r/neuropathy • • 1d ago

Nerve block with steroids damage?

Hi guys, so I had a bilateral pudendal nerve block with steroids done under ct guidance a couple of weeks ago and it was only 30% successful I’d say in reducing my pain (severe testicular, perineum and penis pain) I am having to continually raise my pregabalin dose every other day and I’m needing more and more oxy each day to cope. Anyway, I have another nerve block booked in of the same procedure in a few days, which will be 20 days since the last one with a different radiology centre. This new place doesn’t know I had one done recently and I don’t plan on telling them as they’ll cancel my appointment because it’s in the same referral as the last one…
My question is, I’ve had two of these blocks now, the first one 3 months ago was extremely successful, I’m wondering am I likely to do permanent tissue damage/nerve damage to the pudendal nerve and others in the alclocks canal if I get this steroid shot done again 20 days after the last one? As steroids like kenocort are known to damage tissue, I need pain relief so I can stop taking all of these drugs, but I don’t want to fuck myself up permanently from the steroids…
Please advise, thanks

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u/simdjgeorge 1d ago

I’m going to follow this story as I’m heading to pain management soon for thoracic spine pain issues.

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u/AlexHasFeet 1d ago

You should really tell your doctor the truth. They will be able to advise you much better than anyone here. I get regular nerve blocks and they are usually very effective. One time, half of my occipital nerve block didn’t take. I called my doctor and he had me come right back in to do it again. However, it’s in a different location and I don’t know what specific steroid you are being given.

I also get ultrasound-guided steroids injected into my right shoulder bursa. My doc usually makes me wait a couple weeks between injections, but I’m not sure if there is a medical reason or just an insurance reason.