Journal
AMERICAN JOURNAL OF EMERGENCY MEDICINE
Volume 52, Issue -, Pages -Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.ajem.2021.08.026
Keywords
Point-of-care ultrasound; Myofascial pain; Ultrasound-guided regional anesthesia; Accessory spinal nerve block; Case report
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This article reports the first use of ultrasound-guided spinal accessory nerve block for acutely treating trapezius myofascial pain in the Emergency Department. The technique proved feasible and offered substantial therapeutic benefit for patients with intractable trapezius pain.
Myofascial pain affects about 10% of the United States population, often involves the trapezius muscle, and can be difficult to manage using conventional analgesic medications in the Emergency Department (ED). The use of ultrasound-guided nerve blocks performed by emergency physicians is well-documented, but this is the first report describing the technique and effectiveness of an ultrasound-guided spinal accessory nerve block for acutely treating trapezius myofascial pain in the ED setting. In this case series of three patients with intractable trapezius pain, the ultrasound-guided spinal accessory nerve block proved feasible and offered substantial therapeutic benefit. (C) 2021 Elsevier Inc. All rights reserved.
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