Injections for pain: what does an elbow joint block give?

Therapeutic joint blockade is an injection into the cavity of the joint capsule or tissue next to the joint, which is performed to relieve acute pain, quickly relieve inflammation or muscle spasms. There are several options for therapeutic blockades depending on the injection site and the type of medication administered.

In most cases, this procedure uses steroid drugs, which are sometimes combined with local anesthetics.

In the Health Workshop, glucocorticosteroids (dexamethasone or diprospan) and lidocaine are usually chosen. While lidocaine provides local anesthesia, the main active component of the therapeutic blockade is a glucocorticosteroid drug. It has anti-inflammatory, antiallergic and immunosuppressive effects.

How does novocaine blockade work?

The action of the blockade is based on stopping the innervation of the affected area using the anesthetic novocaine. Its active effect is aimed primarily at the nervous system.

The mechanism of action of novocaine during blockades is as follows:

1. After injecting the drug into the source of pain, the anesthetic envelops the nerve endings and blocks the transmission of impulses along the nerve fibers.
2. By blocking the receptors, the innervation of the affected area is switched off, causing pain to disappear.

Pain relief occurs in 3 stages. At first, the pain may intensify due to irritation of the nerve endings by the needle. In the second stage, the pain gradually decreases and by the third stage it completely disappears.

Novocaine accumulates in nerve tissues, preventing pain impulses from spreading along nerve fibers

Novocaine accumulates in nerve tissues, preventing pain impulses from spreading along nerve fibers

After the novocaine blockade, the patient feels significant relief. Not only severe pain disappears, but also spasm in muscle tissue.

Treatment of pain using blockade is accompanied by a wide therapeutic effect:

• inflammation and swelling decreases;
• metabolic processes in nerve fibers improve;
• the permeability of the walls of blood vessels decreases, their tone increases;
• spasm of smooth muscles decreases.

The analgesic effect of novocaine blockade occurs within 5-10 minutes. After administration of the drug, it lasts for 40-60 minutes. Then the pain may return, but not with such force. To achieve the maximum therapeutic effect, medical blockades are carried out in courses. 2-15 injections are required, depending on the intensity of the pain syndrome and the disease that caused it.

Novocaine blockade for pain is used not only as an anesthetic. This is an effective method for relieving other neurological symptoms: numbness, sensitivity, burning, tingling.

The procedure is invasive and difficult to perform. It must be performed by a qualified medical specialist - a vertebrologist or neurologist with additional qualifications in the field of local injection therapy. Doctors from the SmartMed clinic have extensive experience in conducting novocaine blockades, guaranteeing the achievement of the desired therapeutic result and the absence of side effects.

When is the blockade carried out?

Indications for intra-articular blockade are arthrosis and its prevention, severe pain, as well as destruction of articular surfaces.
This type of therapy is very effective due to the fact that the injected medicine goes directly to the site of the lesion. If you do intra-articular injection of drugs on a regular basis, remission of the disease may occur.

The procedure is prescribed for diseases such as: periarthritis, bursitis of the knee joint, rheumatoid arthritis, initial stages of arthrosis, injuries, pain caused by local muscle contraction, radiculitis.

How is a blockade done with novocaine?

This procedure should not be confused with a regular injection. It has a complex technique. Let's look at how the novocaine blockade procedure is done.

It is performed by a doctor in a treatment room in a sterile manner. Injections are not given at home because there are no appropriate conditions.

Novocaine, like any medication, can cause an allergic reaction. Before using novocaine blockade on the painful area, a neurologist from the SmartMed clinic will make sure that there is no allergy to the anesthetic used. To test the body's sensitivity to the administered drug, the doctor will make a test subcutaneous injection of a small dose of novocaine. The absence of rashes, redness, and swelling indicates normal tolerability of the medication.

At the site of novocaine injection, the patient may feel numbness, bloating or warmth. This is a normal reaction to the medication and goes away within 24 hours.

At the site of novocaine injection, the patient may feel numbness, bloating or warmth. This is a normal reaction to the medication and goes away within 24 hours.

Blockade of the cervical, thoracic or lumbar spine and joints with anesthetics is performed following the sequence of actions:

1. The patient takes a comfortable position - sitting on a chair or lying on a couch, depending on the area of ​​pain.
2. The neurologist treats the injection area with an antiseptic. Since a long needle is used for nerve blockade, in order to reduce the pain of the procedure, a small concentration of novocaine solution is injected subcutaneously into the injection area. After such manipulation, the patient does not feel pain from the injection, the doctor begins basic pain relief.
3. The doctor inserts a thin long needle into the painful area. Having reached the desired depth, he injects a solution of novocaine.
4. Then he removes the needle. The puncture site must be pressed for 5 minutes. After this time, seal it with a special sticker.

What is the novocaine blockade procedure for pain? This is an injection manipulation that relieves pain and inflammation, which should be performed by a doctor who has knowledge in the field of surgical anatomy and peripheral innervation of the body.

For back pain, novocaine solution is injected into the soft tissues near the spinal column, into the cavity of the facet joints, into the spinal roots or large nerves, into the epidural space

In order to control and correct the advancement of the needle, to inject the novocaine solution into the tissue surrounding the inflamed nerve and the source of pain, it is necessary to have experience in carrying out such procedures.

Failure to comply with the medical blockade technique is fraught with both local and systemic complications:

• lack of analgesic effect;
• hematomas, bruises;
• swelling;
• aneurysms;
• inflammatory processes;
• sensory disturbance;
• tissue necrosis;
• allergic reactions.

A neurologist from the SmartMed clinic selects the optimal concentration of the solution and type of novocaine blockade, taking into account the indications, the patient’s health status, and individual characteristics.

Types of novocaine blockades

Novocaine blockade can be local and segmental. The first is done at the lesion site, the second at the projection of the spinal segment.

Novocaine is administered intradermally, subcutaneously, intramuscularly and intraosseously. According to the technique of execution, the following types are distinguished:

• Novocaine nerve block. Involves blocking nerve impulses. It can be perineural (anesthetic solution is injected into the area of ​​the perineural sheath of the nerve trunk) and paraneural (into the tissue surrounding the nerve).
• Therapeutic spinal blockade. The drug is administered paravertebrally, epidurally and articularly.
• Case medicinal blockade according to Vishnevsky. The anesthetic is injected into the muscle sheaths. Used for traumatic damage to bone and muscle tissue.

Single-component and multi-component solutions are used. The former contain only a high concentration of novocaine, the latter contain auxiliary drugs that, in addition to pain relief, produce other therapeutic effects.

What is used together with novocaine during blockade?

Since novocaine blockade is part of the treatment of the disease that caused the pain syndrome, other drugs are added to the novocaine solution:

• Glucocorticosteroid hormones. Effective for chronic inflammatory processes. They have anti-inflammatory, immunosuppressive and antiallergic effects, reduce swelling.
• Antibacterial agents. If severe pain occurs due to infectious processes, an antibiotic is added to the solution.
• Medical alcohol. Alcohol-novocaine blockade is an effective method of treating severe pain. The solution is injected into the tissues surrounding the nerve endings, thereby innervating the affected area. This type of treatment is used for neuritis accompanied by chronic pain, inflammation or pinched nerves, and coccygeal pain that occurs against the background of degenerative changes in the spine.

Multicomponent blockade removes not only pain, but also its cause, so it produces a therapeutic effect

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In addition to the blockade, for diseases of the musculoskeletal system, a neurologist can prescribe massage, physiotherapeutic procedures, drug therapy, including chondroprotectors, B vitamins, which improve metabolism in nerve fibers. A doctor from the SmartMed clinic draws up an individual treatment regimen after a comprehensive examination, when the cause of the pain becomes known.

Causes of development of pathology in the hip joints

The appearance of pain is associated with the development of diseases such as arthritis or arthrosis. Among the reasons that lead to inflammation in the hip joint are the following:

• qualitative changes in bone and cartilage tissue that occur with age;
• injury at home or during sports;
• disorders arising due to problems with metabolism, imbalance in the hormonal system or the development of autoimmune processes;
• insufficient supply of blood vessels due to a sedentary lifestyle;
• significantly exceeding normal weight;
• congenital nature of hip deformation.

If we talk about drugs to restore the functionality of the hip joints, then anti-inflammatory drugs, antispasmodics and analgesics are prescribed for treatment.

Pros and cons of novocaine blockade

Blockade injections of novocaine have the following advantages over other analgesic procedures:

• quickly relieve pain;
• the medicine is delivered to the source of pain, bypassing the bloodstream and gastrointestinal tract, so the negative impact on the body is minimal;
• effective in cases where other medications do not provide the desired effect;
• have low toxicity;
• there are no side effects or complications;
• have a wide range of effects, especially multicomponent solutions: eliminate spasm of muscle tissue and blood vessels, inflammatory processes.

Although novocaine blockade is the most effective and safe procedure for pain relief and reduction of inflammation, it has disadvantages.

The manipulation is complex and requires special conditions, experience and qualifications of the doctor. Incorrect actions can lead to serious consequences: damage to blood vessels, nerves, spinal cord, walls of internal organs, as well as secondary infection.

If the concentration of the drug is exceeded, nervous overexcitation is likely, which is manifested by convulsions, rapid breathing, and palpitations. Individual intolerance to novocaine and side effects cannot be ruled out.

Negative reactions occur rarely, in 0.5% of cases. These include:

• fatigue;
• dizziness;
• headache;
• decrease or increase in blood pressure;
• nausea, vomiting.

The injection should only be given by a specialist in the field of neurology after examination, then the treatment will be safe and effective.

Therapeutic blockades are carried out by the attending physician

To make an appointment with a neurologist from the SmartMed clinic, you need to call @. Before the procedure, the doctor will conduct diagnostics, identify possible contraindications, and assess individual tolerance to the drug.

What is the therapeutic effect of injections for pain based on?

Blockade of the meniscus of the knee joint is necessary to relieve the inflammatory process. With the development of pathology in the patient's body, biochemical and psychological changes appear that negatively affect the patient's condition. That is why pain relief must be prompt. The blockade eliminates pain and spasm for a long period of time, relaxes the muscles and restores normal blood supply. After administration of the anesthetic, the range of motion in the affected joint increases.

The blockade is considered the only method that acts directly on the source of the disease, and does not simply eliminate the symptoms that appear. Medicines that must be taken orally are broken down in the liver before they take effect. Inactivation is in progress. Ointments and creams, which are widely used in medicine, do not penetrate soft tissue and do not directly affect the joint. Such drugs have the so-called placebo effect. During a blockade, the attending physician injects an anesthetic into the site of the pathological change. That is why the minimum dosage of the drug is used, which in turn works effectively.