When a nerve root in the back becomes compressed, it can cause leg and/or back pain. As a common injection, a selective nerve root block (SNRB) is often used to diagnose the specific source of a patient’s nerve root pain and as a treatment for the relief of low back pain.
During the SNRB procedure, the nerve is approached and injected with lidocaine and anti-inflammatory medication using the fluoroscopy (x-ray) technique. With more than 15 years of experience treating back pain, board-certified spine surgeon Dr. Kendall Carll will assess your condition during an examination to determine if SNRB could help you regain your functionality and quality of life. Contact Spine Care of North Texas to schedule an appointment at our Plano, Addison, or Frisco, TX locations.
"I recently experienced a pinched nerve that severely affected my ability to use my right hand. I contacted Dr. Carll who immediately went to work on my behalf. Knowing that this was a time sensitive situation Dr. Carll went out of his way to ensure that I received the appropriate MRIs, CAT scans, and nerve studies to properly diagnose my situation. After reviewing all the test Dr. Carll exhibited true professionalism and integrity by referring me out to Dr. Patty Young (I am so thankful for your referral) who specialized in the surgery that I would need. Dr. Carll could’ve chosen to operate because I had several degenerative disc, however he chose ethics over profit. Dr. Carll is a true professional that will put your health over profit! When it comes to your health there’s nothing more important than having a doctor that you can trust to be professional and ethical. Thank you Dr. Carll for providing me with both!"- K.H. / Google / Aug 29, 2018
"Dr. Carll is THE BEST!!! I had to have an A-lift spinal fusion and never before have I seen such a caring doctor and staff. They held my hand through my fears were actually there for me and more throughout the process. I don't believe there is a more caring, more compassionate doctor than Dr. Carll. Thanks to him and his amazing abilities I can feel my right leg again and now live without pain. I will forever be grateful to this office and Dr. Carll for being there for me as a person and as a patient.-Nicole Baucum"- Anonymous / Healthgrades / May 17, 2019
"Excellent care - Very compassionate doctor! Truly cares about your pain and issues."- Anonymous / Vitals / Feb 12, 2019
"Excellent Care!! - I had put off my 360 Spinal Fusion for over a decade, relying on epidurals to deal with the pain. After doing two years of thorough research, I chose Dr. Kendall Carll at the Spine Care of North Texas. Being that I’m in the medical industry, I did ask around, too.From the initial consultation, all staff involved were very supportive and explained all aspects of the procedure; including what I could expect during and after the procedure. Because I never really experienced “excruciating” pain, I stopped taking all pain meds three days after the procedure. I was up and walking the day of the procedure and followed all directives. I was up several times a day walking and learning how to use steps; since I my place is two levels.The staff did a great job setting up my home health care; which included a nurse and a physical therapist. They, too, did an outstanding job. A large part of my job involves air travel. I felt so “good” I reached out to see if I was ok to travel. I followed all restrictions, primarily lifting, and was able to take a two-hour flight. This is amazing considering it was only 23 days post-surgery.If you’re like me and will use insurance, be sure to do the match; to make sure your rehab will be completed by the end of the year.“I am 100% satisfied with my experience with Spine Care of North Texas. Every single person on staff was terrific, and the system worked flawlessly. I now refer all my friends and family to them."- Anonymous / Vitals / Feb 04, 2019
"From the initial consultation, all staff involved were very supportive and explained all aspects of the procedure; including what I could expect during and after the procedure. Because I never really experienced “excruciating” pain, I stopped taking all pain meds three days after the procedure. I was up and walking the day of the procedure and followed all directives. I was up several times a day walking and learning how to use steps; since I my place is two levels. They are the best!!!"- E.E. / Healthgrades / Feb 04, 2019
As there are many different types of injections for back pain, only Dr. Carll is equipped to decide who would most benefit from SNRB. Using your medical history and a medical evaluation, Dr. Carll will look for specific criteria to determine your eligibility. Candidates for SNRB typically:
- Suffer from back or neck pain
- Have pain or numbness in the upper or lower extremities
- Have failed to respond positively to other nonsurgical treatment
- Have been diagnosed with a herniated disc, sciatica
If you have an allergy to medication, are currently taking Coumadin, or have an active infection, you are not a candidate for SNRB at this time and should share that information with Dr. Carll.
The SRRB procedure will begin with the injection of a local anesthetic through a small needle into your back. You may feel a slight pinch and a light burning sensation, followed by numbness in the treatment area. Next, Dr. Carll will use fluoroscopy to help him guide the procedure needle into the proper position. You may feel pressure during this time. Dr. Carll can inject more local anesthetic as needed, but you should not feel pain during the insertion. During the injection of the medication, you may feel a temporary ache along your nerve root for approximately 15 seconds. This sensation is normal and should not cause alarm. If the tip of the needles meets your nerve root during the procedure, you could feel a little “shock,” similar to bumping your funny bone.
What to Expect
Patients have reported feeling that their legs and arms feel heavy or slightly numb immediately following their injection. This is common, so please do not be alarmed. You may also feel a temporary relief of your back pain, which is from the use of local anesthesia during your procedure. Your pain is likely to return in the following days. We advise all patients to return home and rest for at least the rest of the day. You are welcome to perform activities that are tolerable and do not cause pain. For discomfort near the injection site, we recommend you apply ice as needed.
The risk of side effects with this procedure are slim to none. However, side effects are always a possibility with spinal injections. If you experience headaches, bleeding, infection, or an increase in pain, contact Spine Care of North Texas immediately.
Block Back Pain
Spine Care of North Texas is committed to helping you achieve pain relief in the most minimally invasive manner possible. By using advanced diagnostic techniques and relying on his extensive experience, Dr. Carll restores another patient’s hope and quality of life every day. If you or someone you love is plagued by back pain and are ready to seek a solution that will last, we encourage you to contact one of our facilities at your earliest convenience. Stop back pain in its tracks today with the help of Spine Care of North Texas in Plano, Addison, and Frisco, TX.