Celiac Plexus Nerve Block

Comprehensive
Pain Management
of the Fox Valley, S.C.


APPLETON OFFICE
820 East Grant Street
Suite 335
Appleton, WI 54911
920-733-7230 or
877-733-7230
920-733-7231 (fax)


NEENAH OFFICE
100 Medical Office Plaza
Suite A252
Neenah, WI 54956
(920)733-7230
(920)729-0347 (fax)

OUR MEDICAL STAFF
A.E. Yakovlev M.D.
Arthur A. Padilla M.D.
Beth Resch APNP
Dia M. Welch MSN, APNP


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  WHAT IS A CELIAC PLEXUS NERVE BLOCK?

A celiac plexus nerve block is an injection of medication into the nerves that support the organs and tissues of the abdomen.  It is used to relieve pain for patients suffering from diseases of the pancreas, liver, and other abdominal organs.

HOW DOES A CELIAC PLEXUS NERVE BLOCK ALLEVIATE MY PAIN?

Patients can experience pain associated with pancreatitis or other diseases of the abdominal organs.  Celiac plexus blocks can temporarily block the nerves that carry the pain from these organs.

A combination of two medications is used in this injection:  a local anesthetic and a steroid.  The local anesthetic provides immediate pain relief by numbing the area of the injection.  The numbing effect will typically wear off in 4–6 hours.  The steroid provides pain relief by reducing the inflammation in the area of the injection.  The steroid can take 2–10 days to begin working.  A series of injections may be needed to provide the desired pain relief. 

POST PROCEDURE INSTRUCTIONS

ACTIVITY:

     -  Do not drive or operate machinery on the day of your procedure.
     -  Avoid strenuous activity or heavy lifting for the rest of the day.
     -  Normal activity can be resumed on the following day, unless otherwise instructed by 
        your doctor.
     -  No heavy lifting for several days after the injection.

DIET:

     -  Resume your regular diet.
     -  You may experience diarrhea or loose stools after this procedure.  If so, drink ample
        fluids to prevent dehydration.

PATIENT COMFORT:

     -  Keep the injection site clean and dry.  You may shower.
     -  If you have a dressing, it can be removed the following day.  You can then
        shower.
     -  Take medication as prescribed by your doctor.
     -  An ice pack can be applied to the injection site once the effect of the local. 
        anesthetic wears off.  The ice pack should be applied for no more than 20 minutes
        at a time.

SYMPTOMS TO REPORT:
    
     -  Rash or itching
     -  Increasing abdominal pain
     -  Nausea
     -  Change in bowel or bladder habits

     -  Note any side effects such as headache, numbness or weakness in the arms or legs,
        or loss of bladder control.  Such side effects are rare, and typically subside within
        24 hours.

     -  (Patients with Diabetes) You may experience a worsening of diabetic symptoms
        (excessive thirst, excessive urination, elevated blood sugars).  Check your blood
        sugar twice a day for 2 weeks following the injections.  Call your physician who is
        managing your diabetes if you experience any increase in symptoms.

If you have any questions or concerns related to your treatment, please contact Comprehensive Pain Management of the Fox Valley S.C.



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