Selective Nerve Root Block

For individuals experiencing severe, radiating pain, especially in the neck, back, and legs, Selective Nerve Root Blocks (SNRB) offer a precise and effective method for managing chronic pain. This minimally invasive procedure can provide long-lasting relief for patients suffering from conditions such as herniated discs, spinal stenosis, and radiculopathy. Dr. Vadim Lipel, a skilled pain management specialist in Encino, California, offers Selective Nerve Root Block injections to help patients reduce pain and improve mobility, allowing them to return to a more active and comfortable lifestyle.

What is a Selective Nerve Root Block?

A Selective Nerve Root Block (SNRB) is an injection used to diagnose and treat pain caused by nerve root compression or irritation in the spine. The procedure involves the targeted delivery of a local anesthetic and corticosteroid medication to the affected nerve root, which is located where a spinal nerve exits the spinal column. By reducing inflammation around the nerve, the injection helps to alleviate pain and improve function.

SNRB is commonly used to treat pain related to conditions such as:

• Herniated discs
• Spinal stenosis
• Degenerative disc disease
• Sciatica
• Radiculopathy (nerve pain caused by compression or irritation)
• Facet joint arthropathy (degeneration of the joints in the spine)

Benefits of Selective Nerve Root Block

• Targeted Pain Relief: One of the primary benefits of a Selective Nerve Root Block is its ability to deliver pain relief directly to the affected nerve root. The combination of a local anesthetic and corticosteroid reduces inflammation and blocks pain signals, providing effective pain management.
• Accurate Diagnosis: In addition to providing therapeutic relief, an SNRB can be a useful diagnostic tool. If the injection provides significant pain relief, it confirms that the pain is originating from the targeted nerve root, guiding further treatment options.
• Minimally Invasive: The procedure is performed with a needle inserted into the targeted area, using advanced imaging techniques such as fluoroscopy or ultrasound for precision. There are no large incisions, and the recovery time is minimal.
• Reduced Dependence on Medications: For patients seeking to avoid long-term use of oral pain medications or steroids, an SNRB provides a non-surgical alternative that targets the source of the pain directly, minimizing the need for medication.
• Long-lasting Relief: While the effects vary from patient to patient, many individuals experience significant pain relief from SNRB for several months, allowing them to return to daily activities with greater ease and mobility.

How the Procedure Works

A Selective Nerve Root Block is a relatively quick procedure performed in an outpatient setting. The process typically takes 20 to 30 minutes, and most patients can resume normal activities within a day or two. The procedure involves the following steps:

1. Preparation: Dr. Vadim Lipel will begin by reviewing your medical history and performing a physical examination to assess your symptoms and determine the likely cause of your pain. He will also discuss your treatment goals and explain the procedure in detail.
2. Imaging Guidance: To ensure the injection is delivered to the exact location of the affected nerve root, the procedure is performed under real-time imaging guidance, such as fluoroscopy (X-ray) or ultrasound. This allows Dr. Lipel to precisely locate the nerve root and avoid any surrounding structures.
3. Injection: After the area is numbed with a local anesthetic, a thin needle is carefully inserted into the targeted space near the affected nerve root. Once in place, a combination of anesthetic and corticosteroid medication is injected into the area to reduce inflammation and provide pain relief. The corticosteroid helps to reduce swelling and inflammation over time, while the anesthetic provides immediate pain relief.
4. Post-Procedure Care: After the injection, you may experience some mild soreness or swelling at the injection site, which is typical and usually resolves within a few days. Most patients are able to return home shortly after the procedure. Dr. Lipel will provide specific aftercare instructions, including activity restrictions and follow-up care.

What to Expect After the Procedure

Many patients experience immediate pain relief following the injection due to the local anesthetic, while the corticosteroid may take several days to reach its full effect. The pain relief from a Selective Nerve Root Block can last from several weeks to several months, depending on the individual and the underlying condition.

Some temporary side effects are possible, including:

• Mild soreness or bruising at the injection site
• Temporary numbness or weakness in the affected area
• Minor increase in pain during the first few days (this is typically temporary)

Most patients can return to their normal activities within a day or two. Dr. Lipel will monitor your progress through follow-up visits to assess the effectiveness of the injection and discuss any additional treatments that may be necessary.

Is a Selective Nerve Root Block Right for You?

A Selective Nerve Root Block is an excellent treatment option for individuals experiencing pain related to:

• Herniated or bulging discs in the spine
• Spinal stenosis or narrowing of the spinal canal
• Sciatica or leg pain caused by nerve compression
• Radiculopathy (nerve irritation or inflammation)
• Chronic neck or back pain that has not responded to conservative treatments

If you have been diagnosed with any of these conditions and are experiencing chronic pain, a Selective Nerve Root Block may provide significant relief and improve your quality of life. Dr. Vadim Lipel will perform a thorough evaluation to determine if this procedure is right for you.

Schedule a Consultation

If you’re struggling with chronic neck, back, or leg pain, a Selective Nerve Root Block may be the solution you’ve been looking for. Dr. Vadim Lipel’s expertise in pain management and his commitment to personalized care ensure that you receive the most effective treatment for your specific condition. Contact our office today to schedule a consultation and learn how an SNRB can help you manage your pain and improve your mobility.