Pain Management Procedures
Nerve blocks are precise injections that deliver anesthetic (sometimes with steroids) to a specific nerve or group of nerves. They can confirm whether a nerve is the source of pain and provide temporary relief. At Desert Spine and Pain, Dr. David Greenwald, M.D., FAANS, FACS, performs nerve blocks using fluoroscopic or ultrasound guidance for maximum accuracy.
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Target tiny medial branch nerves that carry pain from the facet joints.
Used to diagnose facet-related pain before Radiofrequency Ablation.
Target peripheral nerves outside the spine, often in the extremities.
Can relieve pain from nerve injury, entrapment, or regional pain syndromes.
In simple terms: Nerve blocks numb a specific nerve to reduce pain and identify its role in symptoms.
Scientifically: Nerve blocks involve percutaneous delivery of anesthetic ± corticosteroid to perineural or facet innervation nerves, interrupting nociceptive signaling and serving both diagnostic and therapeutic purposes.
Outpatient, minimally invasive
Provide immediate pain relief
Diagnostic tool to confirm pain source
Guide treatment decisions (e.g., RFA)
Temporary soreness or numbness
Infection, bleeding, nerve irritation (rare)
Relief is temporary (hours to weeks) unless followed by ablation
Day 0: Home same day; numbness may be felt in target area
Days 1–2: Pain relief and improved function
Weeks 1–4: Relief duration varies; results guide further treatment
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