Paravertebral nerve block

PARAVERTEBRAL NERVE BLOCK

Illustration

  • The nerve supply to the flank region is by thirteenth thoracic and first and second lumbar spinal nerves.
  • Each nerve has dorsal and ventral branches. The dorsal branch supplies to the muscles of the loin.
  • The ventral branch supplies to the skin, abdominal muscles and peritoneum.
  • In addition to ventral cutaneous of these 3rd lumbar spinal nerve also supplies to the flank region.

Site

  • The last thoracic nerve is blocked about 5 to 6 cm lateral to the mid dorsal line at a point behind the level of the last rib.
  • The sites for blocking the first three lumbar nerves are 5 to 6 cm lateral to mid dorsal line and behind the transverse process of first three lumbar vertebrae respectively. Click here to know more...
Last modified: Thursday, 3 May 2012, 7:01 AM