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CASE REPORT
Year : 2020  |  Volume : 34  |  Issue : 2  |  Page : 134-137

Ultrasound-guided erector spinae plane block – A novel analgesic technique for low back pain


1 Department of Physical Medicine and Rehabilitation, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India
2 Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Virender Kumar Mohan
Department of Anaesthesiology, Pain Medicine and Critical Care, Room Number-504, 5th Floor, Academic Block, All India Institute of Medical Sciences, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpn.ijpn_5_20

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We describe the successful use of a novel interfacial plane block and the ultrasound-guided erector spinae plane (ESP) block in two cases with severe chronic low back pain. Both of our patients have received conservative treatment (medicines and exercise therapy) for long and have also undergone invasive treatment modalities for their low backache. Ultrasound-guided ESP block provided better analgesia due to greater dermatomal coverage as well as reduced risk of complications as compared to a lumbar epidural that had previously been employed in both patients. The ESP block anesthetizes the dorsal rami of spinal nerves that innervate the paraspinal muscles and bony vertebra, and it offers a simple and safe technique to treat chronic low backache.


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