NERVE BLOCKS

Nerve blocks may be done to effectively treat pain caused by a range of conditions. At Las Vegas Primary Care, staff are trained to provide a variety of nerve blocks to address the patient’s specific condition and pain level.

Ganglion Impar Block

This type of nerve block is done to treat pain in the lower pelvis and groin area. During the procedure, a healthcare practitioner will inject the medication into the area near the tailbone and between the buttocks. Conditions and symptoms that may be treated with a ganglion impar block include rectal pain, vaginal or vulvar cancer, pain in the tailbone, bladder cancer, scrotal cancer, rectal or anal cancer, or pain from other nearby structures.

Doctor holding syringe for nerve block, with patient in the background

Digital illustration of nerve block into the lower back

Celiac Plexus Block

A celiac plexus block may be done to minimize severe abdominal pain caused by pancreatic cancer. The injection may temporarily or permanently prevent the celiac plexus nerves in the abdomen from sending pain signals to the brain.

Hypogastric Plexus Block

The hypogastric plexus block treats chronic pain in the pelvic area by targeting a bundle of nerves located near the bottom of the spine.

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During the procedure, the healthcare provider will use X-ray guidance to insert needles into the back, near the hip bone. The physician will then inject dye to confirm the needle is in the right location and go on to inject the medication, and possibly a steroid, to treat the pain.

Intercostal Nerve Block

An intercostal nerve block can help reduce inflammation and identify the source of chest pain caused by a herpes zoster infection or a surgical incision.

Ilioinguinal Nerve Block

The ilioinguinal nerve provides sensation to the perineum, upper inner thigh, and groin. It begins in the lower back spinal nerve, wraps above the

Physician performing a nerve block procedure

upper ridge of the hip bone, and goes into the groin. Patients experiencing groin pain, often caused by hernia surgery or trauma to the groin, may benefit from an ilioinguinal nerve block targeting the nerve.

Medial Branch Block

A diagnostic medial branch block is a procedure that involves injecting an anesthetic near the small medial nerves connected to a specific facet joint. A patient may be a candidate for additional pain treatment if they experience pain relief after the injection.

Lumbar Sympathetic Block

A healthcare provider may recommend a lumbar sympathetic nerve block for patients experiencing reflex sympathetic dystrophy, herpes zoster infection (shingles) involving the legs, complex regional pain syndrome, vascular insufficiency, and peripheral neuropathy.

Occipital Nerve Block

An occipital nerve block may be necessary to help manage the following symptoms and conditions:

Cluster headaches
Migraines
Tender or painful scalp
Spondylosis of the cervical facet joints
Pain that affects the back of the head or one side of the head

Facet Block

A facet joint block is done to alleviate pain in the neck or back. During the procedure, the physician injects a small amount of local anesthetic and/or medication into a facet joint in the neck or back.

Stellate Ganglion Block

Patients experiencing pain in the head, neck, upper arm, and upper chest may benefit from a stellate ganglion block. The procedure may also promote circulation and blood supply to the arm. A stellate ganglion block may be done to treat the following conditions: