Rising from the dorsal divisions of the vertebrae designated at L2-3 and moving through the psoas major muscle, the Lateral Femoral Cutaneous Nerve moves towards the ASIS, or Anterior Superior Iliac Spine before branching out into the front and back of the thigh.  Responsible for providing sensation throughout the lateral thigh, when damaged or irritated it can result in pain that is made worse when in a squatting or sitting position for long periods.  In some cases, this pain will occur when the nerve is compressed by wearing wide belts, or heavy tool pouches.  A Lateral Femoral Cutaneous Nerve Block is often used by Dr. Yevgeniy Khavkin to provide relief to those suffering from pain caused by irritation or damage to this nerve.

How Is A Lateral Femoral Cutaneous Nerve Block Performed?

The patient is laid on their back on an x-ray table and positioned such that their doctor can get both the best view of the injection site, and the best access to perform the injection.  The injection site is then anesthetized using a local anesthetic that often causes a brief stinging sensation immediately after application.  Once the stinging stops and the numbing has shown itself to be effective, a tiny needle is guided into the area around the Lateral Femoral Cutaneous Nerve via x-ray.  Once the needle has reached the injection site a small amount of contrast is injected to ensure that the needle is in the right place.  Once this is confirmed a mix of anesthetic medication and steroids is injected into the site to relieve pain and ease inflammation.

Are There Any Special Instructions Prior To The Procedure?

Prior to the procedure, the patient may consume a small meal if they so choose.  In the event that the patient suffers from diabetes with insulin dependency, they should both eat and take their insulin prior to the procedure.  Additionally, if they are on any form of blood thinners, such as Coumadin or Plavix, they should inform their doctor prior to the injection, as well as informing them if they have any allergies involving contrast dyes or iodine.  Be prepared to spend at least one hour and 30 minutes at the clinic, and bring someone who will be able to drive you home.

What Should I Expect After The Procedure?

Immediately following the procedure the patient will be transferred to an area for recovery for a period of about 15 minutes.  In some cases, the patient will experience a sensation of numbness that can make movement difficult, but this is both rare and quick to pass.  During this recovery period, the patient will be asked to report how much relief they are receiving from the pain.

Recovery from the procedure is usually relatively quick, and you’ll be able to return to your normal daily activities on the day following the procedure.  Unless otherwise advised by your physician, you should also be able to return to work on the day after your injection without any limitations.  If you have any questions or concerns about receiving a Lateral Femoral Cutaneous Nerve Block, contact “your pain management doctor in Las Vegas, NV.