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The process of giving a special mixture containing vitamins, minerals, oligo elements and circulatory regulators necessary for hair into the scalp with small needles is called hair mesotherapy. This special mixture spreads to the entire scalp through capillaries and begins to act. Hair mesotherapy has three effects. 1- Stop hair loss 2- Increasing hair quality (making it brighter, livelier and thicker) 3- Activating new hair growth Hair mesotherapy is an effective treatment method for all hair loss, especially male pattern genetic loss and diffuse alopecia in women. Mesotherapy is performed in ten sessions on average, and the sessions are applied once a week. The applied sessions take about ten minutes for male patients and about thirty minutes for female patients. Since mesotherapy is performed with very fine needles, it is considered a painless procedure. It is a very safe treatment method as its content consists of vitamins, oligo elements and minerals. It can be applied to patients of all ages. Summary of Hair Mesotherapy; 1- It is done to stop hair loss, increase hair quality and grow new hair. 2- It is effective in all types of hair loss. 3- It is a painless, painless and very safe treatment method. It does not cause any restriction in the daily life of the person after the sessions. 4- It is applied as 10 sessions with an average of 1 week intervals, the sessions last between 10-30 minutes. Are the substances used in hair mesotherapy standard? No. While some doctors use special formulas in hair mesotherapy, some use standard mixtures. Therefore, the results vary from doctor to doctor.

People with fair skin, light eyes, red-blond hair or skin type that can easily develop sunburn have a higher risk of developing skin cancer than others. In order to benefit from the positive effects of the sun, half an hour of sunbathing in the morning and evening is sufficient during the hours when the rays are oblique. We should be careful not to stay in the sun when it is the steepest. Other risky groups with skin cancer are as follows: People with fair skin, light-colored eyes, red-blonde hair or skin type that can easily develop sunburn have a higher risk of developing Skin Cancer than others. The risk is greatly increased in people who have been exposed to intense sunlight for a long time or intermittently. People with a family history of malignant melanoma have a 2 times higher risk than the normal population. The risk is also increased in people with abnormal-looking dysplastic nevus syndrome. Check your skin regularly and seek help from a family member if necessary. Once a month, inspect your torso, arms and legs, palms and soles. Check your scalp and back with a mirror. Pay attention to the expiration date of cosmetic products to protect your skin. The expiry date is set on the products to prevent the product from deteriorating over time and harming your skin. If there is no expiration date on the product you buy, remember that their shelf life is 3 years. Keep in mind that this period is shortened if they are left in a warm environment. If you are taking hormonal drugs, antibiotics, blood pressure, cholesterol, diabetes or drugs such as painkillers increase sensitivity to the sun, ask your doctor about what precautions you should take.

What is stress echocardiography? Stress echocardiography (SE) is an echocardiography application performed with exercise methods or drugs that accelerate the heartbeat. Exercise echocardiography is performed in the form of recording echocardiographic images at every stage of exercise with the help of bicycle exercise test, just before and immediately after the application of the exercise protocol in the treadmill effort test.

Heart failure, which can manifest itself with symptoms such as shortness of breath, palpitations and depression, is not a disease on its own; It can occur as a result of different diseases such as heart attack, high blood pressure, heart valve and heart muscle diseases, diabetes, chronic kidney failure and lung diseases. This picture, which shortens the quality and duration of life, needs to be brought under control without losing time with close follow-up and regular treatment. Beware of excess weight! Heart failure is most common in people aged 65 and over, as there may be a decrease in strength in the heart muscle with age. Overweight individuals, Type 2 diabetes patients, and people who have had a previous heart attack are also at risk. The main symptom of heart failure is shortness of breath. Other symptoms are fatigue, palpitations, frequent urination at night, swelling in the legs, abdominal distension, and prominent neck veins. The reflection of the complaints on daily life may indicate that the heart failure is advanced. The feeling of shortness of breath and tiredness that did not exist before while climbing stairs or doing daily tasks should be taken into account. Early recognition and treatment of complaints is important. Major causes of heart failure Occlusion of the coronary arteries that feed the heart Diabetes (diabetes) Hypertension heart rhythm problems Affecting the heart muscle from birth heart valve diseases First, the underlying cause should be identified and treated. Especially those who have congenital heart muscle diseases in their family should be checked for heart failure. Diagnosis of heart failure; It is determined by a detailed heart examination and then by electrocardiogram, chest X-ray, echocardiography and laboratory tests to be performed according to the causes of heart failure. If arrhythmia is suspected, 24-hour rhythm monitoring devices can be attached to the patient to follow-up. The most important goal in the treatment of heart failure is to identify and treat the underlying cause. Treatment; includes lifestyle modification, medication, and interventional treatments. If there is a problem in the heart vessels, it is important to correct this situation and to control blood pressure and blood sugar. 6 suggestions to reduce risk factors 1-Do not delay your hypertension and diabetes treatment 2-Reduce the salt 3- Consume green vegetables and fruits 4-Eat fish instead of meat 5-Do not smoke 6-Take regular walks, especially outdoors Personalized treatment planning Drug treatments are carried out individually, under the supervision of a cardiologist and at certain intervals. If the complaints persist despite medications in heart failure, pacemaker therapy and cardiac support devices can be inserted in appropriate patients. If the disease progresses despite all precautions, heart transplantation can be planned. Before the development of heart failure, determining the causes and taking precautions is the most effective treatment method.

Due to high temperatures, the load on the heart and blood vessels also increases. Changing blood pressure depending on the air temperatures can trigger the risk of heart attack. Especially in very hot weather, suddenly moving to extremely cold environments to cool off can also create a shock effect on the heart vessels, leading to the risk of crisis. For this reason, it is necessary to pay attention to the heat balance in hot weather where cooling is needed. Extremely hot or risky cold… Extreme temperatures, along with sudden increases or decreases in blood pressure levels, can lead to a risk of heart attack. Hot air also has the effect of increasing the load on the heart, and therefore, uncontrolled exposure to heat poses a danger to heart health. Especially in the summer heat, air conditioners, which are needed to cool off, pose the same risk for the heart if the heat level is not controlled. Because sudden hot-cold transitions have a shock effect and the heat balance must be well established. The degree of the air conditioner should not be below 22 Particular attention should be paid to the use of air conditioners in places with high temperatures, especially in the Mediterranean Region. Moving from a hot environment to another environment that is extremely cooled by the air conditioner is inconvenient, especially for heart patients, and can cause sudden heart problems. The high air flow from the air conditioner in the cold room increases the heart rate and may cause problems with the respiratory tract. If you are going to spend a long time in an air-conditioned environment, it is important that the ideal ambient temperature is above 22 degrees and the air flow is not felt. The air-conditioned environment should be cool, not cold. Watch out for cold water! One of the most important dangers waiting for heart patients in hot weather is to swim in a cold pool or sea after being under the heat for a long time. Because cold water can create a risk in terms of cardiovascular health, constricting the heart vessels and disrupting blood flow. Even if there is no apparent heart problem, healthy people can also develop heart problems if there is an underlying cause. While sunbathing and swimming in the sea, the hours when the temperature is suitable should be preferred, just like air-conditioned environments, exposure with cold water should be provided according to the heat balance. Sun exposure should not exceed 15 minutes. In order to protect heart health and benefit from the sun in a quality way, care should be taken for people such as sunbathing in 15-minute time periods, spending time in the shade or under an umbrella, preferring the hours when the harmful rays of the sun are not perpendicular, instead of being exposed to the sun for a long time. Although swimming is a very healthy exercise, it should be preferred in the morning or evening hours, as it will be inconvenient during times when the weather is very hot. For your heart health in summer… - Try not to be outdoors during the day, especially during lunch and until 15.00 in the afternoon. - If you are going to spend your day outdoors, make sure to drink enough water. -Avoid strenuous physical activities. -Be careful not to be in extremely hot or cold environments, and not to make sudden heat transitions. -Wear cotton, light-colored clothing, a hat and glasses to protect from heat and reduce fluid loss.

Heart disease can make being a mother risky for a woman. It is of great importance to be aware of these risks before becoming pregnant and to take the necessary precautions. Pregnancy is not allowed in these people, as some heart problems put the health of mother and baby at risk during pregnancy. Some changes in the heart are normal during pregnancy. During the period from the 5th to the 8th week of pregnancy, the normal changes that should occur in the cardiovascular system begin. Heart rate increases slightly with pregnancy. As the load on the heart increases, blood pressure decreases by 10%. Due to hormonal changes, the vessel walls weaken. In the early postpartum period, some changes occur in the mother's circulatory system as the baby's pressure on the main artery is removed. In the early post-pregnancy period, it requires attention just like the pregnancy period. Mild shortness of breath, fatigue, non-severe palpitations, shortening of walking distance, non-serious swelling in the legs, shortness of breath when lying on the back can be considered as normal changes during pregnancy. Preventive measures should be taken before pregnancy People with known heart disease before becoming pregnant or who are planning an advanced pregnancy over the age of 35, who have a family history of serious heart disease and who have risk factors for heart diseases should definitely have a cardiological examination. should be done with the principle of teamwork. Pre-pregnancy planning and taking protective measures are essential. Some heart problems are risky for pregnancy Conceiving people with a certain group of heart diseases can be risky for the health of the mother and baby. For this reason, this information should be given to the person with psychological support and detailed dialogue, and pregnancy should be discouraged. Couples should also be informed about future prevention methods. Heart diseases that prevent pregnancy are congenital heart diseases accompanied by bruising, namely "cyanotic congenital heart diseases". These; advanced valve patients for whom surgical intervention is not possible, heart diseases with severely increased lung pressure, advanced heart failure and valve stenosis problems. It is inconvenient for patients with severe stenosis or insufficiency in their heart valves to become pregnant, whose daily effort capacity has decreased to such an extent that they have shortness of breath even at rest, and patients with severe heart failure. Heart diseases that require special follow-up do not prevent pregnancy People with a hole in their heart can become pregnant if their examination proves that they do not pose a vital burden to the heart and lungs. Patients with a large heart hole can be allowed to become pregnant by taking necessary precautions after surgery. Patients who have had heart valve replacement or heart valve repair as a heart surgery can become pregnant under a certain risk with a detailed pre-pregnancy control and follow-up. Patients with treatable rhythm problems do not normally have barriers to conception after ablation before pregnancy. A detailed examination and risk analysis are important in rhythm problems that require drug use during pregnancy. Patients with high blood pressure, that is, hypertension, can become pregnant with strict follow-up during pregnancy. There is no obstacle for the expectant mothers who have gestational hypertension to become pregnant if they are followed by using drugs that do not harm themselves and the baby during this period.

A healthy diet and lifestyle is our most important weapon to fight cardiovascular disease. However, there is disagreement about the definition of the components of a healthy diet. Some foods have passed the test and have been accepted into dietary guidelines. While this list initially included fruits, vegetables, and whole grains, they have recently added items such as olive oil, fish, and nuts. This article will review the latest evidence on today's "healthy" foods (eg fruit and vegetables) and nutrients (eg fiber, omega-3s). In addition, the relationship between the most negatively spoken foods (egg, milk, meat and salt) and cardiovascular diseases will be evaluated. BENEFITS FOR HEART HEALTH Fruits and vegetables Fruits and vegetables have always been considered health-promoting foods. Many prospective studies have shown that fruit/vegetable intake reduces the risk of coronary heart disease (CHD) and stroke. Therefore, current dietary guidelines recommend increasing fruit/vegetable intake to 5 servings per day. However, while improvements in blood pressure and microvascular function have been demonstrated with an increase in fruit/vegetable intake, the precise relationship between plasma lipid levels, diabetes mellitus (DM) and weight gain has not been clarified. In a study conducted in England, the eating habits of 65,226 people between 2001-13 were examined. In the study, it was shown that eating more than 7 servings of fruit/vegetables per day significantly reduced the risk of death from cancer and heart disease by 25-31%. This study also showed that fruit juice consumption did not provide a significant benefit. Paradoxically, canned and frozen fruit have been shown to increase the risk of death by 17%. In conclusion, observational studies have shown that a sustained risk reduction is achieved with an increase in fruit and vegetable intake, with the greatest benefit coming from vegetable intake rather than fruit, and avoidance of canned or frozen fruit. Fibrous foods and cardiovascular health The term "dietary fiber" encompasses a wide variety of molecules whose structural and functional properties can vary greatly. Fibers are classified as soluble and insoluble. Soluble fibers; Substances such as cellulose, pectin, inulin, or B-glucan are not hydrolyzed in the stomach but are fermented by the intestinal microflora. Main physicochemical properties of soluble fibers; viscosity, gel forming capacity and fermentability. Increasing viscosity slows gastric emptying (increases satiety) and transit time. It contributes to the stabilization of the glucose and insulin response and reduces the absorption of dietary cholesterol. The third important feature is fermentation, and short-chain fatty acids produced by colonic bacteria that can ferment the fiber inhibit HMG-CoA reductase and reduce cholesterol synthesis in the liver. Thus, dietary fiber helps reduce low-density lipoprotein levels in the blood. The main physiological effect associated with the intake of insoluble fiber is the reduction of intestinal transit time: its volume and water retention abilities promote increased stool mass and facilitate the movement of food through the gut due to mechanical stimulation of the intestinal walls. Tension in the intestines increases the feeling of fullness and may contribute to the reduction of calorie intake. In addition, accelerating intestinal transit minimizes the interaction between intestinal epithelium and potential carcinogenic agents, reducing the risk of developing colorectal cancer in particular. Fermentable fibers not only function as a substrate for microbial growth, but also have a prebiotic effect, supporting the growth of beneficial bacteria such as lactobacilli by changing the intestinal pH. Because of these existing mechanisms, it is concluded that diets rich in fiber reduce the risk of stroke and cardiovascular disease. Fibrous foods; Broccoli Brussels sprouts Asparagus Artichoke acorn green peas turnip green carrot cauliflower Fruits avocado Apple Strawberry Banana Raspberry Almond Walnut Peanut Haricot bean Kidney bean Lentil Barley Oat Sweetcorn Green Tea, Coffee, and Spirits Green tea has been considered a healthy beverage for thousands of years. The Chinese believed it could prolong life and improve mental function. Today, green tea is consumed all over the world and is thought to reduce the risk of various diseases, from certain types of cancer to dementia and obesity. With regard to cardiovascular disease, regular drinking of green tea has been associated with reductions in low-density lipoprotein cholesterol (LDL) and blood pressure that may be clinically significant. However, long-term follow-up is needed to assess the long-term effects of green tea intake. Wine and coffee, similar to green tea, contain phytochemicals that protect against heart disease. Recent studies, beer and

Our main artery, which carries the clean blood sent by our heart, is called the aorta. The nutrition of all of our tissues and organs in our body is provided by the arteries coming from the aorta. Therefore, all our organs, that is, our lives, are endangered in the problems that develop in the aorta. Autopsies of patients who were thought to have died from a heart attack showed that they were caused by aortic ruptures, not heart attacks. Ballooning in the aorta, which is described as aortic aneurysm, is a very common health problem in the community. The most important feature of this problem is that it is not noticed by the patients. In these people, 90% of the patients die with the sudden rupture of the ballooned vessel. It is rarely saved with emergency surgical treatment. In some lucky patients, the disease is detected by chance during the examinations and almost all of these people recover with surgical treatment. High blood pressure is one of the most important factors in both vascular dilation and rupture. Patients with blood pressure should be followed up for aortic dilatation. Hypertension is one of the most important health problems all over the world and in our country. In general, hypertension affects approximately 40-50% of the adult population, but half of the patients are unaware of their high blood pressure. However, nearly half of the informed patients do not use drugs. The drug treatment used in nearly half of the patients who use drugs is insufficient. Therefore, blood pressure and aortic blood pressure of patients with hypertension should be monitored. If the enlargement of the aorta is detected but has not reached the limit to require surgical treatment, certain periodic follow-up is taken. Depending on the patient's condition, sometimes 3, sometimes 6 and sometimes annual tomographies are taken. If a follow-up patient smokes at the same time, the rate of enlargement increases 6-8 times compared to non-smokers. In a short time, it reaches the size that requires surgery. If the diameter increase reaches the surgical limit, the ballooned part is removed and replaced with an artificial vein. Aneurysms in the abdominal part of the aorta are seen quite frequently in hypertensive patients over the age of 60 who smoke. Periodic screening should be performed in this group of patients. Aortic ballooning resembles a ticking time bomb. Just as stopping the bomb by noticing the time setting prevents it from bursting, if aortic ballooning is noticed beforehand, it is prevented from bursting with treatments. Otherwise, any excitement or tension will explode and a life will be blown up. For this reason, people who have high blood pressure, have smoked for many years over the age of 60, and people with vascular enlargement in their family should be evaluated in terms of vascular enlargement. In patients with enlargement and follow-up, the blood pressure should be taken care of in order to stop the time bomb, and if he smokes, he should definitely stop.

There are two types of surgical interventions for mitral regurgitation. These; valve replacement and repair methods. Valve replacement: The mitral valve is removed and replaced with a biological or mechanical valve. Since the lifespan of biological valves is limited to 10-15 years, it is generally preferred over the age of 65. Mechanical valves are not life-limiting. In patients with this valve, life-long blood thinners and anticoagulants are required. In the use of this drug, continuous blood level monitoring should be performed. In insufficient use of the drug, clots are formed, and in excessive use, bleeding occurs. In the repair, the cover structure is corrected and the leakage is eliminated. Since the muscles holding the valve remain in place, heart functions are better preserved. There is no need for blood thinners used in patients whose valves are changed after repair. In our country, 30-40% of patients with mitral regurgitation are not suitable for repair. Most of these patients are leaks due to rheumatic involvement. In these, valve repair is not successful due to thickening and calcification in the valves. However, the success rate of repairs in the remaining degenerative mitral regurgitation is quite high. Most of the degenerative mitral regurgitation is caused by sagging of the middle part of the mitral posterior leaflet. The success rate in surgical repairs performed for this purpose is close to 90-100%. However, the success rate decreases in sagging that includes both anterior and posterior leaflets and where the mitral ring is very enlarged. Valve repairs can also be beneficial in insufficiency due to narrowing or occlusions in the vessels that feed the muscle holding the valves, which is one of the important causes of mitral regurgitation. Mitral valve repairs are performed with minimally invasive surgical technique with 3-5 cm small incisions under the right breast. Again, valve repair is performed through small incisions under the breast with the help of a robot. Valve repairs require serious surgical dexterity and experience, and many surgeons solve the same valve problem with different surgical techniques. Despite the differences in surgical techniques, the results are similar. The important thing is that the repairable covers are repaired without replacing them.

Carpal Tunnel Syndrome Carpal tunnel; It is a canal located at the level of the wrist. The median passes through it. If the structures forming this tunnel thicken, the nerve becomes trapped in the carpal tunnel. Carpal tunnel syndrome is the disease with the highest average cause of absenteeism among workplace injuries and illnesses. Who Gets Carpal Tunnel Syndrome? Carpal tunnel syndrome is more common in women. It is especially common in people who work with their hands. It is more common in people who spend a long time at the computer, those who work in cleaning, cooks, and those who do knitting-embroidery work. Moreover; It is common in people with diseases such as gout, obesity, diabetes, rheumatoid arthritis, hypothyroidism, and pregnant women. Carpal Tunnel Syndrome Findings Burning, pins and needles, tingling and numbness are seen in the fingers. Symptoms are felt in the thumb, index finger, middle finger, outer half of the ring finger and palm. Night pain and numbness are very common. At night, patients wake up from their sleep and make a hand shake to relax. Later, the pain continues throughout the day and the muscles begin to weaken. Diagnosing Carpal Tunnel Syndrome The diagnosis of Carpal Tunnel Syndrome is made with a detailed history and physical examination. With the EMG test, the damage status of the nerve is determined. Treatment of Carpal Tunnel Syndrome Early treatment of Carpal Tunnel Syndrome; Splint use, pain relievers and muscle relaxants are the recommended treatment initially. A cortisone injection can be given to the wrist to reduce swelling. Surgical treatment usually offers a better outcome than conservative treatment. If the nerve compression is moderate or advanced, the nerve should be relieved by surgery. Otherwise, the damage will be permanent. Among the surgical methods, standard open incision, midline distal palmar mini incision and midline palmar proximal mini incision, endoscopic methods can be counted. Among all surgical techniques, carpal tunnel surgery performed with the midline distal palmar mini-incision technique provides an earlier return to work compared to other techniques.

THORACIC OUTLET SYNDROME (TOS) Thoracic outlet syndrome is a disease that is difficult to diagnose. It develops as a result of compression of nerves and blood vessels in the upper part of the rib cage. What are the types of thoracic outlet syndrome? There are three different clinical variants of TOS: 1. Neurogenic TOS. It is the most common type (about 95-98%). Nerves emerging from the neck are affected and symptoms are due to nerve compression. 2. Venous TOS. Much less common (3-4%). The subclavian vein is affected and symptoms are due to inadequate blood return from the affected arm. 3. Arterial TOS. It is the least common type (1-2%). The subclavian artery is compressed and the symptoms are due to insufficient flow to the affected arm. What are the causes of thoracic outlet syndrome? Women are 3-4 times more common than men. There can be several reasons for a jam. Extra neck rib. Abnormal first rib. Thick fibromuscular bands around nerves and/or blood vessels. In some cases, overdeveloped (hypertrophic) scalene muscles can cause compression. People who use their arms and hands extensively for work and sports are particularly prone to TOS. What are the signs of thoracic outlet syndrome? The symptoms of thoracic outlet syndrome depend on the structures affected. Neurogenic TOS. Pain radiating to the shoulders, head, neck, back, armpits, chest, arms, hands and fingers. The pain may be continuous or intermittent. Sometimes chest pain can mimic a heart attack. The pain is exacerbated by physical activity and lifting the affected arm. One of the typical findings is avoiding phone calls on the affected side because of early arm fatigue and pain. In addition to pain, patients develop numbness and loss of strength. Drowsiness can be continuous or intermittent. Another common symptom is numbness upon waking up in the morning. Weakness initially presents as early fatigue, but may later progress to significant muscle wasting, particularly in the affected hand. Venous TOS. Pain. Cyanosis (bluish discoloration). Edema (fluid accumulation). Symptoms may decrease as blood can easily flow back when the arm is raised. Arterial TOS. Pain Pallor early fatigue Don't get cold fast. How is the diagnosis of thoracic outlet syndrome made? The patient's history and physical examination are key keys to suspecting thoracic outlet syndrome. Examination with challenging tests is an important part of patient evaluation. Cervical MRI should be performed to exclude neck hernia and nerve root compression. If there is a cervical accessory rib, X-ray and tomography examination are very useful. Doppler USG is useful for assessing blood flow in the subclavian vessels and is particularly useful when combined with provocative arm positioning. Nerve conduction studies such as EMG and ENG can be helpful, but do not provide a definitive diagnosis in most cases. Therefore, the diagnosis is made mainly by careful clinical examination. What is the treatment for thoracic outlet syndrome? Mild cases are managed with medical treatment. Generally, arm rest, physical therapy, pain relievers and stretching exercises are used. In some patients, local anesthetic or Botox injections may provide temporary relief. Severe cases are treated with surgery. During surgery, nerves, arteries and veins must be freed from being completely compressed. To achieve this goal, the surgeon must remove a significant portion of the first rib, find the nerves, arteries, and veins, and cut all the bands that stretch them to release. There is a wealth of scientific and clinical evidence showing that the first rib removal (resection) procedure is the only important factor influencing long-term success. front approach Generally, the first rib cannot be completely removed and the recurrence rate is high. side approach Vascular TOS (arterial and venous) can be effectively treated. Reaching the posterior part of the first rib with this approach is very difficult and therefore the recurrence rate is high in neurogenic TOS. PURE procedure It is a unique surgery that allows the complete removal of the first rib and the release of all nerves and vessels. Another important advantage of the PURE technique is its low risk for nerve and vascular damage. It has the unique feature of being the least risky when compared to other techniques. Dr. With this technique developed by Kamran AGHAYEV and known to only a few people, approximately 70 patients have been treated with this technique and no recurrence has been observed so far. With our PURE technique, the entire first rib is removed and all nerves and vessels are freed from compression. Therefore, our patients never experience recurrence. Patients with recurrent TOS who have undergone surgery in other centers are also successfully treated with the PURE technique.

Epidural nerve blockade; It is a technique that allows drug delivery to the area between the bone and nerve in the spinal canal. The goal is non-surgical pain relief. After the procedure, more than 90% relief is provided in patients whose complaints have just started, and 50-70% relief is provided in patients with long-term discomfort. In Which Diseases Is Epidural Nerve Blockage Used? It is a method developed for the treatment of diseases such as lumbar spine joint, lumbar hernia, lumbar slippage, canal narrowing. It is safe and easy to apply. How Is Epidural Nerve Blockage Performed? The procedure is performed with local anesthesia without the need for general anesthesia. So the patient is not put to sleep. The patient is placed face down. The procedure is performed by entering the spinal canal from the coccyx. It is a process that takes an average of 15-30 minutes. After Epidural Nerve Blockage There is no need to stay in the hospital after the procedure. After an average of 30 minutes, the patient can easily go home. If he wants, he can go to work the next day and continue his daily life from where he left off.