What procedures do you get to help it? I can’t take most meds and meds don’t work for me anyway. I regularly get celiac plexus nerve blocks, lidocaine infusions, and ultrasound guided injections. Anything else you do that helps?
If meds aren’t an option and imaging is clean, procedures usually focus on diagnostic + targeted relief. As an anesthesia / critical care / pain physician, beyond celiac plexus blocks, lidocaine infusions, and US-guided injections, other options that sometimes help (depending on pain source) include medial branch blocks → radiofrequency ablation for facet pain, trigger point injections with or without botox for refractory myofascial pain, sacroiliac joint injections or RFA if sitting worsens it, sympathetic blocks if there’s a visceral or neuropathic component, and in select chronic cases neuromodulation (peripheral nerve stimulation or SCS). The key is identifying whether the driver is facet, SI, myofascial, or neuropathic—procedures work best when they’re diagnosis-guided, not just “pain-site” based.
If meds aren’t an option and imaging is clean, procedures usually focus on diagnostic + targeted relief. As an anesthesia / critical care / pain physician, beyond celiac plexus blocks, lidocaine infusions, and US-guided injections, other options that sometimes help (depending on pain source) include medial branch blocks → radiofrequency ablation for facet pain, trigger point injections with or without botox for refractory myofascial pain, sacroiliac joint injections or RFA if sitting worsens it, sympathetic blocks if there’s a visceral or neuropathic component, and in select chronic cases neuromodulation (peripheral nerve stimulation or SCS). The key is identifying whether the driver is facet, SI, myofascial, or neuropathic—procedures work best when they’re diagnosis-guided, not just “pain-site” based.
Thank you.