Open AccessTargeting Occipital Headache Pain
Author(s) -
Stephanie Vanterpool,
R. Eric Heidel,
Lina R Rejoub
Publication year - 2020
Publication title -
the clinical journal of pain/the clinical journal of pain
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 1.109
H-Index - 126
eISSN - 1536-5409
pISSN - 0749-8047
DOI - 10.1097/ajp.0000000000000802
Subject(s) - medicine , palpation , anesthesia , confidence interval , occipital nerve stimulation , nerve block , surgery , occipital neuralgia , neuropathic pain , neuralgia , alternative medicine , pathology
Occipital nerve block (ONB) is an effective procedure for treating occipital headache pain. However, traditional suboccipital approaches to ONB remain underutilized in acute and chronic settings. An alternative location for ONB is the superior nuchal line, where anatomic studies show a reliable relationship between the occipital artery (OA) and greater occipital nerve. This study evaluated the efficacy and validity of an alternative, single skin insertion, paresthesia-based approach to block both the greater and lesser occipital nerve.