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Revista Cubana de Medicina Física y Rehabilitación

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2018, Number 3

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Rev Cub de Med Fis y Rehab 2018; 10 (3)

Blocking the spinal erector muscle plane in a patient suffering postherpetic neuralgia

Jiménez TA, Viña GML, Navarrete BIZ, Mojena DZ
Full text How to cite this article

Language: Spanish
References: 17
Page: 1-6
PDF size: 147.44 Kb.


Key words:

spinal erector muscle, postherpetic neuralgia, ultrasound guided block.

ABSTRACT

Blocking in the spinal erector muscle plane is an analgesic alternative recently addressed, with special benefit in post herpetic neuralgia. The action of this block, which is safer and simpler than analgesia neuraxial, is exerted on the dorsal and ventral branches of the thoracic roots. We report a case of chronic pain due to postherpetic neuralgia of more than 3 years of evolution. This kind of block was performed taking as reference T5 transverse process under ultrasonographic vision. A sensitive block from T2 to T9 was generated when the local anesthetic was administered in the deep plane of the spinal erector muscle. The objective of this paper is to discuss our experience with this technique in the control of chronic thoracic pain, which was an effective analgesic alternative for relieving pain due to postherpetic neuralgia in elderly patients at high risk.


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Rev Cub de Med Fis y Rehab. 2018;10