Regional Head and Face Pain Relief Following Lower Cervical Intramuscular Anesthetic Injection

Gary A. Mellick, Larry B. Mellick

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1109-1111
Number of pages3
JournalHeadache
Volume43
Issue number10
DOIs
StatePublished - Nov 1 2003

Fingerprint

Facial Pain
Intramuscular Injections
Headache
Anesthetics
Neck Pain
Hyperalgesia
Hyperacusis
Trigger Points
Intractable Pain
Photophobia
Injections
Local Anesthetics
Scalp
Chronic Pain
Nausea
Spine
Safety

Keywords

  • Cephalgia
  • Cervical injection
  • Facial pain
  • Headache
  • IHS classification
  • Migraine
  • Neurovascular headache
  • Postherpetic neuralgia
  • Trigeminal neuralgia
  • Trigeminovascular system

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

Cite this

Regional Head and Face Pain Relief Following Lower Cervical Intramuscular Anesthetic Injection. / Mellick, Gary A.; Mellick, Larry B.

In: Headache, Vol. 43, No. 10, 01.11.2003, p. 1109-1111.

Research output: Contribution to journalArticle

Mellick, Gary A. ; Mellick, Larry B. / Regional Head and Face Pain Relief Following Lower Cervical Intramuscular Anesthetic Injection. In: Headache. 2003 ; Vol. 43, No. 10. pp. 1109-1111.
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