A Prospective Randomized Study Comparing Greater Occipital Nerve Block Alone Versus Dual Nerve Blockade in the Management of Cervicogenic Headache and Occipital Neuralgia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 160
- 试验地点
- 1
- 主要终点
- Change in pain intensity measured by the Visual Analog Scale (VAS)
研究概览
简要总结
This study looked at two types of nerve block injections used to treat people with cervicogenic headache (CEH) and occipital neuralgia (ON)-two painful conditions that often cause pain at the back of the head and neck. The injections target nerves in the upper neck that may be causing the pain.
The researchers compared:
One nerve injection (greater occipital nerve block, or GONB), versus
Two nerve injections (GONB plus lesser occipital nerve block, or LONB).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged 18 to 65 years
- •Clinical diagnosis of cervicogenic headache (CEH) and/or occipital neuralgia (ON) according to ICHD-3 criteria
- •Pain duration of more than 3 months
- •Pain localized to the occipital region, consistent with the distribution of the greater and/or lesser occipital nerves
- •Inadequate response to conservative therapy (e.g., analgesics, physiotherapy)
- •Willingness to participate and provide written informed consent
排除标准
- •Previous nerve block or other interventional procedures for headache
- •Use of systemic corticosteroids within the past 3 months
- •Known allergy to lidocaine or other amide-type local anesthetics
- •Evidence of secondary causes of headache on imaging (e.g., tumor, infection)
- •Pregnancy or breastfeeding
- •Active infection at the injection site
- •Coagulopathy or use of anticoagulant therapy
- •Significant psychiatric or neurological comorbidities interfering with study participation
结局指标
主要结局
Change in pain intensity measured by the Visual Analog Scale (VAS)
时间窗: Baseline, 24 hours, 3 weeks, and 3 months post-intervention
ain intensity was assessed using a 10-point Visual Analog Scale (VAS), with 0 indicating no pain and 10 indicating the worst pain imaginable. VAS scores were recorded at baseline and follow-up visits.
次要结局
未报告次要终点
研究者
Ali Hammed
Dr
Tishreen University Hospital