Status:

COMPLETED

Ultrasound Greater Occipital Nerve Block at C2 Level Compared to Landmark-based Greater Occipital Nerve Block

Lead Sponsor:

Mayo Clinic

Conditions:

Occipital Neuralgia

Cervicogenic Headache

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This study will compare the analgesic benefit of a traditional landmark-guided GON block with the ultrasound-guided approach over a four week period in patients with occipital neuralgia or cervicogeni...

Detailed Description

Hypothesis: A novel ultrasound-guided greater occipital nerve (GON) block at the level of C2 will result in significantly lower pain scores after 4 weeks when compared with a traditional landmark-guid...

Eligibility Criteria

Inclusion

  • Unilateral or bilateral headache symptoms attributed to occipital neuralgia or cervicogenic headache as defined by the International Headache Society's International Classification of Headache Disorders (3rd edition beta version)
  • Age 18 years and older (no upper age limit defined)
  • Imaging of cervical spine within last year (either x-ray, MRI or CT)

Exclusion

  • History of cervical spine surgery, trauma, or surgical procedure involving head or neck during the last year
  • Use of new preventative medications 1 month prior or during study enrollment
  • Evidence of impaired sensation in the GON dermatome region (posterior scalp to the vertex of the cranium) from neurological, dermatological, or other disease process
  • Evidence of cranial defect or other anatomical abnormality near the target injection site
  • History of bleeding diathesis, coagulopathy, or current use of anticoagulant medications
  • Pregnancy
  • History of adverse reaction or allergy to local anesthetic agents or corticosteroids
  • Occipital nerve block within the past three months.
  • Unavailability for appropriate follow-up throughout the whole duration of study

Key Trial Info

Start Date :

July 17 2017

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

June 14 2021

Estimated Enrollment :

32 Patients enrolled

Trial Details

Trial ID

NCT03478735

Start Date

July 17 2017

End Date

June 14 2021

Last Update

June 15 2021

Active Locations (1)

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Mayo Clinic in Rochester

Rochester, Minnesota, United States, 55905