Celiac Plexus Block

A celiac plexus block is a minimally invasive procedure that targets a network of nerves — the celiac plexus — located in the upper abdomen near the spine. These nerves carry pain signals from the abdominal organs, including the pancreas, liver, gallbladder, stomach, kidneys, and intestines.

By injecting local anesthetic (and sometimes steroids) around the celiac plexus, the procedure helps block pain signals, providing relief from chronic abdominal or cancer-related pain.

Your provider may recommend a celiac plexus block if you have:

• Chronic abdominal pain not responding to medications
• Pancreatic cancer-related pain
• Upper abdominal cancer pain (e.g., liver, stomach, or intestinal cancers)
• Chronic pancreatitis (long-standing inflammation of the pancreas)
• Severe visceral pain affecting quality of life

The goal is to reduce abdominal pain, decrease the need for strong medications, and improve daily function and comfort.

The procedure is performed in an outpatient setting.

• You will lie on your stomach on an X-ray table.
• The skin over your mid-back is cleaned and sterilized.
• A local anesthetic will numb the skin.
• Using fluoroscopy (live X-ray) or CT guidance, your provider carefully places small needles on either side of the spine near the celiac plexus.
• A mixture of local anesthetic (and sometimes steroid) is injected to block the nerve signals.
• The procedure usually takes about 30–45 minutes, followed by a short observation period before you are discharged.

• Immediate pain relief may occur due to the local anesthetic but might wear off after a few hours.
• Longer-term relief typically develops within a few days if steroids or other agents are used.
• You may experience mild soreness or fullness in the back or abdomen for a day or two.
• You should avoid strenuous activities for 24–48 hours following the procedure.
• Many patients experience weeks to months of improved abdominal pain control after a successful block.

Celiac plexus blocks are generally safe. Potential, rare risks include:

• Temporary low blood pressure or lightheadedness
• Diarrhea for a few days after the procedure
• Soreness or bruising at the injection site
• Infection (very rare)
• Temporary weakness in the legs (rare and typically short-lived)
• Allergic reaction to the medications (extremely rare)

At Horizon Spine & Pain of Utah, we take every precaution to minimize these risks and ensure a safe experience.

Patients trust Horizon Spine & Pain of Utah because we offer:

• Board-certified pain management specialists with extensive experience in nerve blocks
• Precision-guided techniques for safe, accurate treatment
• Personalized pain management plans tailored to your condition and goals
• Minimally invasive procedures to improve comfort and quality of life

Our mission is to help you feel better, move better, and live better.