Abstract
We feel most headaches and facial pain are related to the nerves that innervate the head and face. Diagnostic nerve blocks are one of the most important tools for the diagnosis and treatment of facial and head pain! When obtaining a history from the patient, it is critical to listen to the patient describe his or her pain. Especially important is where the pain starts and where, if any, the “trigger points” are. As the examiner listens, he or she should think of the nerve innervation to those trigger points. It is common to find that if an isolated nerve off the trigeminal nerve triggers the pain, then other branches can begin to hurt. Knowledge of the anatomy and nerve innervation is critical.
Nerve blocks are an efficient, inexpensive, and low risk tool to diagnose peripheral trigeminal neuralgia. This is usually performed on the first clinic visit with a new patient and can provide important information. If done properly, it may also treat the pain for varying periods of time.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Janis JE, Dhanik A, Howard JH. Validation of the peripheral trigger point theory of migraine headaches: single-surgeon experience using botulinum toxin and surgical decompression. Plast Reconstr Surg. 2011;128:123–31.
Guyuron B, Kriegler JS, Davis J, et al. Five-year outcome of surgical treatment of migraine headaches. Plast Reconstr Surg. 2011;127:603–8.
Guyuron B, Reed D, Kriegler JS, et al. A placebo-controlled surgical trial of the treatment of migraine headaches. Plast Reconstr Surg. 2009;124:461–8.
Lee M, Lineberry K, Reed D, et al. The role of the third occipital nerve in surgical treatment of occipital migraine headaches. J Plast Reconstr Aesthet Surg. 2013;66:1335–9.
Ducic I, Felder JM III, Khan N, et al. Greater occipital nerve excision for occipital neuralgia refractory to nerve decompression. Ann Plast Surg. 2014;72:184–7.
Chepla KJ, Oh E, Guyruon B. Clinical outcomes following supraorbital foraminotomy for treatment of frontal migraine headache. Plast Reconstr Surg. 2012;129:656e–62e.
Fallucco M, Janis JE, Hagan RR. The anatomical morphology of the supraorbital notch: clinical relevance to the surgical treatment of migraine headaches. Plast Reconstr Surg. 2012;130:1227–33.
Janis JE, Hatef DA, Thakar H, et al. The zygomaticotemporal branch of the trigeminal nerve: part II. Anatomical variations. Plast Reconstr Surg. 2010;126:435–42.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Suen, J.Y., Smith, C. (2018). Diagnostic Nerve Blocks. In: Suen, J., Petersen, E. (eds) Diagnosis and Management of Head and Face Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-90999-8_9
Download citation
DOI: https://doi.org/10.1007/978-3-319-90999-8_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-90998-1
Online ISBN: 978-3-319-90999-8
eBook Packages: MedicineMedicine (R0)