Intercostal 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 AN INTERCOSTAL NERVE BLOCK?

An intercostal nerve block is an injection of medication into the chest wall used to relieve pain.

HOW DOES AN INTERCOSTAL NERVE BLOCK ALLEVIATE MY PAIN?

An injury or disease in any of the structures of the chest wall may result in inflammation.  This inflammation can apply pressure to the intercostal nerves in the chest wall, resulting in pain.  Intercostal nerve blocks are given in an attempt to reduce this inflammation and pain. 

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

PATIENT COMFORT:

     -  Keep the injection site clean and dry.  You may shower.
     -  If you have a dressing, it can be removed the following day.
     -  Take medication as prescribed by your doctor.
     -  You may take Extra Strength Tylenol, 2 tablets, every four hours as needed for pain.
     -  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.



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