DORSAL ROOT GANGLION BLOCK Dorsal root ganglion block is performed on an out patient basis for diagnosis and treatment of arm pain, leg pain or chest wall pain. This information sheet will provide you further details regarding this procedure.

WHAT IS A DORSAL ROOT GANGLION BLOCK? WHAT HAPPENS AFTER THE INJECTION? Dorsal root ganglion block involves injection of local anaesthetic A nurse will monitor you for up to 30 minutes after the and steroid close to the as they leave the spinal cord in procedure. The nurse will take your pulse rate and blood the or the lower back. The local anaesthetic helps to calm pressure. Occasionally your legs may feel heavy after this the nerves down and the steroid works as an anti inflammatory procedure. medicine. You will be instructed not to drive for up to 24 hours after the injection or longer if you feel unsafe. You will need some one WHAT IS A DORSAL ROOT GANGLION? responsible to take you home. The dorsal root ganglion is a little swelling on the as it joins You can generally return to work the next day but you should the spinal cord. It is the area where impulses from the nerves are avoid heavy work and strenuous activity for up to 48 hours. transmitted through to the spinal cord. The procedure may not help in some cases. Your pain may be exacerbated for up to a week or sometimes longer from the WHAT CAUSES NERVE PAIN? steroid injection. We always warn you about serious side effects Nerves may get compressed as they come out of the small including infection, nerve damage and bleeding but these are openings between the vertebrae. This may cause inflammation extremely rare. of the nerve root and pain along the nerve. Common causes The doctor will discuss these side effects in more detail when include disc prolapse and facet joint arthritis. you sign the consent form.

WHAT HAPPENS DURING THE PROCEDURE? HOW LONG CAN I EXPECT THE PAIN RELIEF The procedure is performed under fluoroscopy (x-ray) guidance. TO LAST? Local anaesthetic will be used to numb the skin. The doctor will then insert a needle close to the dorsal root ganglion. A special The duration of pain relief is variable and difficult to predict. dye may be injected to confirm the accurate position of the The injection may last from a few weeks to several months. needle. The doctor would finally inject the medication close to The aim is to break the pain cycle to enable you to engage in a the nerve. rehabilitative process, which is the mainstay of treatment for chronic pain. The procedure is performed under local anaesthetic and you will remain awake during the procedure. IS THERE ANY THING SPECIFIC THAT I NEED TO INFORM THE DOCTOR ABOUT PRIOR TO THE PROCEDURE? You should always tell the doctor if you are pregnant or likely to be pregnant. You should inform the doctor about any blood thinning medications that you might be taking. This includes Aspirin, Clopidogrel, Warfarin, Heparin and some of the newer ones like Rivaroxaban. Finally always inform the doctor about your allergies, especially latex, iodine and medications.

The above information is for general EMAIL: [email protected] • CONTACT: 07703292692 education only. Please ask specific questions WEBSITE: www.painspa.co.uk • FAX: 0117 2140301 to the doctor during your consultation. PROCEDURES WE OFFER

LUMBAR EPIDURAL INJECTION ACHILLES TENDON INJECTION CAUDAL EPIDURAL INJECTION PLANTAR FASCIA INJECTION LUMBAR FACET JOINT INJECTION GENICULAR NERVE BLOCK & RF CERVICAL FACET JOINT INJECTION NEUROTOMY OF KNEE JOINT THORACIC FACET JOINT INJECTION SUPRASCAPULAR NERVE BLOCK DORSAL ROOT GANGLION BLOCK BOTOX INJECTION NERVE ROOT BLOCK PLATELET RICH PLASMA THERAPY LUMBAR FACET RADIOFREQUENCY TENNIS ELBOW INJECTION DENERVATION GOLFER'S ELBOW INJECTION CERVICAL FACET RADIOFREQUENCY SUPRASCAPULAR NERVE ABLATION DENERVATION BOTOX FOR MIGRAINE TRIGGER POINT INJECTION CERVICAL MEDIAL BRANCH BLOCKS SACROILIAC JOINT INJECTION LUMBAR MEDIAL BRANCH BLOCKS INJECTION BLOCK GANGLION IMPAR BLOCK HIP JOINT COOLED PIRIFORMIS INJECTION RADIOFREQUENCY ABLATION INGUINAL NERVE BLOCK INGUINAL NERVE ABLATION PUDENDAL NERVE BLOCK LATERAL FEMORAL CUTANEOUS JOINT INJECTION NERVE BLOCK OCCIPITAL NERVE BLOCK GREATER AURICULAR NERVE BLOCK PULSED RADIOFREQUENCY BOTOX FOR BACK PAIN TREATMENT INTERCOSTAL NERVE BLOCK RECTUS SHEATH BLOCK TROCHANTERIC BURSA INJECTION ISCHIAL BURSA INJECTION ILIO LUMBAR LIGAMENT INJECTION QUADRATUS LUMBORUM INJECTION

The above information is for general EMAIL: [email protected] • CONTACT: 07703292692 education only. Please ask specific questions WEBSITE: www.painspa.co.uk • FAX: 0117 2140301 to the doctor during your consultation.