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Reflex Sympathetic Dystrophy (RSD) (CRPS) Message Board

Reflex Sympathetic Dystrophy (RSD) (CRPS) Board Index

Hi Michelle,

Further blocks may help you. Lots and lots of people do not respond to their first block. That is normal. This can happen for a variety of reasons. Sometimes the doctor does not hit the right spot. Doctors who do several injections per week are probably the best to be doing them. Depending on what type of block you are getting, they may need to move the site of injection. The blocks I've had were Lumbar Sympathetic blocks because I have RSD in my lower extremity. The first injection was done at L4, and I had no relief. Additional blocks were done at L3, and L2 and I got relief from those. Did your doctor use fluroscopy to find the nerve? Did he use thermography or sensors to measure temperature after the block?

Some people simply don't respond at first. I don't think doctors have a really good idea of why that happens. In fact, they still don't know exactly why blocks help and why the effects often last much much longer than the medication is supposed to last. RSD is poorly understood in general still.

When you make your next appointment, ask for extra time with the doctor. This way you can ask him to explain RSD and your treatment options. Knowing as much as you can about this is important, especially since there doesn't seem to be a set protocol doctors are following when it comes to meds, therapy, blocks, and other more invasive procedures. Try to read as much as you can. The web is a great source for info. Unfortunately, I can't post any links that would help you since it's againts the rules on this board, but do a google search, using the term RSD and Complex Regional Pain Syndrome, and the first page of results contains some good, accurate websites.

Gina :)

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