Immediate Pain Relief with Nerve Blocks in Pain Medicine

  If you often have stomach pains, if you are a long-term desk worker or long-term bedridden, then the following content, we suggest you take a look.  Jin is a housewife who spends most of her time at home watching TV, in addition to taking care of household chores, shopping occasionally, and dancing for an hour after dinner every day.  In September 2013, Jin went to the local hospital for a checkup due to abdominal pain and was diagnosed with endometriosis and underwent surgery. After the surgery, she spent most of her time in bed.  Two or three months later, the left half of her stomach hurt together with her waist. She thought it was a recurrence of endometriosis and went back to the hospital, where the doctor prescribed some analgesic capsules.  At first, the medicine had some effect, but then it had little effect, and the pain got worse day by day. After running to several hospitals, some said it was pelvic inflammatory disease, while others said it was a post-operative complication of endometriosis.  ”Every time the pain is severe, it feels like both legs are pointing out, can not open, and can not straighten. When I could barely open them, I couldn’t walk very far, like a child who had just learned to walk. When sitting, the back must be padded with something, otherwise the stomach will be bloated and painful, and can not sit for too long. Climbing stairs also hurts, especially when going downstairs, the stomach seems to be hanging there very uncomfortable.”  After several changes, Jin found a pain physician at the hospital and was diagnosed with abdominal pain of spinal origin.  Spinal origin abdominal pain is chronic abdominal pain caused by abnormalities in the anatomy or dysfunction of the spine, its attachments, and muscles and nerves. This condition can easily be misdiagnosed as endometriosis, pelvic inflammatory disease, appendicitis, etc. Some people who continue to have pain after appendicitis surgery are in part suffering from spinal-derived abdominal pain.  Once the diagnosis is clear, the treatment is not difficult. After three transversus abdominis plane nerve blocks and lumbar plexus nerve blocks, Kim’s symptoms were largely relieved, and there was no sign of recurrence.  The main function of the nerve block is to nourish the nerve, so that the surrounding muscle groups can be relaxed, forming a virtuous cycle to achieve the purpose of relieving pain.  Under the guidance of her doctor, Jin also insists on walking backwards for half an hour every morning and evening; when she has nothing to do at home, she leans on a stool with her back and spreads her legs on a small bench; she has also learned to swim. These can exercise the muscles of the lower back and help prevent recurrence of the disease.  Most abdominal pain is caused by abdominal organ disease, but if, after a series of examinations, such as abdominal ultrasound, CT, MRI, etc., no obvious abdominal organ lesion manifestations are found, and no other wasting, nausea, stool changes, etc. occur, then spinal origin abdominal pain should be considered.  Clinically, abdominal pain of spinal origin is mostly seen in sedentary or bedridden people. Prolonged sitting can lead to spasm of the abdominal muscles in the lower back, which can jam the corresponding nerves and produce pain.  Alternatively, surgery may damage the muscles and prolonged bed rest can cause muscle spasm to induce pain. Like the case of Jin’s sister, both possibilities are present.  Long-term ambulatory workers who experience vague pain in the abdomen and groin after sitting for a long time, or feel pain in the stomach like a needle pricking, and whose repeated internal examinations cannot detect other causes, are advised to visit the pain department.