Health Condition 1: null- Cervicogenic headache
Conditions
Interventions
Intervention1: Greater occipital nerve block: Diagnostic block followed by therapeutic block after 2 weeks
Control Intervention1: Conventional management: Pharmacological & non pharmacological managem
Sponsors
R G Kar Medical College Hospital
Eligibility
Inclusion criteria
Inclusion criteria: Unilateral or side-dominant headache without side shift or unilateral both side. Pain localized to the neck and occipital region and/or projected to forehead, orbital region, temples, vertex or ears. Restriction of the range of motion (ROM) in the neck. Ipsilateral neck, shoulder, or arm pain of non-radicular or radicular nature. Precipitation of headache by neck movement and/or sustained awkward head positioning . Precipitation of headache by external pressure over the upper cervical or occipital region on the symptomatic side. Radiological examination reveals Movement abnormalities in flexion/extension or Abnormal posture Headache for the past 3 months at least once per week . No improvement of headache with conservative managements. Improvement of pain within 30 minutes of diagnostic greater occipital nerve block.
Exclusion criteria
Exclusion criteria: Congenital abnormalities of the cervical spine . Radiological evidence of cervical spondylosis or osteochondrosis . Myofascial trigger points are the cause . Contraindication or History of adverse reaction to anesthetic agents or corticosteroids . Prior intervention or surgery for treatment of headache . Evidence of impaired sensation in the Greater occipital nerve dermatome region . Evidence of cranial defect/abnormality near target injection site . Untreated cutaneous infection, systemic illness, or immunocompromised state History of bleeding tendency or use of anticoagulants . Patientâ??s refusal.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain severity Numeric Rating ScaleTimepoint: 1 Week 4 Weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain severity Numeric Rating ScaleTimepoint: 12 Weeks | — |
Countries
India
Contacts
Public ContactDr Pankaj Kumar Mandal
R.G.Kar Medical College & Hospital
Outcome results
None listed