Health Condition 1: G437- Chronic migraine without aura Health Condition 2: G437- Chronic migraine without aura
Conditions
Interventions
Intervention1: Ultrasound Guided Sphenopalatine Ganglion Block
: Patients were sedated and positioned with the head turned to the opposite side using a linear ultrasound probe placed infrazygomaticall
Sponsors
Dr Ajit Kumar
Eligibility
Inclusion criteria
Inclusion criteria: Age between 18 and 60 years Diagnosed with migraine by expert physicians Diagnoses made according to International Classification of Headache Disorders criteria Pain unresponsive to conservative treatment including medical management physical therapy and previous interventions Average pain score of 4 or more on an 11 point Numerical Rating Scale Competent to understand the study protocol willing to provide voluntary written informed consent and willing to participate in the assessment of outcome measurements
Exclusion criteria
Exclusion criteria: Patient refusal Pain for less than 6 months Patients with a space occupying lesions in radiological investigations CT or MRI Patients with bilateral migraine attacks Coagulopathy and or patients on anticoagulants. Infection at the site of injection. Hypersensitivity to local anesthetic agent. Evidence of severe psychiatric illness. Uncontrolled or unstable opioid use Any conditions that might compromise the interpretation of outcome assessments. Pregnancy or lactation. History of any major comorbid medical conditions those interfere with recording of study outcomes neurological disorders auto-immune diseases multiple sclerosis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain relief as assessed by Migraine disability assessment score MIDAS Annexure I at baseline and at 3 months after the procedureTimepoint: at baseline and at 3 months after the procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain relief as assessed by Numerical Rating Scale NRS on a scale of 1 to 10 Analgesic usage Procedural complications if any Timepoint: at baseline 1 month and at 3 months after the procedure | — |
Countries
India
Contacts
Public ContactProf Dr Ajit Kumar
All India Institute of medical sciences Rishikesh
Outcome results
None listed