Post Vasectomy Pain Forum

Spermatic Cord Nerve Block Painful

Well settles it for me no nerve block for me.

Nerve blocks can be useful tools in diagnosing the location of dysfunctional/damaged nerves. They are probably the least invasive of any meaningful intervention. I would not rule one out. I can tell you that when I got one, on the side I had success, it was a great feeling and welcome relief.

I will admit it did hurt more, although temporarily, when it wore off. I also don’t do well with steroids as they make me very anxious/miserable.

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I agree with MikeO, don’t rule them out. Remember there are different types. Most Pain Management docs offer several nerve blocks, the Ilioinguinal and Genitofemoral most common for guys like us. Some PM docs also do spermatic cord blocks, but I haven’t found one, at least not one under anesthesia, which is why I like Dr. Parekatill’s approach.

I have a good experience with Dr. P’s cord block. Hurt like the dickens days 2-5, but once the steroid kicked in, I got good relief (50-75%) that lasted about 3 months. He had encouraged me to get a series of blocks, but I was too busy. I’m planning to start over in October and visit him again in December and again in early 2018 if needed.

Don’t rule out nerve blocks. They’re less invasive and less risky than surgery. I’d also argue that they’re less risky than downing oral medications for months on end. Getting pain medication directly to the source without going through the digestive tract has some advantages.

I had spinal fusion at L5/S1 and have had 2 flare-ups of sciatic pain since the surgery. Both times, the flare-ups were calmed down by epidural steroidal injections. Similar principle, I think.

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I can say not having to drive and sit all days has helped well cause I’m jobless. But I still can’t do anything above my “new” normal. I can’t move to quickly when I do anything. Or lift anything real heavy.

I just worry about about upping the daily pain levels permantently.

Yeah, pain went from a 7/10 to a 15/10 after it wore off. Both urologists swore up and down that it couldn’t have been the nerve block since the injection is supposed to go around the epididymus. The dr who did the block felt like it went right into the nerve with 3 injections in one visit. I was trying to not claw the wall or knock his jaw loose from the pain he was creating with the block.

Don’t let any urologist fool you with the nerve block, or try to medicate you with gabapentin (the memory erasers). They’re just following their programming books which state only 1 in 1000 men have more pain after a block. I can’t imagine the pain involved with the other kind of block but I bet it’s just as bad if not inflaming the whole area vs one testicle.

For sure gabapentin is the memory eraser. Lyrica made me forget where I was going when I walked into another room. No thanks.

Are cord blocks supposed to be in the scrotum? I thought they were up higher in the groin?

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Great question. I believe a cord block as given by uros can be in the scrotum AND/OR in the lower groin region. In talking with Dr. Parekatill, it sounds like he varies the location of the injections based on the patients’ symptoms when doing a cord block.

My non-medically-trained understanding is that GF and II nerve blocks are higher up than cord blocks

I THINK (but would love confirmation) that the cord blocks are designed to block pain signals from everything in the entire cord, including branches of the GF and II nerves. The nerve blocks done by Pain Mgt. are only to the main nerve “trunk” before it begins branching in the cord or scrotum.

Again, take that as a layman’s understanding, not fact. I won’t be offended if corrected.

Wait…$200? WITH insurance?! I have an appointment with Dr. P on March 26th, but I assumed it would be my normal specialist co-pay of $50. Regardless…I’ll still go see him, but I want to know what my wallet will be dealing with. Also, I have not had an IL or GF block yet. For those who have seen Dr. P, does he ONLY do the cord block? Or would he tell me to try the IL or GF first, and if so, would he do it or send me somewhere else? Based on the website, it looks like he jumps right to a cord block. Also, I find myself not wanting to even try this, as this thread is scaring the crap out of me for a cord block. But I also keep seeing people praise the hell out of this guy…so it seems like he’s the one to let do it, if anyone.
I also would want to do this as strictly diagnostic…no cortisone. I hate that shit. So, with only the numbing agent, will this still be worth the pain when it wears off? I’m not looking for relief from the block, just information, but I’m seeing some horror stories on here…is Dr. P really that much better than everyone? Is he the one guy you all would trust to try a cord block?

I would with Dr. P. about your desires first. I spoke with him first before trekking to Orlando and was ready to try his “mega block”. His injects in about 10 places and loads you up with steroids and anesthetic. Sent me off with several pain meds.

For everyone? Maybe not. Talk with him first.

He’ll do a phone consultation before meeting? That’s rare. I’ll have to call them and see if I can do that. Thank you.

I did 2 phone consults with Dr. P. before seeing him and then saw him in the office before the cord block in the afternoon.

As some have pointed out here nerve blocks and cord blocks aren’t without risk. That said, I think I speak for many when saying they’re less risky than surgery, serve some diagnostic benefit, and occasionally are enough to settle the area down pain-wise. We’ve all chose to roll the dice a bit.

In my time, I’ve had one cord block with Dr. P. plus 1 GF block, 1 block of the II/IH, 2 blocks of the pudendal, and pulsed RF of the GF and pudendal. That’s all in the last 2 years since this flare up. I’ve been pain-free for the last 3 weeks but I realize I’ve been lucky and that some like the OP develop complications.

wait @raising4girls, you’re pain free?

For the past 2 weeks since adding Lyrica 75mg BID after my pulsed RF of my pudendal, I’ve been totally good to go. Pain-free might be an overstatement, but finally feeling like the worst is way behind.

In an unfair twist, I cracked a filling and broke a crown in an adjacent tooth about 10 days ago and that pain is still throbbing. Out of the frying pan, into the fire.

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If I’m reading the string right it appears the cord block can cause some pain afterwards but eventually this will subside and go back to baseline? I had one yesterday in Lower right stomach above penis and very top of scrotum. I have some minor bruising and pain today but I am thinking just soreness from the injection site.

I’ve had numerous blocks (1 cord, 2 pudendal, 2 GF, 1 II/IH). All pain from the blocks was zero from the outset or subsided within days or a couple of weeks. My most painful episode was my GF block last September by far and I really thought he had “found the snake in the woodpile” because of that. Meaning, he really aggravated the main culprit with his needle.

My experience, was much more positive. Granted, the injection is on one side only, the initial discomfort while he locate the cord and the nerve package, is mildly painful, the needle entering the nerve is akin to when the dentist hits a nerve. I did have a large swelling in the scrotum, and a massive bruise that lasted well over 2 weeks. I had 24 hours of pain relief from the accounts on here that seems positive. I am sorry others did not as a positive experince.

@Caperdave did you have any other pain after the injection wore off besides the bruise? Glad to hear it helped for a day

My original pain came back after the block, but no new pain. The site was a little tender and swollen.

hi all, i’m 44 from israel, i had a hydrocele surgery about 20 years ago in my left testicle and since than i suffer from a chronic pain in this testicle. lately i was offered the spermatic cord anesthesia block. i read the comments here and i wonder if it could get me a prolonged relief from my pain. l’m afraid it will wrost my pain like some of you guys had. do you think it is worthwhile to get this injection ?

It’s really hard for us to give you advice like “do it” or “don’t do it.”

My thought is this: if you’ve reached a point for physical therapy and orally-ingested medications haven’t worked, your next options are injections or surgery. I’m not promoting injections or surgery by any means since both have risks, but I personally view the risk of an injection with a needle as less than surgery with a scalpel.

Could you get worse? Yes. In fact, I’d expect to feel worse for a day or two since so many of us have had that experience. It takes a while for the long-acting steroid and botox agents to deliver relief.