A Novel Technique: Ultrasound-Guided Serratus Anterior Plane Block for the Treatment of Posttraumatic Intercostal Neuralgia

Serratus anterior plane block has been used for pain management during the acute period of conditions affecting the thorax, such as postthoracotomy recovery, rib fracture, and breast surgery recovery. Here, we report the use of serratus anterior plane block in posttraumatic chronic pain treatment. W...

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Bibliographic Details
Published inAmerican journal of physical medicine & rehabilitation Vol. 98; no. 11; p. e132
Main Authors Sir, Ender, Eksert, Sami, Ince, M Emin, Simsek, Fatih, Ozkan, Gokhan, Eskin, M Burak
Format Journal Article
LanguageEnglish
Published United States 01.11.2019
Subjects
Accidental Injuries - complications
Accidents, Traffic
Chronic Pain - drug therapy
Chronic Pain - etiology
Humans
Intercostal Nerves - injuries
Male
Motorcycles
Nerve Block - methods
Neuralgia - drug therapy
Neuralgia - etiology
Pain Management - methods
Ultrasonography, Interventional - methods
Young Adult
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Summary:Serratus anterior plane block has been used for pain management during the acute period of conditions affecting the thorax, such as postthoracotomy recovery, rib fracture, and breast surgery recovery. Here, we report the use of serratus anterior plane block in posttraumatic chronic pain treatment. We describe a case of posttraumatic chronic intercostal neuralgia, in which successful pain relief was achieved via repeated injections of local anesthetic and steroid combinations in the serratus anterior plane under ultrasonographic guidance. This novel technique is easy to administer, reliable, and warrants further investigation with regard to its use for rehabilitation of patients who are experiencing posttraumatic chronic neuropathies of the chest wall.
ISSN:1537-7385
DOI:10.1097/PHM.0000000000001121