Lumbar Sympathetic Block Injections

In Maryland, Pennsylvania, Florida and Virginia


 A lumbar sympathetic nerve block is a minimally invasive procedure designed to alleviate chronic pain associated with conditions such as complex regional pain syndrome (CRPS), peripheral neuropathy, and other forms of persistent lower extremity pain. This treatment aims to provide relief by interrupting pain signals transmitted through the sympathetic nerves in the lumbar region of the spine.

Find a Location

Enter your address, zip-code, or city below:

Click here to search...

Search

Digital Guide 

Treatment overview and more!

Lumbar Sympathetic Block Treatment

Lumbar sympathetic block injections, commonly referred to as LSB injections, are a minimally invasive procedure that can effectively alleviate chronic pain in your lower back and legs by targeting the sympathetic nerves in the lumbar region. These nerves play a crucial role in controlling various functions in your body. The medication from the injection works to block pain signals from these nerves and prevents them from reaching the brain. As a result, you experience significant relief, allowing you to regain control over your life and return to your daily activities with renewed functionality.

Interested in learning more about the lumbar sympathetic block procedure? Use the navigation buttons below to explore details about the procedure, including who makes an ideal candidate and tips for recovery. You'll also find answers to frequently asked questions, providing you with the knowledge and confidence to make an informed decision about your pain management.

When you're ready to take the next step toward a life free from chronic pain, our team of lumbar sympathetic block specialists is here for you. To schedule a new patient consultation, simply reach out to us. You can submit a contact form or give us a call. We're looking forward to helping you navigate your journey to pain relief and improved quality of life.


What Patients Are Saying


Great office, good people. Been there quite a few years. Never a problem. Leave them a message, they always respond. I've had six back surgeries 2knees and right shoulder. Gregg keeps my chronic debilitating pain managed well so I can still live my life best I can. Im so grateful.

Jenny Martins / google review

Dr. Rao. I can't find the words to tell you how much he has meant to me. I followed him from an old practice to his very new high tech office. They offer so many different areas of assistance to those with issues from nutrition to spinal surgery... and much more. His office is professional.

Mom To2 / vitals

Dr. Rao is such an amazing doctor! During my first visit, he never tried to rush through my appt.; he genuinely listened to all my concerns and then took his time to explain to me in detail all his recommendations and how they would help me.

Nikki / healthgrades

Lumbar Sympathetic Block Treatment Guide

Lumbar Sympathetic Block Digital Guide

Our board-certified back pain specialist doctors specialize in interventional treatments like the Lumbar Sympathetic Block. Download our guide to learn more about our comprehensive services focussed on pain management for chronic pain.

We Accept All Insurances

Individualized Patient Care

Board Certified Doctors

Seen Within Two Weeks

What Is a Lumbar Sympathetic Block?

A sympathetic nerve block injection is a minimally invasive and safe procedure that can provide immediate and long-term relief in the body's lower extremities.

The lumbar sympathetic nerve block procedure involves injecting a medication containing steroids and a local anesthetic directly into the lumbar sympathetic nerves located on both sides of the spine in the lower back. The injection works by blocking the transmission of pain signals from the lumbar nerves to the brain, providing both diagnostic and therapeutic benefits.

These injections offer a safe and effective alternative to conventional surgeries and medications, ensuring a more comprehensive and holistic approach to pain management. With their proven track record, LSB injections have emerged as a valuable treatment option that not only addresses the symptoms but also addresses the underlying causes of chronic pain, facilitating long-lasting relief and improved quality of life.


Diagnostic and Therapeutic Results

When the lumbar block is delivered to the branch of nerves suspected of causing spinal block pain, it can produce diagnostic or therapeutic results. The diagnostic result occurs when a patient experiences relief right after the injection, which can help pinpoint the source of their pain. The therapeutic results occur when the injection reduces or even eliminates the patient's pain for an extended period of time. Your doctor may recommend a series of injections for long-term relief.


What Is Sympathetic Nerve Activity?

The sympathetic nervous system (SNS) is part of the autonomic nervous system (ANS). The autonomic nervous system is comprised of both the sympathetic and parasympathetic nervous systems and works to regulate different functions in the body.

The sympathetic nerves run parallel to the spinal cord on both sides of the vertebral column. The sympathetic nerves respond to stress and increase the stress hormone known as cortisol and trigger the fight-or-flight response in the body. They also aid in involuntary bodily functions such as digestion, sweating, and blood flow. The sympathetic nerves start near the middle of the spinal cord and extend down into the second or third lumbar vertebrae.

The sympathetic block is performed on the side of the body where the pain exists, and the medication is injected into the sympathetic ganglia by the spine.

A chart showing the parasympathetic and sympathetic nervous system.

Sympathetic And Parasympathetic Nervous System. Difference. diagram with connected inner organs and brain and spinal cord. Educational guide of human anatomy. vector illustration for medical and science use


Pain Regions that Benefit from Lumbar Ganglion Block Injections

Lumbar sympathetic blocks primarily help in managing chronic in your back, legs, and feet. These nerves in the lumbar region control the blood flow to your lower limbs and regulate sensations, including pain. When you're grappling with persistent pain, it's often because these nerves are continuously sending signals of discomfort to your brain. Here is an

These blocks have also been found to be beneficial in managing pain related to certain conditions that affect other parts of the body. For instance, they can help manage pain associated with complex regional pain syndrome, a condition that often affects arms or legs but can occur in any part of the body.


Conditions Treated by Lumbar Nerve Block Injections

If you're struggling with chronic pain, lumbar nerve block injections might be a solution worth considering.

This type of injection can provide relief for various conditions and symptoms, such as:

  • Shingles: This is a painful rash caused by the same virus that causes chickenpox. lumbar sympathetic blocks can help manage the pain associated with shingles, especially when it affects the lower body.
  • Phantom Limb Pain: This condition involves experiencing pain in a limb that has been amputated. Lumbar sympathetic blocks have shown promise in helping manage this often challenging to treat pain.
  • Vascular Pain: This is pain resulting from problems with blood vessels. Lumbar sympathetic blocks can help manage this pain by blocking the nerve signals that communicate pain from the affected vessels.
  • Peripheral Neuropathy: This is a result of damage to the peripheral nerves, often causing weakness, numbness, and pain, usually in your hands and feet. Lumbar sympathetic blocks can help control the pain associated with this condition.
  • Diabetic NeuropathyThis is a type of nerve damage that can occur with diabetes. Lumbar sympathetic blocks can be beneficial in managing the pain associated with this condition, particularly when it affects the lower limbs.
  • Complex Regional Pain Syndrome (CRPS)This is a chronic pain condition that mainly affects one limb. Lumbar sympathetic blocks can significantly help manage the pain associated with CRPS.
  • Cancer PainPain can often accompany cancer and its related treatments. Lumbar sympathetic blocks can play a role in managing this pain, improving the quality of life for those battling cancer.
  • Reflex Sympathetic Dystrophy: This is a disorder that causes lasting pain, usually in an arm or leg, and it develops after an injury, stroke, or heart attack. Lumbar sympathetic blocks can provide significant relief from the persistent pain associated with this condition.
  • Excessive Sweating: While not a pain condition, excessive sweating, or hyperhidrosis, can be quite distressing. Lumbar sympathetic blocks can help manage this condition by blocking the nerves that stimulate sweat production.
  • Raynaud's Syndrome: This condition causes some areas of your body to feel numb and cool in response to cold temperatures or stress. While Lumbar sympathetic blocks may not treat the syndrome directly, they can help manage associated pain.

Remember, it's crucial to discuss these treatments with your healthcare provider to understand if they're right for you. As always, at Pain and Specialists, we're here to support you every step of your journey towards pain relief.

Interesting Statistics On LSB injections:

Customers served! 1 %  Americans Affected by lower back pain at any given time in their lives.

85% of patients experienced more than 50% pain relief for 1 to 4 weeks or longer after a sympathetic block injection in one study. - American Society of Anesthesiologists

Customers served! 1 %  Americans Affected by lower back pain at any given time in their lives.

Lumbar sympathetic blockade was effective in 75% patients suffering from various types of pain. - Oxford Academic

82%
Effective

For patients with abdominopelvic pain. - NIH

Candidates for LSB Injections

Lumbar sympathetic block injections are not often considered as a first-line treatment. Typically, they come into play after other treatments have not provided adequate relief. You may have tried physical therapy, medications, or even surgery without the desired outcome. This is where lumbar sympathetic block injections can help.

If you have been diagnosed with any of the conditions mentioned previously or if you are experiencing pain in any specified regions, then you might be an excellent candidate for this procedure.


Our Comprehensive Consultation Process

At Pain and Spine Specialists, we believe that every patient deserves a thorough and personalized consultation process. We aim to accurately diagnose your pain before recommending any treatment, including lumbar sympathetic block injections.

Four square tiles outlining the consultation steps at pain and spine specilialists
Four blue blocks with icons that represent the consultation process at Pain and Spine Specialists
  1. 1
    Review of Medical History: We start with a thorough review of your medical history taking time to understand your past and present health conditions, previous treatments, and any medications you're currently taking. This helps us see the full picture of your health and identify any potential factors contributing to your pain.
  2. 2
    Physical Examination: Next, we conduct a meticulous physical examination. We assess your posture, mobility, physical condition, and the area causing discomfort. Our goal is to pinpoint the source of your pain and understand how it's affecting your daily life.
  3. 3
    Diagnostic Imaging: To further understand your condition, we may employ diagnostic imaging techniques such as X-rays, MRIs, or CT scans. These tools provide us with a detailed view of your body's internal structures, enabling us to identify any abnormalities that could be causing your pain.
  4. 4
    Nerve Tests: In some cases, nerve tests may be necessary. These tests help us evaluate your nerve function and determine whether a Lumbar Sympathetic Block could be an effective treatment for your condition.

Our mission is to help you manage your pain effectively and improve your quality of life. We believe in making informed decisions, which is why we take the time to thoroughly understand your condition before recommending any treatment. 

A doctor holding a Xray image of back with Degenerative Disc Disease

The Lumbar Sympathetic Block Procedure

Knowing what to expect in a lumbar nerve block procedure is essential to ensuring a successful and comfortable experience. Here is a detailed overview of preparation steps, procedure technique, what you should expect after treatment:

Four circles with icons on the center that represent the four process for Pain and Spine Specialists procedures
Four circles with icons on the center that represent the four process for Pain and Spine Specialists procedures

Preparing for the Procedure

Before the procedure, our doctors all patients with detailed instructions to follow. These might include dietary recommendations, such as fasting for a certain period, or adjustments to current medication regimen. It's crucial to adhere to these instructions to ensure the procedure goes smoothly.


The Procedure

On the day of the procedure, patients are placed on an x-ray table, lying on their stomach. The area where the needle will be inserted is numbed with a local anesthetic. Using fluoroscopy, a form of X-ray, the doctor guides a thin needle towards the lumbar sympathetic nerves situated on either side of the lower spine. Once the needle is correctly positioned, an anesthetic medication is injected to block nerve signals. Typically, the procedure takes about 30 minutes.

Patients should not experience any significant pain during the procedure. They might feel a slight sting from the initial injection of the local anesthetic and some pressure when the needle is inserted.


Directly After the Procedure

Right after the procedure, patients may feel a warm sensation in their legs and feet. This is generally a positive indication that the Lumbar Sympathetic Block has been successful.

Patients are advised to arrange transportation home as the anesthetic can impair their ability to drive safely. Post-procedure, they are monitored for a short period to ensure there are no immediate complications.

Pain relief can be experienced shortly after the procedure and can last several hours or even days. Some patients may need a series of injections to achieve optimal pain relief.

Explore Our Webinars and Podcasts 

Learn about The Conditions We Treat and the treatments We offer from our board-certified doctors.

A promotional bar that says explore our latest webinars and podcasts

Long Term Recovery and Results After a Sympathetic Nerve Block

Since this is an outpatient treatment, most patients are fully back to performing daily activities the next day. We do advise patients not to swim or soak in a tub for 72 hours. Any soreness can usually be relieved using an ice pack or an over-the-counter pain reliever (be sure to consult with your doctor first). If numbness hasn't gone away after 24 hours or there is a loss of bladder or bowel control, the patient needs immediate medical attention.

Patients may not feel the effects of the lumbar block until a few days later, and how long they find relief from their pain varies, depending on the person. Some may see relief for weeks, and some may see relief for months. A couple more injections may be needed throughout the year but should be limited due to potential risks. Patients may also benefit from physical therapy with the sympathetic nerve block to relieve pain.


What Are the Risks of Lumbar Blocks?

Overall risks for lumbar sympathetic nerve blocks are relatively low, but not completely zero. This is a minor treatment that is non-invasive, so the chances of having a serious complication are not very likely. However, the patient should keep an eye out for signs of infection or bleeding. Infections are one of the more concerning outcomes of this procedure, but can be treated easily with an antibiotic. There are also chances of an allergic reaction to the medication or nerve damage occurring. Generally, the patient can expect some potential bruising or soreness at the injection site for a few days. 


Frequently Asked Questions

What types of doctors offer LSB Injections?

Several types of medical professionals can offer Lumbar Sympathetic block injections, including anesthesiologists, neurologists, and physiatrists. However, you will commonly find pain management specialists offering this procedure since it is a significant part of their training and expertise.

Is Lumbar Sympathetic Block covered by insurance?

Coverage for Lumbar Sympathetic block injections varies depending on your specific insurance plan. It's essential to contact your insurance provider directly to understand which treatments are covered under your policy.

What are the alternatives to Lumbar Nerve Block treatment?

Alternatives to Lumbar Sympathetic block injections include physical therapy, medication management, nerve ablation, spinal cord stimulation, and in some cases, surgery. The right alternative depends on your specific condition and overall health status.

How do I find a Sympathetic Block Injection treatment center near me?

You can find a treatment center that offers Lumbar Sympathetic block injections by consulting with your primary care physician, who can provide a referral. You can also search online for pain management clinics or specialists in your area that offer this service.

How do I find a Lumbar Sympathetic Block Injection specialist near me?

You can find a Lumbar Sympathetic block injections specialist by asking your primary care doctor for a referral, or by searching online for pain management specialists in your area. You can also reach out to local hospitals and ask if they have specialists who perform this procedure.

Is Lumbar Sympathetic Block considered a minimally invasive treatment?

Yes, Lumbar Sympathetic block injections are considered a minimally invasive procedure. They are usually performed under local anesthesia with the aid of imaging guidance to ensure accurate placement of the injection.

How much does Lumbar Sympathetic Block cost?

The cost of Lumbar Sympathetic block injections can vary widely based on factors such as your healthcare provider, geographic location, and insurance coverage. It's best to consult with your healthcare provider or insurance company for an accurate estimate.

Do Medicare and Medicaid cover Lumbar Sympathetic Block?

Medicare and Medicaid coverage can vary by state and by individual plan. Generally, these programs do cover medically necessary pain management procedures like Lumbar Sympathetic block injections, but it's always best to check with your specific plan to determine coverage.


Lumbar Block Injections at Pain and Spine Specialists

Our medical experts at Pain and Spine Specialists know the toll that chronic pain can take on your daily life. That's why our team of lumbar sympathetic block specialists, physician assistants, and nurse practitioners are dedicated to providing effective and minimally invasive treatment options to help you manage your pain.

Our state-of-the-art facilities in Florida, Maryland, Pennsylvania, and Virginia are equipped with advanced technology and techniques for administering lumbar sympathetic block injections. After the procedure, your care continues with post-procedure support and follow-up appointments to monitor your recovery and adjust your treatment plan if necessary. This holistic approach ensures that you receive the highest level of care, from your initial consultation through to your recovery.

Beginning your journey with us is simple. You can reach out to us through our website or give us a call to schedule your first appointment.

Pain and Spine Specialists logo with a healthcare symbol and the letters PASS.

About Us

Our board-certified Pain and Spine Specialists doctors specialize in minimally invasive pain management treatments, including lumbar sympathetic block injections. Our mission is to reduce your pain and improve your mobility. Visit us to learn more about our comprehensive approach to chronic pain management.

Pain and Spine Specialists Digital guide pages lined up next to each other with three pages displayed.

Digital Guide

View our providers, locations, services, and patient reviews.

More Resources

Here is a list of resources that were discussed on this page:

Candidates For Treatment

Patients with the following disorders, injuries, diseases, or infections may be candidates for a lumbar sympathetic block injection.

Related Pain Regions

Lumbar Sympathetic Block is often used to treat pain in the following regions:

Contact Us

Suffering from chronic pain? Let our specialists help with a Lumbar Sympathetic Block. Contact us today for personalized treatment options.

Appointment FAQ's

Billing / Insurance Questions

We Accept All Insurances!

That includes Medicare and state Medicaid.

How Soon Can I Be Seen?

Usually within one week of the initial call.

Appointments can be schedule by phone or through our contact form here.

What To Expect During Appointments

At Pain and Spine Specialists we provide comprehensive pain care while offering the most up-to-date minimally invasive techniques. Our ethos is to treat each patient (and potential patient) as if they were a family member.

Click here to learn more.

Patient Portal / Policies

At Pain and Spine Specialists we want to provide the most efficient and pleasurable experience possible. As in all medical facilities, we have certain policies in place to ensure that you receive the time you require to address your needs as well as enhance your experience while in our care.

View our policies here.

Reviews and Testimonials

We encourage patient feedback to better improve your experience. We strive to create a friendly and warm environment where patients feel their voices are heard and validated.

View our patient reviews here.

Meet Our Team

Lumbar Sympathetic Block Doctors in Maryland, Pennsylvania, Florida and Virginia


Welcome to Pain and Spine Specialists. Our board-certified specialists are currently working with a wealth of experience spanning two decades in treating chronic pain with Lumbar Sympathetic Block injections.

We are deeply committed to a comprehensive approach to pain management, which involves crafting personalized treatment plans that align with your unique needs. Trust in our expertise, feel the warmth of our care, and together, let's embark on this journey towards better health.

MEET OUR PARTNER

OUR PARTNER

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

MEET OUR PARTNER

MEET OUR PARTNER

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

At Pain and Spine Specialists, we support the mission of PANCHA. A non-profit organization that is dedicated to assisting the families of those suffering from pancreatic cancer.

Skip to content