Cervical Medial Branch Block Versus Ipsilateral Cervical Erector Spinae Plane Block

Condition(s) studied

Investigational drug(s) / intervention(s)

Ultrasound-guided cervical medial branch block: Ultrasound-guided cervical medial branch block performed at clinically suspected symptomatic cervical facet levels using local anesthetic for diagnostic and analgesic purposes.

Ultrasound-guided cervical erector spinae plane block: Ultrasound-guided ipsilateral cervical erector spinae plane block performed at the symptomatic cervical level using local anesthetic for analgesic purposes.

Study summary

This prospective randomized controlled study aims to compare the analgesic effectiveness of ultrasound-guided cervical medial branch block and ipsilateral cervical erector spinae plane block in patients with cervical facetogenic pain.

Patients with chronic cervical facet-mediated pain will be randomized into two intervention groups. Pain intensity, functional status, meaningful pain response rates, analgesic consumption, and patient satisfaction will be evaluated during follow-up.

The primary objective is to determine whether cervical erector spinae plane block provides comparable short-term pain relief to cervical medial branch block.

Eligibility

Primary outcome measure(s)

• Meaningful Pain Response — Time Frame: 1 hour after the procedure
  Proportion of patients achieving at least 50% reduction in Numeric Rating Scale (NRS) pain score during the early post-procedural period.

Trial sites (1)

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