Ultrasound-guided upper back nerve block was more effective than ultrasound-guided stellate ganglion block for upper arm pain, showing immediate postprocedural analgesia.
A new study finds that ultrasound-guided thoracic paravertebral block is more effective than stellate ganglion block for treating chronic upper arm pain , providing better pain relief and increasing hand temperature more significantly after the procedure.This multicenter, prospective, randomized trial included 70 patients with chronic upper extremity pain who were randomly assigned to receive either TPVB or SGB.
Participants' pain scores, temperatures, and brachial artery blood flow were measured 20 minutes post-block.Success was defined as an increase in hand temperature of at least 1.5 °C, indicating an effective nerve block. Pain levels were also assessed before the procedure, 20 minutes after, and at weeks 1 and 4 after the injection.TPVB showed a higher rate of success than SGB in providing nerve block for upper arm pain at 20 minutes after the injection (62.9% vs 38.2%;The increase in hand temperature was significantly greater in the TPVB group than in the SGB group (2.0 °C vs 1.
Acute Pain Arm Pain Pain Hand Pain Nerve Block Regional Nerve Blockade Nerves Ultrasonography Ultrasound Sonogram Analgesia Analgesic Painkiller Ganglion Hands Local Anesthesia Local Anesthetic Local Anaesthesia Local Anaesthetic Anesthesia Anesthetic Anesthaesia Anaesthetic
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