Nerve block for chronic pain

A nerve block may be used to treat some kinds of chronic pain. It relieves pain by interrupting how pain signals are sent to your brain. It is done by injecting a medicine near a nerve or near the spinal cord or nerve root.

A test block is usually done with a short-acting local anesthetic. It numbs the area of pain to see if you get good pain relief. If you do, your doctor may inject another medicine, such as a steroid or alcohol, that may provide long-lasting pain relief.

Before the nerve ablation procedure, you will have a test that uses a nerve block. The nerve block tells the doctor if the ablation will relieve your pain. This test numbs specific nerves to help your doctor find the nerves that are causing your pain. Guided by X-rays or ultrasound, the doctor injects a drug on or near the nerve. The drug relieves pain by stopping the nerve from carrying pain signals for a short time. If the nerve block relieves your pain, the ablation may work for you.

How well a nerve block for chronic pain works depends on the type of block, the medicines used, and the cause of the pain that's being treated. Some blocks last from a few hours up to a day. Others last for months. And some can give permanent relief. Sometimes the block needs to be repeated.

Nerve blocks can work well for some kinds of cancer pain. But they may not work as well for something like low back pain.

Your doctor can help you understand how well a nerve block might work for you.