A celiac plexus block is a medical procedure used to manage abdominal pain, particularly in cases of cancer or chronic pancreatitis. The celiac plexus is a complex network of nerves located in the abdomen that transmits pain signals from the abdominal organs. By blocking these nerves, a celiac plexus block can provide relief from pain associated with certain medical conditions.

Procedure Overview:

Patient Positioning: The patient is typically positioned on their stomach.

Local Anaesthesia: The physician administers a local anaesthetic to numb the skin and tissues over the targeted area.

Fluoroscopic Guidance: Using fluoroscopy (real-time X-ray guidance), the physician guides a thin needle to the celiac plexus nerve bundle.

Contrast Dye Injection: A contrast dye may be injected to confirm the proper placement of the needle.

Medication Injection: A mixture of local anaesthetic and sometimes a corticosteroid or neurolytic agent (alcohol or phenol) is injected to block the celiac plexus nerves.

Assessment of Pain Relief: The patient is then monitored for a brief period to assess whether the injection provides relief from abdominal pain.

Indications for Celiac Plexus Block:

Cancer-Related Pain: Often used in cases of abdominal pain associated with cancer, particularly pancreatic cancer.

Chronic Pancreatitis: For managing pain in individuals with chronic inflammation of the pancreas.

Benefits:

Pain Relief: Celiac plexus blocks can provide effective relief from abdominal pain associated with certain medical conditions.

Improved Quality of Life: Pain management can contribute to an improved quality of life for individuals dealing with chronic or cancer-related pain.

Considerations:

Temporary Discomfort: The injection may cause temporary discomfort, but this is usually well-tolerated.

Potential Risks: As with any medical procedure, there is a small risk of infection, bleeding, or nerve injury.

Post-Procedure:

Patients may experience temporary relief from abdominal pain.

Rest and limited activity are typically recommended for a short period.

Celiac plexus blocks are commonly performed by pain management specialists, such as Dr. Tushar, and are part of a comprehensive approach to managing pain in individuals with specific medical conditions.

The effectiveness and duration of pain relief can vary among individuals, and Dr. Tushar can provide guidance on the appropriate frequency of these procedures based on the patient's unique circumstances. As with any medical procedure, individuals considering a celiac plexus block should discuss their specific situation with Dr. Tushar and address any questions or concerns they may have.