I saw a fascia illiaca block being used
it was fascinating, it was good
fascia illiaca block is used for good analgesia in hip fractures
it is simple
easy to do
uses ultrasound in a sensible manner
basicly get patient
go along inguinal ligament roughly about 1/3 way down toward public symphysis
inject appropriate doses of long acting safe anaesthetic
watch fascial layers separate, allowing flow and spread of anaesthetic
this separation of fascial layers may be the key
and not just for acute analgesia
fracture hip/femur good safe analgesia for a few hours cool,
time to fix hip in OT
but could this be used for chronic pain?
with chronic pain there is also chronic scarring
for me scarring = pain
and when things are scarred they are stuck
physios help treat and release scar tissue from the outside
but what if ? drs could do this from the inside
what if we could identify areas of pain and release any tethered fascial layers?
would this reduce the pain and increase movement, ie sort of an aim of analgesia specialists
what to use?
local anaesthetics, appropriate doses,
immediate pain relief but if they separate stuck layers long term effects as well
What about saline?
if released tethered fascial layers
maybe both acute and long term analgesia and mobility with,
but requires skill, be aware of bleeding, infection and neurovacular bundles to avoid
just a thought
a concept i had that was rekindled by a certain jedi