Pain after nerve block: Why it happens, what’s normal, and how to manage it. Your quick recovery guide.

PAIN AFTER NERVE BLOCK:

5 KEY FACTS

WHAT IS IT AND WHY DOES IT HAPPEN?

A nerve block temporarily stops pain signals. When it wears off, pain can return called “rebound pain.” It’s common after surgery and can be controlled with the right plan.

TIMELINE: HOW DOES SENSATION RETURN?

First tingling/pins-and-needles, then sensitivity and ache. Short blocks last 4 - 12 hours; continuous catheters last days; some peripheral blocks can last longer.

5 SIGNS IT’S WEARING OFF

1) Tingling 2) Increased sensitivity 3) Muscle spasms/stiffness 4) Trouble moving 5) Night-time pain surge.

WHY CAN IT HURT MORE THAN EXPECTED?

Rebound pain, inflammation, and central sensitization can heighten pain. A brief “peak” during transition is normal; scheduled pain control smooths the wave.

IS IT NORMAL OR WORRYING?

Normal: Tingling, mild moderate pain, temporary stiffness. Urgent: Severe pain despite meds, worsening numbness/weakness, redness, swelling fever, bladder/bowel issues.

EFFECTIVE PAIN MANAGEMENT

Meds: Acetaminophen/ibuprofen; add prescription analgesics if needed. Non drug: Ice/heat, elevation, gentle exercise/physio, breathing/relaxation. Use scheduled night dosing.

PRE OP QUESTIONS & HOME SETUP

Which block, duration, side effects, backup plan. At home: Comfortable rest area, easy access to meds/water, ice/heat packs, a helper, and distractions.

DIFFERENT SURGERIES, DIFFERENT NEEDS

Orthopedic, abdominal, and dental/facial surgeries have distinct pain profiles. Personalized plans and early mobilization speed recovery.

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