What is nerve blockade ?

nerve blockade injection

A nerve blockade is a medical procedure that involves the injection of anesthetic agents or other medications near a nerve or a group of nerves to block the transmission of pain signals. The goal of a nerve blockade is to temporarily interrupt or decrease nerve activity, providing relief from pain or other symptoms in a specific region of the body.

There are different types of nerve blocks, and they can be used for various purposes, including diagnostic and therapeutic applications. Some common types of nerve blocks include:

  1. Peripheral Nerve Blocks: These involve the injection of anesthetic around peripheral nerves, which are nerves located outside the brain and spinal cord. Examples include intercostal nerve blocks for chest pain or sciatic nerve blocks for leg pain.
  2. Epidural and Spinal Blocks: These blocks involve the injection of anesthetic into the epidural space (around the spinal cord but outside the spinal fluid) or into the cerebrospinal fluid in the spinal canal. Epidural and spinal blocks are often used for pain relief during childbirth or for surgical procedures.
  3. Facet Joint Blocks: These blocks target the small joints located between the vertebrae in the spine. They can be used to diagnose and treat pain originating from these joints.
  4. Sympathetic Nerve Blocks: These blocks target the sympathetic nervous system, which plays a role in regulating various bodily functions. Sympathetic nerve blocks may be used to treat conditions like complex regional pain syndrome (CRPS).
  5. Trigeminal Nerve Blocks: These blocks target the trigeminal nerve, which is responsible for sensation in the face. They may be used to manage certain types of facial pain.

Nerve blocks are generally considered safe when performed by trained healthcare professionals. The duration of pain relief varies depending on the type of block and the medications used. Nerve blocks can be a valuable tool in managing acute and chronic pain, providing relief for patients with various conditions. However, like any medical procedure, they carry some risks and potential side effects, and the decision to undergo a nerve blockade should be made in consultation with a healthcare provider.

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Dr. Angela Dastouri

Director of the Pain Program

MD, FRACGP, DCH, MPH, FPS

Dr Angela Dastouri is an experienced General Practitioner and Director of the Pain Program at PainAid Specialists, with a special interest in chronic pain, pain management and injury-related conditions.

Dr Dastouri works collaboratively with Specialist Pain Medicine Physicians, allied health clinicians and hospital teams to support the delivery of coordinated, multidisciplinary care. She has particular experience in the management of patients with workplace injuries, motor vehicle accident injuries, musculoskeletal conditions and persistent pain.

As part of the PainAid multidisciplinary team, Dr Dastouri also assists Specialist Pain Medicine Physicians with interventional pain procedures in hospital and day-surgery settings. She provides post-procedure clinical follow-up in conjunction with the treating Pain Medicine Specialist, supporting continuity of care, monitoring of recovery and coordination of ongoing treatment.

Dr Dastouri has undertaken training in Focused Psychological Strategies and Cognitive Behavioural Therapy (CBT), complementing her medical practice with an understanding of the psychological and behavioural factors that can influence persistent pain and recovery.

Her approach emphasises the integration of medical, psychological, functional and rehabilitative care, with treatment tailored to each patient's individual circumstances and recovery goals.

 

 

 

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Dr. Adam Mir

Fellowship from the Faculty of Pain Medicine (FFPMANZCA) and a Master of Pain Medicine from the University of Sydney.

Dr. Adam is a Fellowship-trained Pain Medicine Specialist with a Fellowship from the Faculty of Pain Medicine (FFPMANZCA) and a Master of Pain Medicine from the University of Sydney. He is dedicated to the comprehensive management of chronic pain across all age groups.

Dr. Adam trained in adult pain medicine at Liverpool Hospital, Nepean Hospital, and the Department of Pain Medicine, and completed additional training in paediatric chronic pain. He currently serves as a Staff Specialist at St George Public Hospitals (NSW Health), and is a Visiting Medical Officer (VMO) at Liverpool Public Hospital, St George Private, Sydney Southwest Private, Holroyd Private, Norwest Private, and Nepean Private Hospitals.

He adopts a whole-person, multidisciplinary approach rooted in the socio-psycho-biomedical model, utilising both pharmacologic and interventional techniques. These include:

  • Nerve blocks
  • Radiofrequency neurotomy
  • Platelet-Rich Plasma (PRP) therapy
  • Spinal cord stimulation
  • Extra Corporal Shockwave Therapy (ECSWT)

He also completed advanced training in Virtual Reality Therapy for chronic pain and mental health disorders in Barcelona, Spain, and has further qualifications in Focused Psychological Strategies, Cognitive Behavioural Therapy (CBT), and Clinical Hypnosis.

Qualifications:

  • FFPMANZCA – Fellowship, Faculty of Pain Medicine, ANZCA
  • MMed (Pain Medicine) – University of Sydney
  • MD – Medical Doctor
  • Diploma in Child Health – The Children’s Hospital at Westmead
  • Certificate in Opioid Treatment (Methadone/Suboxone) – Australian Chapter of Addiction Medicine
  • Certification in ECSWT – Extra Corporal Shockwave Therapy
  • Focused Psychological Skills (FPS), CBT – Australian Society for Psychological Medicine
  • Clinical Hypnosis – The College of Medical Hypnosis

Languages Spoken:

English, Persian (Farsi), Dari

 

 

 

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