#PainBlocks - Twitter Hashtag

over 1 year ago

"Dermatomes vs. Cutaneous Innervation: Don’t Get It Twisted!" #RegionalAnesthesia #Dermatomes #CutaneousInnervation #PainBlocks #AnatomyMatters #NerveBlocks #Neuroanatomy #MedTwitter #TipOfTheDay #MyRATips Tip of the Day: A common confusion in anatomy & regional anesthesia—let’s clear it up: ⚡ Dermatomes: 🔹 Represent dorsal root sensory input from a specific spinal segment 🔹 Illustrated as band-like zones across the body 🔹 Helpful for spinal/epidural mapping, but oversimplified in clinical settings 🧠 Cutaneous Innervation: 🔹 Real-world skin supply by named peripheral nerves 🔹 These arise from multiple spinal roots via plexuses (e.g., brachial/lumbar) 🔹 Overlap is common, due to plexiform branching and shared territories 🔄 The Overlap Factor: 🔹 Neighboring nerves interconnect and share skin areas 🔹 So blocking one dermatome or a single cutaneous branch often leaves patchy analgesia 📌 Example: 🔹 The anterior cutaneous nerves of the thigh and it's branches (medial & intermediate) come from L2–L3 🔹 Blocking these nerves targets part of the L2–L3 area 🔹 However, overlaps with L1 or L4 may cause sparing unless those are also addressed ❓The Blocking Dilemma: Confused about how to effectively block a region? You have three main options: 1. Neuraxial block (e.g., spinal/epidural) that includes the spinal segments involved 2. Peripheral nerve block targeting the parent nerve of the cutaneous branches 3. Field block/infiltration at the site of sensory overlap for localized coverage Each method has its place—choose based on your target territory, the extent of overlap, and clinical context. ✅ Clinical Wisdom: 🔹 Never rely solely on dermatome charts—understand nerve distributions 🔹 For consistent analgesia, consider all contributing nerves, not just root values 🔹 Precision = combining anatomical knowledge with smart technique selection Bottom Line: Dermatomes are a MAP. Cutaneous innervation is the ROAD. Choose your ROUTE wisely.

KartikBSonawane's tweet photo. "Dermatomes vs. Cutaneous Innervation: Don’t Get It Twisted!"

#RegionalAnesthesia #Dermatomes #CutaneousInnervation #PainBlocks #AnatomyMatters #NerveBlocks #Neuroanatomy #MedTwitter
#TipOfTheDay
#MyRATips

Tip of the Day:

A common confusion in anatomy & regional anesthesia—let’s clear it up:

⚡ Dermatomes:

🔹 Represent dorsal root sensory input from a specific spinal segment
🔹 Illustrated as band-like zones across the body
🔹 Helpful for spinal/epidural mapping, but oversimplified in clinical settings

🧠 Cutaneous Innervation:

🔹 Real-world skin supply by named peripheral nerves
🔹 These arise from multiple spinal roots via plexuses (e.g., brachial/lumbar)
🔹 Overlap is common, due to plexiform branching and shared territories

🔄 The Overlap Factor:

🔹 Neighboring nerves interconnect and share skin areas
🔹 So blocking one dermatome or a single cutaneous branch often leaves patchy analgesia

📌 Example:

🔹 The anterior cutaneous nerves of the thigh and it's branches (medial & intermediate) come from L2–L3
🔹 Blocking these nerves targets part of the L2–L3 area
🔹 However, overlaps with L1 or L4 may cause sparing unless those are also addressed

❓The Blocking Dilemma:

Confused about how to effectively block a region? You have three main options:

1. Neuraxial block (e.g., spinal/epidural) that includes the spinal segments involved

2. Peripheral nerve block targeting the parent nerve of the cutaneous branches

3. Field block/infiltration at the site of sensory overlap for localized coverage

Each method has its place—choose based on your target territory, the extent of overlap, and clinical context.

✅ Clinical Wisdom:

🔹 Never rely solely on dermatome charts—understand nerve distributions

🔹 For consistent analgesia, consider all contributing nerves, not just root values

🔹 Precision = combining anatomical knowledge with smart technique selection

Bottom Line:

Dermatomes are a MAP.
Cutaneous innervation is the ROAD.
Choose your ROUTE wisely.

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Touretteshero @touretteshero

over 2 years ago

Awake & in pain so thought I’d share this crew, since the start of Jan I’ve been making the shape of my pain each day. Using colourful stickers & then popping googly eyes on them. This is 5 months worth of soreness. Drawing pain continues to help me make peace with it #PainBlocks

touretteshero's tweet photo. Awake & in pain so thought I’d share this crew, since the start of Jan I’ve been making the shape of my pain each day. Using colourful stickers & then popping googly eyes on them. This is 5 months worth of soreness. Drawing pain continues to help me make peace with it #PainBlocks https://t.co/mb8GWNUJer

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NYSORA @NYSORA

almost 4 years ago

How to ensure the success of a suprascapular #NerveBlock? We want to share with you 3 tips. In NYSORA US Pain app, you will get the complete guide to #ultrasound-guided chronic #PainBlocks: https://t.co/GRaTUyHjNR #medtwitter

NYSORA's tweet photo. How to ensure the success of a suprascapular #NerveBlock? We want to share with you 3 tips. In NYSORA US Pain app, you will get the complete guide to #ultrasound-guided chronic #PainBlocks: https://t.co/GRaTUyHjNR

#medtwitter https://t.co/NGZy99tAjn

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Pain Institute of Spain

@pios_institute

about 4 years ago

Recordatorio 📝 Anestesia regional en pacientes bajo tratamiento antitrombótico @ESRASPAIN @ESRA_Society @ESAIC_org #regionalanestesia #painblocks

pios_institute's tweet photo. Recordatorio 📝 Anestesia regional en pacientes bajo tratamiento antitrombótico @ESRASPAIN @ESRA_Society @ESAIC_org #regionalanestesia #painblocks https://t.co/Jr3HG4hixJ

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Dr.Sheikh Aamina @Drsheikhamina

almost 5 years ago

Patient who want to avoid knee replacement surgery can opt for this option 👇 .. Hurry up 🆙.. For appointment DM him directly... #Arthritis # #Osteoarthritis #PainManagement #PainRelief #PainBlocks #Procedure

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Pain Specialists Australia @Pain_Spec_Aus

almost 5 years ago

Our pain specialists were discussing safest ways of performing a sacroiliac joint block for some forms of lower back/buttock pain. Some now consider ultrasound to be the safest. Here is some further reading on this technique https://t.co/BebhUU3P5W #painblocks #backpain

Pain_Spec_Aus's tweet photo. Our pain specialists were discussing safest ways of performing a sacroiliac joint block for some forms of lower back/buttock pain. Some now consider ultrasound to be the safest.

Here is some further reading on this technique
https://t.co/BebhUU3P5W

#painblocks #backpain https://t.co/Xc0q9be7So

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Sarvodaya Healthcare @Sarvodaya_Care

over 5 years ago

Dr. Kamal Verma & Dr. Gaurav Kesri, Sarvodaya Hospital & Research Centre, Sec-8, Faridabad; successfully helped Urvashi Arora recover from severe back pain while using Pain Blocks, which is a non-surgical #treatment method. #BackPain #PainBlocks #Treatment #HealthyLife #SHRC

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Manuel Herrero Trujillano @herrero_dr

over 5 years ago · Madrid

MRI shows L5-S1 Disc herniation with left cephalad migration. She wants to avoid surgery. 🤔I’ve just performed a Transforaminal epidural block... what would you do? . . . #chronicpain #interventionalpainmanagement #lowbackpain #epiduralblock #painblocks

herrero_dr's tweet photo. MRI shows L5-S1 Disc herniation with left cephalad migration.
She wants to avoid surgery. 🤔I’ve just performed a Transforaminal epidural block... what would you do?
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#chronicpain #interventionalpainmanagement #lowbackpain #epiduralblock #painblocks https://t.co/R2ZNvCmwMW

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VCU Anesthesiology @VCUanes

about 6 years ago

The pAin Team getting ready for round two of the morning! Daniel Gouger (CA2), Chinwe Anumudu (CA3), Doug Arno (CA1). And welcome aboard to faculty Michael Buxhoeveden. #regionalpain #asra #painblocks

VCUanes's tweet photo. The pAin Team getting ready for round two of the morning! Daniel Gouger (CA2), Chinwe Anumudu (CA3), Doug Arno (CA1). And welcome aboard to faculty Michael Buxhoeveden. #regionalpain #asra #painblocks https://t.co/ZRbH3O9rVX

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Georgios Matis @GeorgiosMatis

about 6 years ago

ℹ️ Webinar Series 4 - Only 3 days left! Leicester #Pain #Education & @GulfPain Webinar Series 4 on #Fascial #PainBlocks for #ChronicPain, #Headache & #FacialPain assessment & management. 👩🏻‍🎓6 CPD credits from the Royal College of Anaesthetists, United Kingdom. @BhayaniSadiq 1/4

GeorgiosMatis's tweet photo. ℹ️ Webinar Series 4 - Only 3 days left!

Leicester #Pain #Education & @GulfPain Webinar Series 4 on #Fascial #PainBlocks for #ChronicPain, #Headache & #FacialPain assessment & management.

👩🏻‍🎓6 CPD credits from the Royal College of Anaesthetists, United Kingdom.
@BhayaniSadiq 1/4 https://t.co/DEr2NuC96k

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Manuel Herrero Trujillano @herrero_dr

over 6 years ago · Madrid

GON US Radiofrequency #occipitalneuralgia #painblocks #arnoldnerve #chronicpain #musicforthesoul

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Manuel Herrero Trujillano @herrero_dr

over 6 years ago · Madrid

Cervical medial branch US Block #facetjointsyndrome #painblocks #chronicpain #musicforthesoul

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Manuel Herrero Trujillano @herrero_dr

over 6 years ago · Madrid

Cervical medial branch block: In-plane posterior approach ultrasound guided and confirmed by fluoroscopy #chronicpainmanagement #painblocks #ultrasoundguided #cervicalpain

herrero_dr's tweet photo. Cervical medial branch block: In-plane posterior approach ultrasound guided and confirmed by fluoroscopy #chronicpainmanagement #painblocks #ultrasoundguided #cervicalpain https://t.co/e5zC6bUXaK

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Manuel Herrero Trujillano @herrero_dr

over 6 years ago · Madrid

Otro éxito de @ultradissection con este curso de correlación Eco-fluoroscópica, rodeado de grandes profesores y amigos. Gracias @mfajardoperez por invitarme de nuevo a vivir esta experiencia única #chronicpain #painmanagement #painworkshop #painblocks #ecofluoroscopia