one did not work, surgical options had to be considered. This time, the procedure was more painful, and was only done on the left side. For some reason, only the left side was being treated. I had taken my last dose of Neurotin at 6 am the previous day, so that I could more accurately judge the results. Again, the pain and numbness was gone after the procedure, and I felt normal again. Until about 10 pm that night, when my left hand felt like it had been stabbed with a shard of glass. The pain was so intense for 15 seconds, that I could not breathe or focus. Then it was gone.
By 6 a.m today, it was like I had never had anything done.
Oh well.
CLINICAL HISTORY: Bilateral forearm pain.
LEFT C7:
TECHNIQUE: After obtaining informed written consent, the patient is placed on the table in the supine position and the anterior neck prepped, draped and anesthetized in a sterile fashion. Under fluoroscopic guidance, a 27g needle is advanced into the region of the left C7 nerve root, confirmed by hand injection of a small amount of contrast opacifying the nerve root sleeve. Following this, an equal mixture of 1 ml of Celestone and 1 ml of 0.75% Marcaine is injected through the needle and the needle removed. The patient tolerated the procedure well and left the Department in unchanged condition.
FINDINGS: A spot radiograph demonstrates opacification of the left C7 nerve root sleeve with a needle in place. The patient was observed following the procedure, and per standing orders authenticated with this procedure note, released in the routine fashion after meeting standard discharge criteria.
IMPRESSION: Successful left C7 nerve root block.
RIGHT C7:
TECHNIQUE: After obtaining informed written consent, the patient is placed on the table in the supine position and the anterior neck prepped, draped and anesthetized in a sterile fashion. Under fluoroscopic guidance, a 27g needle is advanced into the region of the right C7 nerve root, confirmed by hand injection of a small amount of contrast opacifying the nerve root sleeve. Following this, 2 ml of Celestone is injected through the needle and the needle removed. The patient tolerated the procedure well and left the Department in unchanged condition.
FINDINGS: A spot radiograph demonstrates opacification of the right C7 nerve root sleeve with a needle in place. The patient was observed following the procedure, and per standing orders authenticated with this procedure note, released in the routine fashion after meeting standard discharge criteria.
IMPRESSION: Successful right C7 nerve root block.

no subject
Date: 2009-08-01 12:46 pm (UTC)no subject
Date: 2009-08-01 03:01 pm (UTC)