Headache Management with Occipital Nerve Blocks, Cervical Injections and Trigger Point Injections
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چکیده
In this article three different intramuscular injection procedures used to treat headache pain are reviewed. These procedures, occipital nerve blocks, cervical injections and trigger point injections, are described and the supporting litera-
منابع مشابه
Randomised controlled trial of cervical radiofrequency lesions as a treatment for cervicogenic headache [ISRCTN07444684]
BACKGROUND Cervicogenic headache (CEH) is a unilateral headache localised in the neck or occipital region, projecting to the frontal and temporal regions. Since the pathogenesis of this syndrome appears to have an anatomical basis in the cervical region, several surgical procedures aimed at reducing the nociceptive input on the cervical level, have been tested. We developed a sequence of variou...
متن کاملRegional head and face pain relief following lower cervical intramuscular anesthetic injection.
BACKGROUND Although cervical trigger point intramuscular injections are commonly used to relieve localized neck pain, regional head pain relief from lower cervical paravertebral injections has not been reported previously. PURPOSE To evaluate the safety and efficacy of such injections in a selected group of patients with intractable head or face pain. METHODS In a series of patients with ch...
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Among headache syndromes cervicogenic headache is a common problem which originates from region of the neck. When wide range of pharmacological treatment options are inadequate, interventional procedures are applied.[1] After trigger point injections, greater occipital nerve block (GONB) which is the most frequently applied technique among interventional methods has an important role in the tre...
متن کاملGreater occipital nerve injection in primary headache syndromes--prolonged effects from a single injection.
Most patients with primary headache syndromes who have frequent attacks of pain have tenderness in the sub-occipital region. Injection of the greater occipital nerve (GON) with local anesthetic and corticosteroids has been widely used in clinical practice for many years, yet there is no clear understanding of its mechanisms of action. Moreover, there is no current gold-standard of practice rega...
متن کاملThe effects of greater occipital nerve block and trigger point injection on brush allodynia and pain in migraine.
OBJECTIVE To evaluate the effect of GONB, with or without trigger point injection (TPI), on dynamic mechanical (brush) allodynia (BA) and on head pain in migraine. Background.-Patients with migraine often have cutaneous allodynia that is related to sensitization of central pain neurons. Greater occipital nerve block (GONB) is an effective treatment for migraine headache; however, its effect on ...
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تاریخ انتشار 2010