Celiac Plexus Block

IS A CELIAC PLEXUS BLOCK RIGHT FOR ME?

WHAT CONDITIONS DOES IT TREAT?

A Celiac Plexus Block is most commonly used to treat pain resulting from chronic pancreatitis or advanced-stage pancreatic cancer. Additionally, it may be used to address other types of abdominal pain caused by conditions such as abdominal adhesions, inflammatory bowel disease, and post-surgical abdominal pain. The procedure may also benefit patients experiencing chronic, severe pain that has not responded to more conservative treatments.

WHO IS A GOOD CANDIDATE FOR A CELIAC PLEXUS BLOCK?

Ideal candidates for a Celiac Plexus Block are individuals suffering from chronic upper abdominal pain, particularly those with pain that has not improved with medication or other therapies. Candidates often include patients diagnosed with pancreatic cancer, chronic pancreatitis, or other cancer-related abdominal pain. Imaging studies, such as CT or MRI scans, are typically used to confirm the cause of the pain and ensure the patient is a good fit for the procedure.

HOW DOES A CELIAC PLEXUS BLOCK WORK TO CONTROL MY PAIN?

The Celiac Plexus Block targets the celiac plexus, a bundle of nerves that transmit pain signals from the abdomen. By injecting medication directly into this nerve group, the procedure can effectively “block” the transmission of pain signals to the brain. This can provide significant, and often long-lasting, pain relief. Some patients may experience immediate relief, while others might notice gradual improvement over a few days.

PREPARING FOR TREATMENT

WHAT SHOULD I EXPECT DURING MY CELIAC PLEXUS BLOCK?

The block is typically performed under fluoroscopy (real-time X-ray guidance) or CT scan to ensure accurate needle placement. After cleaning and numbing the area, the physician will insert a needle through your back, carefully advancing it toward the celiac plexus. Once the needle is correctly positioned, a mixture of local anesthetic and other medications will be injected. You may feel some pressure or mild discomfort during the procedure, but this usually resolves quickly.

HOW LONG DOES THE PROCEDURE TAKE?

The procedure generally takes about 30 to 60 minutes to complete, depending on the complexity of the case and the imaging technology used. It is often performed on an outpatient basis, meaning most patients can go home the same day.

AFTER TREATMENT

HOW SOON WILL I FEEL PAIN RELIEF?

Pain relief from a Celiac Plexus Block may be immediate for some patients, while others could notice a gradual decrease in pain over a few days. The duration of pain relief varies, with some patients experiencing relief for weeks or months, depending on the underlying condition being treated.

HOW LONG DOES RECOVERY TAKE?

Patients can typically return to their normal activities within a day or two, although heavy lifting and strenuous exercise should be avoided for at least a few days following the procedure. It is essential to follow your doctor’s instructions regarding post-treatment care and to schedule any necessary follow-up appointments to evaluate the effectiveness of the block.

SIGNS TO WATCH FOR AFTER TREATMENT

After undergoing treatment, it is crucial to monitor for any unusual symptoms such as increased pain at the injection site, significant swelling, or redness. You should also seek medical attention if you develop a fever, chills, or difficulty breathing, as these could indicate complications such as infection. Additionally, any new or worsening neurological symptoms, such as weakness or numbness, should be reported to your physician immediately.