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- Nikolai Bogduk.
- Department of Clinical Research, Royal Newcastle Hospital, Pacific Street, Newcastle, NSW 2300, Australia. mgillam@mail.newcastle.edu.au
- Curr Pain Headache Rep. 2004 Oct 1; 8 (5): 399-403.
AbstractLocal anesthetic blocks have been used in a variety of ways in the management of headache. Some practitioners use blocks of the supraorbital and greater occipital nerves as a form of treatment. Although the effect of each block is limited in duration, a series of injections appears to provide sustained relief. However, no controlled studies have vindicated blocks as a tenable intervention. On the other hand, blocks can be used to diagnose cervical sources of headaches. When performed under controlled conditions, such blocks can identify cervical sources of pain in a substantial proportion of patients with headache after whiplash. Positive blocks also predict good outcome from radiofrequency neurotomy of the nerve blocked.
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