C2 nerve root block lateral

[interjectionreflection]

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Only Serena few in training but I never seen it done this way always thought it's better to do posterior due to the vessel anatomy. Does anyone do this?

 

[lobelsteve]

Never done this, never will.
Not part of medial branch protocol.
Will do C3, C4, TON.

 

[BobBarker]

I saw it, too. Dan is about the absolute nicest person you will ever meet. However, I don’t think this was worth it for him or the patient.

 

[CleanUp]

How do you all decide between GONB/LONB vs the mbb block for c3 c4 and TON?

I start with the first and if no relief go to the latter.

 

[Baron S]

How do you all decide between GONB/LONB vs the mbb block for c3 c4 and TON?

I start with the first and if no relief go to the latter.

Positive Tinnel's at the occiput or a pain pattern clearly in the distribution medial(GON) or lateral(LON) scalp leads to me to the former. Less localized pain more at the base of the skull leads me to more a TON diagnosis.

 

[RoloTomassi]

How do you all decide between GONB/LONB vs the mbb block for c3 c4 and TON?

I start with the first and if no relief go to the latter.

Also if facet arthropathy present C2-4 I do that before ONB.

 

[Laryngospasm]

No thanks.. who here burns C2?

 

[NJPAIN]

No thanks.. who here burns C2?

Pulse RF C2 DRG. Difficult to get reimbursed. I’ve had quite a few occipital neuralgia and chronic migraine patients sent by neurology who responded profoundly but for short period to GON blocks. One patient was getting bilateral blocks performed by neurology Q2 weeks. I was very reluctant to proceed but was quite surprised with results.