Advertisement

Cervical Medial Branch and Third Occipital Nerve Blocks

  • John-Paul B. Etheridge
  • Roderick Finlayson
Chapter

Abstract

Cervical medial branch blocks and third occipital nerve blocks are commonly used in the diagnosis and treatment of chronic neck pain and headaches related to cervical facet joints. When used to perform these blocks, ultrasound guidance can offer several advantages compared to fluoroscopy, such as shorter performance times and the need for fewer needle passes. In this chapter, we provide a detailed technical review of the in-plane sonographic approach.

Keywords

Cervical medial branch block Cervical facet block Third occipital nerve block Neck pain Cervicogenic headaches 

Abbreviations

AP

Articular pillars

CMBBs

Cervical medial branch blocks

LA

Local anesthetic

SSC

Semispinalis capitis muscle

TON

Third occipital nerve

TP

Transverse process

USG

Ultrasound-guided

Suggested Reading

  1. Finlayson RJ, Gaurav G, Alhujairi M, Dugani S, Tran DHQ. Cervical medial branch block: a novel technique using ultrasound guidance. Reg Anesth Pain Med. 2012;37:219–23.CrossRefPubMedGoogle Scholar
  2. Finlayson RJ, Etheridge JP, Vieira L, Gupta G, Tran DQH. A randomized comparison between ultrasound- and fluoroscopy-guided third occipital nerve block. Reg Anesth Pain Med. 2013;38:212–7.CrossRefPubMedGoogle Scholar
  3. Finlayson RJ, Etheridge JP, Tiyaprasertkul W, Nelems B, Tran DQH. A prospective validation of bi-planar ultrasound imaging for C5-C6 medial branch blocks. Reg Anesth Pain Med. 2014;39:160–3.CrossRefPubMedGoogle Scholar
  4. Finlayson RJ, Etheridge JP, Tiyaprasertkul W, Nelems B, Tran DQH. A randomized comparison between ultrasound- and fluoroscopy-guided C7 medial branch blocks. Reg Anesth Pain Med. 2015;40:52–7.CrossRefPubMedGoogle Scholar
  5. Thonnagith A, Elgueta MF, Chalermkitpanit P, Tran DQ, Finlayson RJ. Ultrasound-guided cervical medial branch blocks, a technical review. Int J Phys Med Rehabil. 2016.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • John-Paul B. Etheridge
    • 1
  • Roderick Finlayson
    • 2
  1. 1.Department of AnesthesiaKelowna General HospitalKelownaCanada
  2. 2.Alan Edwards Pain Management Unit, McGill University Health CentreMontrealCanada

Personalised recommendations