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CT-Guided Abdominal Nerve Block

Published: August 9, 2026Updated: August 16, 2026

CT-guided abdominal nerve block is a minimally invasive pain management procedure that uses CT imaging to precisely guide a thin needle to specific nerves in your abdomen, where anesthetic medication is injected to block pain signals. The procedure typically takes 15-30 minutes, and pain relief may begin within a few days and last from several weeks to months.

Quick summary

{"Uses CT imaging for precise needle placement","Delivers anesthetic to block pain signals","Performed by pain management specialists","Can provide relief for several months","Minimal recovery time required"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
35930-7
Short code
CTNERVABD
Synonyms
CT Guided Abd Nerve block
Category
cardiac
Sample
serum
Container
Not applicable - This is an imaging-guided procedure, not a blood collection.
Units
N/A
Ref low
3.5
Ref high
5
Critical range
2.5 N/A – 6.5 N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 18 years
Method
Computed Tomography (CT) guided percutaneous nerve block injection
CPT
64490
SNOMED
399019008
Specimen volume
Not applicable - This is an imaging-guided procedure.
Stability
Not applicable - This is an imaging-guided procedure.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

What is this procedure?

CT-guided abdominal nerve block is a minimally invasive pain management procedure. It uses computed tomography (CT) imaging to help doctors precisely guide a thin needle to specific nerves in the abdomen. Once positioned, anesthetic medication is injected to temporarily block pain signals from that area to the brain.

How is it performed?

During the procedure, you will lie on a CT scanning table. The CT scanner helps your doctor locate the exact nerve pathways. After cleaning the skin and applying local anesthesia, a thin needle is carefully inserted toward the target nerve. The doctor may inject a contrast dye to confirm proper placement, then delivers the anesthetic medication. The entire procedure typically takes 15-30 minutes.

What to expect after the procedure?

You may experience numbness in the treated area for several hours as the anesthetic takes effect. Pain relief may begin within a few days and can last from several weeks to months, depending on your condition. You should rest for the first 24 hours and avoid strenuous activities. Pain relief effects vary among individuals.

Reference range

Adult: 3.5-5.0 mmol/LN/A

Specimen: serum

Inform patient about procedure risks and benefits. Obtain informed consent. Verify allergy to contrast media if CT contrast will be used. Discontinue anticoagulants as per physician orders. Patient should wear comfortable, loose-fitting clothing. Remove metal objects that may interfere with CT imaging. Ensure adequate intravenous access if sedation is planned.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Is the procedure painful?
You may feel some discomfort during the needle insertion, but local anesthesia is used to minimize pain. Most patients report only mild discomfort during the procedure.
How long does the pain relief last?
Pain relief varies significantly among patients. Some experience relief for several weeks, while others may benefit for several months. The procedure can be repeated if needed.
Are there any risks or side effects?
Generally safe, but potential risks include bleeding, infection, nerve damage, or accidental injection into blood vessels. Some patients may experience temporary weakness or numbness in the abdominal area. Serious complications are rare when performed by experienced specialists.
Who is a good candidate for this procedure?
Patients with chronic abdominal pain who have not responded to conventional treatments such as medications or physical therapy may be candidates. Your pain management specialist will evaluate your specific condition to determine if this procedure is appropriate for you.
Do I need to fast before the procedure?
Follow your doctor's specific instructions. You may be asked to fast for several hours before the procedure. Continue taking prescribed medications unless instructed otherwise by your doctor.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy