Comparison of pain relief of the cervical radiculopathy between high thoracic erector spinae plane block and cervical epidural injection
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 compare...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2023-10-01
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| Series: | Anesthesia and Pain Medicine |
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| Online Access: | http://anesth-pain-med.org/upload/pdf/apm-23064.pdf |
| _version_ | 1797628835496198144 |
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| author | Ji Hee Hong Se Nyung Huh |
| author_facet | Ji Hee Hong Se Nyung Huh |
| author_sort | Ji Hee Hong |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-11T10:44:48Z |
| format | Article |
| id | doaj.art-3e989195024f477badb1f1d4a4a36a45 |
| institution | Directory Open Access Journal |
| issn | 1975-5171 2383-7977 |
| language | English |
| last_indexed | 2024-03-11T10:44:48Z |
| publishDate | 2023-10-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Anesthesia and Pain Medicine |
| spelling | doaj.art-3e989195024f477badb1f1d4a4a36a452023-11-14T06:02:59ZengKorean Society of AnesthesiologistsAnesthesia and Pain Medicine1975-51712383-79772023-10-0118440641310.17085/apm.230641220Comparison of pain relief of the cervical radiculopathy between high thoracic erector spinae plane block and cervical epidural injectionJi Hee HongSe Nyung Huh0 Department of Anesthesiology and Pain Medicine, Keimyung University Dongsan Hospital, Daegu, KoreaBackground 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.http://anesth-pain-med.org/upload/pdf/apm-23064.pdfanalgesic efficacycervical interlaminar epidural injectionerector spinae plane blockneck and arm painneck disability indexnumerical rating scale |
| spellingShingle | Ji Hee Hong Se Nyung Huh Comparison of pain relief of the cervical radiculopathy between high thoracic erector spinae plane block and cervical epidural injection Anesthesia and Pain Medicine analgesic efficacy cervical interlaminar epidural injection erector spinae plane block neck and arm pain neck disability index numerical rating scale |
| title | Comparison of pain relief of the cervical radiculopathy between high thoracic erector spinae plane block and cervical epidural injection |
| title_full | Comparison of pain relief of the cervical radiculopathy between high thoracic erector spinae plane block and cervical epidural injection |
| title_fullStr | Comparison of pain relief of the cervical radiculopathy between high thoracic erector spinae plane block and cervical epidural injection |
| title_full_unstemmed | Comparison of pain relief of the cervical radiculopathy between high thoracic erector spinae plane block and cervical epidural injection |
| title_short | Comparison of pain relief of the cervical radiculopathy between high thoracic erector spinae plane block and cervical epidural injection |
| title_sort | comparison of pain relief of the cervical radiculopathy between high thoracic erector spinae plane block and cervical epidural injection |
| topic | analgesic efficacy cervical interlaminar epidural injection erector spinae plane block neck and arm pain neck disability index numerical rating scale |
| url | http://anesth-pain-med.org/upload/pdf/apm-23064.pdf |
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