Nerve Block Pain Management: How It Works & What to Expect
A nerve block uses local anesthetic to numb a specific area of your body and reduce pain after surgery—often helping you feel better faster, recover more comfortably, and participate in physical therapy sooner.
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Where nerve blocks are used
Shoulder, elbow, forearm, wrist, hand/fingers, knee, leg, ankle, or foot—your anesthesia clinician will discuss the best option for your procedure.
Benefits you may notice
- Significantly less pain after surgery.
- Fewer oral pain pills and fewer side effects (nausea, vomiting, itching, sleepiness).
- Better rest and easier physical therapy participation in early recovery.
The catheter & portable pump
A small catheter is gently threaded near the target nerve; after surgery, it’s connected to a portable infusion pump that can provide continuous local anesthetic for up to about 4 days. The balloon in the pump slowly deflates as medication infuses; you don’t need to adjust the pump.
Safety reminders:
Because the area is numb, you may have muscle weakness and reduced sensation—protect the limb and avoid bearing weight until advised.
At home pump & catheter care
- Keep the dressing clean/dry; small clear or pink drainage can be normal, and leakage is not a concern if pain control is good.
- Don’t change the dressing yourself; reinforce with tape if needed.
- Sponge bathe only while the catheter is in place; keep the pump within ~18 inches of the insertion site.
- Use the provided carrying pack; don’t drop the pump or get it wet.
Removal steps (when your infusion ends)
- Gently lift the adhesive dressing.
- Grasp the catheter near the skin and pull it out gently—little discomfort or resistance is expected.
- Hold pressure for 5 minutes; apply a bandaid and remove later that day.
- Discard the catheter, tubing, and pump in the trash; do not attempt to remove leftover medication or inject it.
- Any remaining numbness should resolve within ~24 hours; continue oral pain medications as directed.
Risks & side effects (rare)
Bleeding, infection, nerve damage, arrhythmias, seizures, confusion, dizziness/lightheadedness, drowsiness, ringing in the ears, low blood pressure, and (for arm/shoulder surgery) a sensation of not taking a deep breath. Your team will review your specific risk profile in advance.
Frequently Asked Questions
How long does the pump last?
Often up to ~4 days, depending on your surgery and plan.
Can I shower?
No; sponge bathe while the catheter is in place.
What if pain isn’t controlled?
Check for kinks/closed clamps, confirm fluid remains, and call the number in your discharge instructions.



