• Am J Emerg Med · Feb 2022

    Case Reports

    Ultrasound-guided spinal accessory nerve block for intractable trapezius pain: A case series.

    • Meghan Kelly Herbst and Ryan Sorkin.
    • University of Connecticut School of Medicine, Department of Emergency Medicine, Farmington, CT, United States of America. Electronic address: meherbst@uchc.edu.
    • Am J Emerg Med. 2022 Feb 1; 52: 268.e3-268.e7.

    AbstractMyofascial 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.Copyright © 2021 Elsevier Inc. All rights reserved.

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