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Can A Nerve Localization Technique Kill A Peripheral Nerve Block?

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Posted on Sat, 28 Oct 2017
Question: Thank you Dr. Bishnoi for your follow-up e-mail.
I will be 85 in November. I looked up the drugs that you suggested as a possibility, and because of my age decided against them. However, I did like your idea of killing the troublesome nerve. I have no idea of how someone could locate and kill the nerve unless they have a procedure for exploring the site of the incision.
Thank you again for your ideas.
xxxx xxxxx
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Answered by Dr. Ishu Bishnoi (3 hours later)
Brief Answer:
Nerve localisation technique

Detailed Answer:
Hi Mr Norm Bachand, thanks for asking from HCM.



I can understand your concern. You right that you should avoid painkiller drugs. Because at 85 years age, these medication can cause impaired renal and liver function. However you can take these medication in low dose on intermittent basis.

Regarding nerve lysis, it is a good option. You are worried about how would doctor localise it?

It can be localised with your pain history, normal nerve anatomy, pain site and nerve conduction studies.
Also during procedure, the patient is kept awake. When doctor destroys the nerve with alcohol/phenol/steroid, he/she asks the patient about pain relief. If there is relief, that means right nerve has been hit.
So thats how we do the nerve lysis. You don't worry.

Discuss above points with your doctor and let me know what is his opinion. I will guide you further.
Hope it will help you. If any doubt, do let me know.
Thanks. Take care.
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 901 Questions

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Can A Nerve Localization Technique Kill A Peripheral Nerve Block?

Brief Answer: Nerve localisation technique Detailed Answer: Hi Mr Norm Bachand, thanks for asking from HCM. I can understand your concern. You right that you should avoid painkiller drugs. Because at 85 years age, these medication can cause impaired renal and liver function. However you can take these medication in low dose on intermittent basis. Regarding nerve lysis, it is a good option. You are worried about how would doctor localise it? It can be localised with your pain history, normal nerve anatomy, pain site and nerve conduction studies. Also during procedure, the patient is kept awake. When doctor destroys the nerve with alcohol/phenol/steroid, he/she asks the patient about pain relief. If there is relief, that means right nerve has been hit. So thats how we do the nerve lysis. You don't worry. Discuss above points with your doctor and let me know what is his opinion. I will guide you further. Hope it will help you. If any doubt, do let me know. Thanks. Take care.