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as interventional pain physicians we use nerve blocks to both diagnose and treat sources of pain the source of pain may be from joints or from the nerves themselves often times nerve blocks are guided with some kind of image guidance either ultrasound or an x-ray machine during a nerve block a needle is placed next to the nerve and an injection of numbing medication and sometimes steroid is undertaken the response to that injection may tell us the source of the pain as well as possible treatments for that type of pain in the future usually when a patient has a nerve block we have you keep track of your pain for the rest of that day an understanding of how your pain responds to the nerve block may guide us in future treatment options depending on the specific type of nerve block you may or may not have some temporary muscle weakness this can be expected and would be discussed with you by your physician prior to the nerve block if this is the case we ask th