At a glance
ClinicalIndex Comparison Record- ✓Age 18-65 years inclusive
- ✓Chronic daily headache of 15 or more days per month for at least 3 months prior to enrollment
- ✓Headache severity at least 5/10 at time of GON block
- ✓Posterior cervical muscle tenderness at time of nerve block
- ✕Prior surgery or invasive procedure in the occipital area
- ✕Abnormal sensory findings or known neurological disease affecting skin sensation (peripheral neuropathy, multiple sclerosis, stroke)
- ✕Cluster headache diagnosis
- ✕Skin diseases that may affect skin sensation
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Comparison Of Greater Occipital Nerve Block With Lidocaine And Bupivicaine Alone Or With Steroids In a Chronic Headache Population
In Brief
A clinical study evaluating lidocaine, bupivicaine and saline and lidocaine plus bupivicaine plus triamcinolone (steroid) for Migraine. Completed, enrolled 45 participants across 1 site.
Detailed Summary
Subjects are scheduled to undergo a Greater Occipital Nerve Block (GONB) as treatment for your chronic daily headache (CDH). GONB has been used for many years in the treatment of headaches. The nerve block is done by injecting a liquid drug through the skin of the back of the head to the area of the greater occipital nerve. The nerve runs superficially in this area, therefore the drugs are injected just under the skin. The injected drugs block electrical transmission through the nerve, resulting in reduced head pain. There are treatment options for patients receiving a GONB, however, some clinicians use local anesthetics (lidocaine and /or bupivicaine) alone, and some use local anesthetics with local steroid injection. The purpose of this study is to evaluate whether or not there is an observed difference between these two treatment approaches for GONB. We expect to enroll 60 patients into this research study at Thomas Jefferson University only.
Study Details
Timeline
Interventions
lidocaine, bupivicaine and saline-2 cc were injected to each GON and 0.5 cc to each trigger point. Total injected volume = 10 cc.
lidocaine, bupivicaine and triamcinolone (steroid)-2 cc were injected to each GON and 0.5 cc to each trigger point. Total injected volume = 10 cc.