Patterns of use of peripheral nerve blocks and trigger point injections among headache practitioners in the USA: Results of the American headache society interventional procedure survey (AHS-IPS)

Andrew Blumenfeld, Avi Ashkenazi, Brian Grosberg, Uri Napchan, Samer Narouze, Bob Nett, Traci Depalma, Barbara Rosenthal, Stewart Tepper, Richard B. Lipton

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Background. - Many clinicians use peripheral nerve blocks (NBs) and trigger point injections (TPIs) for the treatment of headaches. Little is known, however, about the patterns of use of these procedures among practitioners in the USA. Objectives. - The aim of this study was to obtain information on patterns of office-based use of peripheral NBs and TPIs by headache practitioners in the USA. Methods. - Using an Internet-based questionnaire, the Interventional Procedures Special Interest Section of the American Headache Society (AHS) conducted a survey among practitioners who were members of AHS on patterns of use of NBs and TPIs for headache treatment. Results. - Electronic invitations were sent to 1230 AHS members and 161 provided useable data (13.1%). Of the responders, 69% performed NBs and 75% performed TPIs. The most common indications for the use of NBs were occipital neuralgia and chronic migraine (CM), and the most common indications for the use of TPIs were chronic tension-type headache and CM. The most common symptom prompting the clinician to perform these procedures was local tenderness at the intended injection site. The most common local anesthetics used for these procedures were lidocaine and bupivacaine. Dosing regimens, volumes of injection, and injection schedules varied greatly. There was also a wide variation in the use of corticosteroids when performing the injections. Both NBs and TPIs were generally well tolerated. Conclusions. - Nerve blocks and TPIs are commonly used by headache practitioners in the USA for the treatment of various headache disorders, although the patterns of their use vary greatly.

Original languageEnglish (US)
Pages (from-to)937-942
Number of pages6
JournalHeadache
Volume50
Issue number6
DOIs
StatePublished - 2010
Externally publishedYes

Fingerprint

Trigger Points
Nerve Block
Peripheral Nerves
Headache
Injections
Headache Disorders
Surveys and Questionnaires
Migraine without Aura
Tension-Type Headache
Bupivacaine
Neuralgia
Lidocaine
Local Anesthetics
Migraine Disorders
Internet
Appointments and Schedules
Adrenal Cortex Hormones
Therapeutics

Keywords

  • Headache practitioners survey
  • Peripheral nerve blocks
  • Trigger point injections

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Medicine(all)

Cite this

Patterns of use of peripheral nerve blocks and trigger point injections among headache practitioners in the USA : Results of the American headache society interventional procedure survey (AHS-IPS). / Blumenfeld, Andrew; Ashkenazi, Avi; Grosberg, Brian; Napchan, Uri; Narouze, Samer; Nett, Bob; Depalma, Traci; Rosenthal, Barbara; Tepper, Stewart; Lipton, Richard B.

In: Headache, Vol. 50, No. 6, 2010, p. 937-942.

Research output: Contribution to journalArticle

Blumenfeld, Andrew ; Ashkenazi, Avi ; Grosberg, Brian ; Napchan, Uri ; Narouze, Samer ; Nett, Bob ; Depalma, Traci ; Rosenthal, Barbara ; Tepper, Stewart ; Lipton, Richard B. / Patterns of use of peripheral nerve blocks and trigger point injections among headache practitioners in the USA : Results of the American headache society interventional procedure survey (AHS-IPS). In: Headache. 2010 ; Vol. 50, No. 6. pp. 937-942.
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AU - Napchan, Uri

AU - Narouze, Samer

AU - Nett, Bob

AU - Depalma, Traci

AU - Rosenthal, Barbara

AU - Tepper, Stewart

AU - Lipton, Richard B.

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