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Do you have to ask your surgeon for a pain block at time of surgery, or is a pain block automatically given by all surgeons? I saw the following utube video, and just wonder.

https://www.youtube.com/watch?v=9KBYS3g2USA

You would be asleep for the surgery.at least i would hope so!

All...first time, I think, I'm hearing the term 'pain block'. Can someone enlighten me about this? I watched the YouTube video but the only nugget I got was that he had it done by his surgeon during the procedure and then, in the succeeding weeks, had little to no pain. How does it work? Is it like an insulin pump in its application? Anyone else have one? Granted, I'm watching 'The Voice' at the same time...

Edd

Some surgeons will give a nerve block before surgery and this will numb a certain area for up to 36 hrs. I had this last year when I had surgery on my foot. There is also something called a pain pump that is used in a hospital and at home. It is preloaded with medication and you press a button to have the pain meds delivered into your body

I just don't read of guys talking about getting a pain block during implant surgery. Is this just not done much, do you have to ask for it prior to surgery??

rooster2 wrote:I just don't read of guys talking about getting a pain block during implant surgery. Is this just not done much, do you have to ask for it prior to surgery??

I think I have read reports of Dr. Eid applying a pain block (aka Spinal anesthesia) to remove all sensation below the waist. It's similar to an epidural, but where the epidural is inserted (and maintained) around the dura, I believe the Spinal anesthesia penetrates the dura and is applied to the spinal cord in the lower lumbar/upper sacral region.

Basically a mix of bupivicaine and lidocaine.

rok

I have no idea what the term "pain block" means. I am not sure that is a medical term. Dr. Eid always uses a spinal block because it naturally relaxes all muscles and blood vessels from the waist down. If you choose, the anesthesiologist also gives you a general anesthesia to "knock you out" and make you unaware. I chose to be awake and aware during my surgery (but i did NOT actually view the surgery). The spinal is beyond perfect and kill all feeling of any kind from the waist down. When I sat up in recovery I kept thinking I was sitting on a wadded up sheet or pillow until I checked and discovered it was my own collapsed flabby ass cheeks. I do a lot of lunges and squats and have a very firm butt for an old man. I could not flex my butt muscles if my life depended on it. They were like ground hamburger meat for well over an hour after surgery.

The spinal killed all pain all sensation during surgery and an hour in recovery. It continued to kill all pain (but not sensation or muscle use) for about 3 1/2 hours after recovery.

PS: If anyone decides to be awake I highly recommend it. It is nothing to deal with. You are hooked to an IV and anytime you ask, anytime you need it, or anytime you just get too chatty with the doctor doing the surgery you will get shut down without ever knowing it happened.

Dr Karpman gave me a pain block into the scrotal area which lasted 36 hrs I believe. I didn’t even know to ask for it. Maybe he does it routinely or because my implant involved excision and grafting for peyronies. That plus the general anasthesia.

My suggestion is that if we are going to discuss "pain blocks" first we need to define what the hell it is because I for one have no idea. I do know exactly what a spinal block is. I also know what an epidural is. I have no idea what a pain block is and even though all the information in the world is on the internet I cannot find anything with any medical authority on the term pain block.

I'm guessing if a dr gives you a block for 36 hours the most excruciating day of the recovery (the first) would allow for a much more comfortable recovery.. As Dr Eid states the first day is the worst then it just keeps getting better and better.