Clonidine in peripheral nerve blocks
Common Questions and Answers about Clonidine in peripheral nerve blocks
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It’s a good possibility that you are experiencing peripheral neuropathy in your legs and feet aka diabetic nerve pain. I started getting a sensation like someone was blowing hot air through my shirt onto my stomach every few seconds which progressed into my left leg and foot going numb ,tingling and burning, shooting pains throughout my leg and to my foot . I have spasms and my foot began to drag . I couldn’t lift it to take a step it was like walking on a foot that’s asleep.
However, there is no single treatment can help here but Capsaicin (topical applications), Clonidine (topical applications),EMLA (an anesthetic which hospitals use to numb the skin before IV), nerve blocks, nortriptyline and carbamazepine (tegretol) can be tried with the help of a doctor. Hope this helps.
Entrapment neuropathy (neuralgia, neuritis, pinched or trapped nerve) is caused by physical compression or irritation of major nerve trunks and peripheral nerves, producing distant nerve pain symptoms. Certain sites in the body are more likely to produce nerve entrapment because of anatomical vulnerability".Reference:http://www.painclinic.org/nervepain-entrapmentneuropathy.htm
These sites include neck,shoulder,elbow and wrist.You may have either supraspinatus neuritis or ulnar neuritis.
The pain clinic has tried multiple trigger point injections, steroid injections, nerve blocks, pulsed radio frequency nerve ablations, etc. I went to physical therapy for almost two years, etc. Nothing has helped stop this AWFUL pain! I manage it now with Lyrica and Oxycontin. Now my Neurologist has recommended me to have surgery to have the nerve severed.
If anyone out there has any suggestions for my father-in-law, I would be so greatly appreciative! He has had 4 cervical fusions, several nerve blocks, is on constant opiate pain medication, has had every form of physical therapy possible, and is currently looking at the possibility of a Peripheral Nerve Stimulator. This has been going on for approximately 15 years now! NOTHING is helping him!
With administration at a doctor’s office, Botox is injected into 31 sites around the head in a five-to-10-minute procedure. Botox blocks chemical changes on nerve endings thereby reducing migraine pain.
Botox is injected into muscles of the forehead, the side and back of the head, and the neck and shoulders to produce a partial and temporary chemical “denervation” of the muscle to treat chronic migraine. This causes the muscles to be too weak to contract.
I guess Idiopathic Peripheral Neuropathy (Peripheral Neuropathy with unknown cause) could be a diagnosis. Peripheral neuropathy can be from toxins (including alcohol,) Diabetic Neuropathy, etc. Once all the "symptom related diseases" have been ruled out, and you can't find a cause, then a diagnosis of Idiopathic Peripheral Neuropathy would seem appropriate. I think I'd really like to make sure it is not due to diabetes or heavy metal poisoning, etc.
I've had a lot of different blocks, nerve blocks and the most recent are stellate ganglion blocks. None have made me worse. Some I've had zero relief from; other's I've had relief for a few days. If it isn't going to make things worse, I think it's worth a shot.
t agree with the nurse that stated that all nerve damage is worse in heat. In diabetic peripheral neuropathy some people experience some relief with mild heat.
From what you said it sounds like the woman at the local MS council was saying that the peripheral symptoms of neuropathy worsened in heat and that is correct.
The most common cause of a foot drop is peroneal nerve injury at the level of the knee, although patients who have lower back problems such as degenerative disc disease may experience foot drop as a result of a herniated disc at the L5 nerve root level where the peripheral nerve exits the spinal cord, known as an L5 radiculopathy.
Although your symptoms initially sound like they were primarily motor, it sounds as though you have developed symptoms typical for a peripheral sensory neuropathy.
Thank you Lulu for your reply....I live in Middletown,just south of Dayton.I was diagnosed with Peripheral Neuropathy..unknown cause...I have been reserching on the internet,and came across several places for causes of PD...and found out MS can be a cause.along with alot of causes others that Has been ruled out for me.Its been 5 months since I saw my Neurologist..and I had a big flare up,first one for me..that last about 5 days...
An A1C of 6 could result in peripheral neuropathy in some persons, if you are sensitive to higher blood sugars. non diabetic a1c is in the range of about 4.2 - 4.6, even though you may be told that up to 7 is ok, it can alreayd result in complications.
Please work to further reduce your blood sugars (closer to 5 or even normal is better if you can do while avoiding going low).
I've had RSD for 4 1/2 yrs. Been through injections, nerve blocks and failed attempt for a SCS and I've tried many medications that usually have some allergic reaction. I'm on a couple that don't take the pain all way but my system tolerates. My new doctor wants to try and do 3 stellate ganglion blocks for my arm. The other blocks 4 yrs. ago didn't help. I asked him about nerve blocks for my feet because it is a fairly new area that the RSD is spreading into.
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