Ultrasound Guided Nerve Block in Management of Occipital Neuralgia | ||
| Ain Shams Medical Journal | ||
| Volume 76, Issue 2, June 2025, Pages 482-488 PDF (421.43 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asmj.2025.351061.1365 | ||
| Authors | ||
| Mohamed Abbas1; Ahmed Zaghlol2; Ayman Ismail1; Hamdy Nabwi3; Mohamed Ismail4; Ahmed Nada5; Mona Mokhtar6; Ahmed Elakhras* 1 | ||
| 1Neurosurgery Department, Faculty of Medicine, Kafr El-Sheikh University, Kafr El-Sheikh, Egypt. | ||
| 2Anesthesiology, Surgical Intensive Care and Pain Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt. | ||
| 3Neurosurgery Department, Faculty of Medicine, MUST University, Cairo, Egypt. | ||
| 4Neurosurgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt. | ||
| 5Neurosurgery Department, Faculty of Medicine, Port Said University, Port Said, Egypt. | ||
| 6Rheumatology and Rehabilitation Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. | ||
| Abstract | ||
| Background: Occipital neuralgia (ON) is characterized by chronic occipital headaches that are thought to be caused by irritation or insult to the greater occipital nerve (GON). The use of ultrasound (US) to guide the advancement of needles is becoming increasingly common in chronic pain clinics. The Aim of the Study: Was to evaluate the effectiveness of the US-guided GON block in the management of ON patients. Methods: This single-arm interventional study was conducted on 50 patients aged 18 to 70, both sexes, who had ON, scheduled for US-guided nerve block. The pain was measured using the visual analogue scale (VAS), outcomes were measured using the modified Rankin scale (mRS), and patient satisfaction was assessed. Results: VAS and mRS measurements were significantly lower immediately post-intervention, 1w, and 1m than pre- intervention (P<0.001). Patient satisfaction score was significantly higher immediately post-intervention, 1w and 1m than pre-intervention (P<0.001). Conclusions: The application of US nerve block holds substantial potential for those affected by ON as it lowers the levels of pain, better outcomes in terms of function as assessed by the MRS and elevates patient satisfaction. | ||
| Keywords | ||
| Modified rankin scale; nerve block; occipital neuralgia; pain; satisfaction ultrasound | ||
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