Pain medicine : the official journal of the American Academy of Pain Medicine
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To determine if patients with chronic migraine continue onabotulinumtoxinA (onabotA) long-term. ⋯ We show long-term persistence to onabotA is high and that distance to treatment facility and income are not factors in continuation. Our work also demonstrates that as patients continue onabotA over time, there may be an increased need for adjunctive or alternative treatments.
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Transforaminal epidural steroid injection (TFESI) are commonly employed to treat lumbosacral radiculopathy. Despite anti-inflammatory properties, the addition of 3% hypertonic saline has not been studied. ⋯ Thai Clinical Trials Registry ID TCTR 20231110006.
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We report a novel block technique aimed to provide lumbosacral, abdominal and hip analgesia: The Quadro-iliac plane (QIP) block. ⋯ The local anesthetic applied from a place where the QLM reaches its largest volume and the fascial plane creates a closed gap in the caudal area may exhibit a more rounded and extensive spread.Quadro-iliac plane block, involves the administration of local anesthetic to the posterior aspect of the QLM at its origin from the iliac crest. According to our cadaver study, this technique may be a promising option for alleviating acute and chronic pain in the lumbosacral, lower abdominal, and hip regions.