Regional Head and Face Pain Relief Following Lower Cervical Intramuscular Anesthetic Injection
Article first published online: 24 NOV 2003
Headache: The Journal of Head and Face Pain
Volume 43, Issue 10, pages 1109–1111, November 2003
How to Cite
Mellick, G. A. and Mellick, L. B. (2003), Regional Head and Face Pain Relief Following Lower Cervical Intramuscular Anesthetic Injection. Headache: The Journal of Head and Face Pain, 43: 1109–1111. doi: 10.1046/j.1526-4610.2003.03214.x
- Issue published online: 24 NOV 2003
- Article first published online: 24 NOV 2003
- Accepted for publication March 10, 2003.
- IHS classification;
- trigeminovascular system;
- cervical injection;
- neurovascular headache;
- facial pain;
- postherpetic neuralgia;
- trigeminal neuralgia
Background.—Although cervical trigger point intramuscular injections are commonly used to relieve localized neck pain, regional head pain relief from lower cervical paravertebral injections has not been reported previously.
Purpose.—To evaluate the safety and efficacy of such injections in a selected group of patients with intractable head or face pain.
Methods.—In a series of patients with chronic head or face pain, local anesthetic was injected into the lower cervical spine paravertebral musculature approximately 1 to 2 inches lateral to the seventh cervical spinous process.
Results.—In addition to producing rapid relief of palpable scalp or facial tenderness (mechanical hyperalgesia and allodynia pain), this lower cervical intramuscular injection technique alleviated associated symptoms of nausea, photophobia, and phonophobia in patients with migrainous headache.
Conclusion.—Our results suggest that lower cervical intramuscular anesthetic injection may be an effective treatment for head or face pain.