WHAT ARE PERIPHERAL NERVE BLOCKS?
A peripheral nerve block is a procedure that can be performed both as a diagnostic and/or therapeutic intervention to help treat inflamed or damaged nerves. The peripheral nervous system can be thought of as a tree with multiple branches extending outward from the trunk. In this tree analogy, the spinal cord is the trunk and the peripheral nerves are the branches that travel into the arms, legs and other parts of the body. Sometimes when there is an injury, trauma, surgery, or chronic disease, these nerves can be inflamed or irritated and cause pain. Peripheral nerve blocks are procedures that aim to calm down these inflamed nerves and improve your pain.
"Dr. Maniam is great and you took care of my knee. My knee feeks great and i can walk again. The visit was beautiful and they treat me with respect."- K.D. / Google / May 18, 2021
"On first arrival Dr. Kohler and his staff at Ospina Medicine were warm and welcoming. He was precise in his knowledge and explained all parts of both my pain management due to previous injury, and preventative measures for future treatment. Their New York City based state of the art technology and contemporary office made me feel at ease immediately. As someone with continual back pain, and as someone who wants to avoid opioid treatment, the very nature of Ospina Medical using non-opioid approaches to pain management for me was a big bonus. The results have been brilliant, and I am so pleased to have Dr. Kohler to help me through my pain management process."- M.M. / Google / May 17, 2021
"The nicest people, the best care. I feel so much better already. Would recommend to any and all friends, dancers, athletes, who are having pain."- C.J. / Google / May 14, 2021
"Dr Maniam and his staff are excellent. Renya at the front desk is always friendly and makes me feel comfortable. There’s a real sense that they care about their patients. I’ve had numerous spinal epidural‘s and radio frequency ablations, they’ve been painless and have gotten excellent results. This is the best pain management group that I’ve been to and I’ve been to more than a few... I highly recommend Ospina!"- M.G. / Google / May 14, 2021
"I've had 3 cortisone injections with Ospina and I'm amazed by the care they take when applying the injections. I can't believe how well it works and what good care they take of me. (I had received an injection somewhere else and it was more painful, bruised badly, and didn't last near as long.) I will ONLY go to Ospina now. The staff and doctors are truly WONDERFUL. Don't hesitate!"- P.G. / Google / Apr 30, 2021
WHO IS A CANDIDATE FOR PERIPHERAL NERVE BLOCKS?
Patients who are experiencing acute or chronic nerve related pain may benefit from peripheral nerve blocks. Pain from peripheral nerves can come from a variety of sources including trauma, surgery, chronic disease, or autoimmune disease. During your first visit with your physician, we will review your medical, social and family history as well as perform a physical examination to determine if this treatment option is right for you.
HOW IS A PERIPHERAL NERVE BLOCK PERFORMED?
Peripheral nerve blocks are performed in our AAAASF surgical suite. Using live ultrasound and/or x-ray guidance, our physicians are able to locate the specific nerve that is causing your pain and inject local anesthetic and steroid around the nerve to help alleviate your pain. If the pain improves with a local anesthetic block, you may be a candidate for more long-term pain relief through a radiofrequency ablation procedure. Depending on the nerve, you may be a candidate for this procedure. Using radiofrequency ablation, our physicians may be able to limit the amount of sensation the nerve delivers to your brain and thus eliminate the pain that you feel from this damaged or inflamed nerve.
Another treatment option that you may be a candidate for is nerve hydrodissection using platelet lysate (PL). This is a Regenexx regenerative medicine procedure where the inflamed nerve may be treated with a super refined platelet-rich plasma (PRP) product called platelet lysate (PL). Platelet lysate is the immediate-release version of PRP with a very high concentration of growth factors. When PL is injected around nerves, it functions like a very strong anti-inflammatory medication much like steroid, but without any of the side effects. Additionally, because PL is full of growth factors, it can actually help stimulate nerve healing while your pain improves.
If you would like to learn more about peripheral nerve blocks and/or or our novel Regenexx platelet lysate procedures, please contact our midtown Manhattan office today to book your consultation.