Lumbar Sympathetic Nerve Block

What Is a Lumbar Sympathetic Nerve Block?

Your sympathetic nervous system controls automatic body functions like blood flow, digestion, and sweating. Sometimes, these nerves in the lower spine become overactive or damaged, causing chronic pain. A Lumbar Sympathetic Nerve Block is an injection of pain-relieving medicine around a group of nerves in your lower back, called the lumbar sympathetic ganglion.

This procedure works by blocking pain signals before they reach your brain, offering fast and effective relief.

Conditions Treated by a Lumbar Sympathetic Nerve Block

A Lumbar Sympathetic Nerve Block can treat many painful conditions that affect the lower part of your body, including:

• Complex Regional Pain Syndrome (CRPS) – also called reflex sympathetic dystrophy (RSD)
• Phantom limb pain after an amputation
• Peripheral neuropathy
• Pain from shingles (post-herpetic neuralgia)
• Poor blood circulation causing chronic pain
• Pelvic or abdominal pain
• Excessive sweating in the legs or feet (hyperhidrosis)

Your pain specialist may also use this block as a diagnostic tool to help confirm the source of your pain.

What to Expect During the Procedure

A Lumbar Sympathetic Block is a safe and straightforward outpatient procedure. Here’s how it works:

1. Before the Procedure
   • You may be asked not to eat or drink for about 6 hours.
   • Let your doctor know about any medications, allergies, or medical conditions.
2. During the Procedure
   • You’ll lie on your stomach on a treatment table.
   • The skin on your lower back will be cleaned and numbed with local anesthesia.
   • Using X-ray guidance (fluoroscopy), your doctor inserts a thin needle near the lumbar sympathetic nerves.
   • A small amount of contrast dye ensures correct placement.
   • Then, the pain-relieving medication is slowly injected into the area.
3. After the Procedure
   • You’ll be observed for a short time, then released to go home.
   • If you received a sedative, arrange for someone to drive you.
   • Pain relief may be felt right away and continue to improve over the next few days.

TestimonialsWhat Our Client Says

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Dr. Moisey is a truly remarkable doctor who gives his full attention and care to every patient. He provides thoughtful, knowledgeable advice, always keeping your best interests in mind. He has been instrumental in helping me manage my Achilles pain and is actively working with me to restore it to full strength. I highly recommend his care—don’t hesitate to come here!

Faiza Tahir

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Dr. Moisey Simkhayev is a very good doctor, dedicated towards his profession and always cares his patients. Staff is super friendly and very professional to help you with anything. . I strongly recommend Dr.Simkhayev.

Milagros Escurra

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It is the first time I come to this office and everyone is very friendly. I am leaving very happy and satisfied with the service. He took care of my ankle pain very well.

Brian Vejarano

What Happens Next?

Depending on your condition, you may need a series of injections over a few weeks for the best long-term results. Many patients find that a Lumbar Sympathetic Block helps reduce pain enough to begin or continue other treatments like physical therapy or rehabilitation exercises.

This block may not be suitable for everyone. If you’re pregnant, have a bleeding disorder, or are on certain medications, talk to your doctor about whether this treatment is right for you.

Start Living with Less Pain Today

At Precision Care in Queens, NY, our compassionate, experienced team uses the most advanced techniques to treat hard-to-manage lower body pain. If you’re struggling with CRPS, nerve damage, or unexplained lower body pain, a Lumbar Sympathetic Nerve Block could be the answer.