Erector spinae plane block: a new modality of pain relief in a difficult situation

Rajmohan, Nisha; Thiruvathtra, Jithendra; Lobo, Rolita Prathima; Nair, Suresh

doi:10.4097/kja.20251

Cited by 2 publications

(4 citation statements)

References 5 publications

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“…This study included patients with neck pain and radiating arm and shoulder pain due to cervical facet joint arthrosis, foraminal stenosis, herniated intervertebral disc, and spondylolisthesis. However, thoracic ESPB has been used widely for the purpose of postoperative pain management rather than painful degenerative spine disease [3,18,[21][22][23][24].…”

Section: Discussionmentioning

confidence: 99%

“…The erector spinae plane block (ESPB) is a minimally invasive, safer, and technically easy regional block, that provides favorable analgesia in acute and chronic neuropathic pain [1][2][3][4]. Although the initial application of ESPB involved the management of thoracic neuropathic pain [5], it is currently widely applied in various clinical situations such as thoracotomy, laparoscopic cholecystectomy, gastrectomy, mastectomy, and spinal surgery [6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Pain Relief and Spread Level Using Two Volumes of High Thoracic Erector Spinae Plane Block: A Prospective Randomized Study

Hong,

Kim,

Lee

2024

Keimyung Med J

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The erector spinae plane block (ESPB) is minimally invasive, safer, and technically easy procedure. Although the ESPB is considered an easier technique compared to the neuraxial block, its efficacy in patients with cervical radicular pain is uncertain. This study aimed to identify pain relief in patients with cervical radicular pain and spread level in the craniocaudal direction using fluoroscopic guidance. A total of 157 patients experiencing neck or arm pain caused by cervical spine disease or muscle related issues who underwent T2 ESPBs were included. The patients were injected with 10 mL (ESPB 10 mL group) or 20 mL (ESPB 20 mL group) of local anesthetic mixture containing a contrast medium. The degree of pain relief and disability was assessed using an 11-point numerical rating scale (NRS) and the neck disability index (NDI), respectively. Moreover, the spread level of ESPB in the craniocaudal direction was assessed. The number of patients who demonstrated excellent pain relief (NRS reduction > 50%) was 49 (62.8%) and 52 (65.8%) in the ESPB 10 mL and 20 mL groups, respectively. The total number of vertebral segments in the craniocaudal direction was significantly higher in the ESPB 20 mL group than in the ESPB 10 mL group (4.69 ± 1.31 vs. 5.96 ± 1.03, p < 0.001). Both groups of ESPB demonstrated a significant reduction in NRS and NDI. The distribution of the contrast medium in the ESPB 20 mL group was more extensive than that in the ESPB 10 mL group.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of Pain Relief and Spread Level Using Two Volumes of High Thoracic Erector Spinae Plane Block: A Prospective Randomized Study

Hong,

Kim,

Lee

2024

Keimyung Med J

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“…Cervical disc herniation or foraminal stenosis is the representative cause of cervical radiculopathy [ 20 ]. However, thoracic ESPB has been used widely for the purpose of postoperative pain management rather than painful degenerative spine disease [ 3 , 4 , 11 , 21 - 23 ]. Since the analgesic effect of T2 ESPB is obtained by anterior diffusion to the area of the cervical neural foramen, ventral, and dorsal ramus [ 1 , 24 ], we assumed that degenerative cervical spine disease could be managed effectively using T2 ESPB.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast to CEPI, ESPB is technically easy to perform and no major complications have been reported [ 2 ]. Even a patient with ankylosing spondylitis, a challenging condition for the performance of neuraxial block, was successfully managed postoperatively with the ESPB [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of pain relief of the cervical radiculopathy between high thoracic erector spinae plane block and cervical epidural injection

Hong,

Huh

2023

Anesth Pain Med

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Background: The high thoracic erector spinae plane block (ESPB) has been used for the management of chronic shoulder pain or arthroscopic shoulder surgery. No study has evaluated the analgesic efficacy of ESPB in patients with cervical radiculopathy although it is a favored and easy technique compared to neuraxial block. The purpose of this study was to compare the treatment outcome of cervical radiculopathy using high thoracic ESPB or cervical interlaminar epidural injection (CEPI).Methods: This study included 82 patients with neck and arm pain who received CEPI (CEPI group) using 4 ml of 0.1% ropivacaine or high thoracic ipsilateral ESPB (ESPB group) at the T2 or T3 level using 20 ml of 0.1% ropivacaine 20 ml. The degree of pain relief and disability were assessed using an 11-point numerical scale (NRS) and neck disability index (NDI), respectively.Results: The CEPI and ESPB groups demonstrated an equal number of patients with excellent pain relief (NRS reduction > 50%). Significant reduction of NRS was found in both groups, and the effect of time was statistically significant in the groups (P < 0.001). The number of patients who showed an excellent improvement in NDI (NDI reduction > 30%) was 20 (48.8%) and 22 (53.7%) in the CEPI and ESPB groups, respectively.Conclusions: Both the CEPI and ESPB demonstrated significant relief in neck and arm pain with improvement in disability.

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Erector spinae plane block: a new modality of pain relief in a difficult situation

Cited by 2 publications

References 5 publications

Comparison of Pain Relief and Spread Level Using Two Volumes of High Thoracic Erector Spinae Plane Block: A Prospective Randomized Study

Comparison of Pain Relief and Spread Level Using Two Volumes of High Thoracic Erector Spinae Plane Block: A Prospective Randomized Study

Comparison of pain relief of the cervical radiculopathy between high thoracic erector spinae plane block and cervical epidural injection

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