Lumbar spine blockade for pregnant women

Many people choose to get a blocking injection when they can't stand the pain in their lumbar spine. The blocking injection can seal the lumbar spine and achieve the effect of relieving pain. For a pregnant woman, she should be very careful when doing certain things because they may affect the baby. So the medicines that can be used on other people may not necessarily be used on pregnant women. But when a pregnant woman has lumbar pain, can she get a blocking injection?

Blocking drugs only act locally, and not much enters the blood circulation, so it should have no effect. Note:

1. Before the operation, you should be familiar with the local anatomy of the injection site and draw back blood during injection to avoid damaging nerves and injecting into blood vessels.

2. Identify the injection site. For fasciitis, only the tender fascia should be blocked. For tenosynovitis, the drug should be injected into the sheath. For tendinitis, the tendon in the tender area and its attached bones should be blocked. For bursitis, the drug should be injected into the diseased bursa.

3. Pay attention to strict aseptic operation to prevent infection within the tendon sheath or within the closed area.

4. Use medication rationally. The injection site is sealed accurately according to the prescribed dosage and method, and a small amount of medicine can be effective. If closed treatment is required again, there should be an interval of 1 to 2 weeks. Repeated use of glucocorticoids will aggravate the degeneration of tendons and ligaments.

5. Generally, if the occlusion site is accurate, tenderness and pain will disappear immediately. If the blockade is performed in an area with high tension, or if there is bleeding in the blocked area, the pain will increase, especially on the evening of the day of the blockade. The pain will gradually disappear after the swelling subsides.

6. If swelling, redness or heat occurs within a short period of time after injection, be alert to infection.

Preoperative preparation

1. Understand the patient's medical history in detail and find out whether he has a history of drug allergy.

2. Make a clear diagnosis before treatment and understand the indications and contraindications of blockade therapy.

3. Explain the significance and effects to the patient before closure to eliminate the patient’s fear and doubts and enhance their confidence in treatment.

Indications

1. Muscle damage

Acute or chronic injury or degeneration of muscles, ligaments, fascia, tendon sheaths, and synovium in various parts of the body.

2. Osteoarthritis

Such as lateral epicondylitis, traumatic arthritis, etc.