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Nerve root blocks are injections targeting spinal nerves as they come out of the spinal cord, at the bony openings called the foramina. Each spinal nerve supplies a specific area of the body - a dermatome. Inflammation of spinal nerves in the neck can cause pain in the arms. In the lower back, spinal nerve inflammation may result in pain that radiates to the legs, a common condition known as sciatica. The procedure is done under local anesthesia. A numbing medicine is applied to numb the skin and deeper tissues. A special x-ray machine, called a fluoroscope, is then used to guide the needle close to the suspected nerve root. A contrast medium is injected to confirm the needle position. A small amount of local anesthetic and steroid is then administered around the nerve root. The local anesthetic temporarily blocks pain signals and helps identify the level of the nerve root that contributes to pain. The steroid helps settle the inflammation around the area.
