AI Article Synopsis
- - Cervicogenic headache (CEH) is linked to issues in the upper cervical spine and can significantly lower quality of life; a new ultrasound-guided technique called the "three in one" approach aims to improve treatment outcomes by targeting specific nerve areas with one injection.
- - The study involved patients who didn’t respond to other treatments and utilized ultrasound and fluoroscopy to accurately perform nerve blocks, with follow-ups assessing pain relief through numerical rating scales at different intervals post-treatment.
- - Results showed that all patients experienced improved pain scores after using the new technique, with no complications reported, suggesting that the "Three in One" approach and interfascial plane blocks may be effective treatments for CEH.
Article Abstract
Objective: Cervicogenic headache (CEH) is a condition resulting from upper cervical spine dysfunction and associated structural and soft tissue abnormalities, significantly impacting patients' quality of life. To acquire better therapeutic results, we presented a novel ultrasound-guided "three in one" approach plus interfascial plane (IFP) blocks for the treatment of CEH. This approach allows for the modulation of C2 dorsal root ganglion (DRG), third occipital nerve (TON), and C3 medial branch with one-point puncture. Additionally, it allows for IFP blocks between the upper neck and occipital muscles within the same scanning plane.
Patients And Methods: We evaluated patients diagnosed with CEH from July 2021 to December 2022 in our pain clinic. We included those who did not respond to conservative treatment and single occipital nerve block, therefore received nerve block or pulsed radiofrequency (PRF) using the "Three in One" approach plus IFP blocks. The accuracy of the ultrasound-guided C2 DRG puncture procedures was confirmed through fluoroscopy with C-arm and the sensory testing of PRF. The therapeutic effect of these interventions was assessed using the numerical rating scale (NRS) scores during telephone follow-ups at 1, 3, and 6 months.
Results: Utilizing the "Three in One" approach, a total of 5 patients diagnosed with CEH underwent nerve block plus IFP blocks, while 2 patients underwent PRF plus IFP blocks. Employing ultrasound-guided C2 DRG puncture procedures, the needle tip's correct placement was confirmed through both fluoroscopy and sensory testing of PRF. Notably, none of the cases experienced any complications associated with the approach. Subsequent follow-up assessments revealed an improvement in the NRS scores for CEH in all patients.
Conclusion: The ultrasound-guided "Three in One" approach plus IFP blocks may be a potential effective method for the treatment of CEH.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10843979 | PMC |
| http://dx.doi.org/10.2147/LRA.S446667 | DOI Listing |
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Article Synopsis
A Novel Ultrasound-Guided "Three in One" Approach Plus Interfascial Plane Blocks for the Treatment of Cervicogenic Headache.
Local Reg Anesth
February 2024
Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.
Article Synopsis
- - Cervicogenic headache (CEH) is linked to issues in the upper cervical spine and can significantly lower quality of life; a new ultrasound-guided technique called the "three in one" approach aims to improve treatment outcomes by targeting specific nerve areas with one injection.
- - The study involved patients who didn’t respond to other treatments and utilized ultrasound and fluoroscopy to accurately perform nerve blocks, with follow-ups assessing pain relief through numerical rating scales at different intervals post-treatment.
- - Results showed that all patients experienced improved pain scores after using the new technique, with no complications reported, suggesting that the "Three in One" approach and interfascial plane blocks may be effective treatments for CEH.
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