Regional anesthesia

Do cervical medial branch blocks have a therapeutic role? a prospective cohort study

Reg Anesth Pain MedPublished Prospective cohort study

Authors' conclusion

Our findings suggest that a proportion of patients undergoing CMBB may experience clinical benefits that exceed the expected duration of local anesthetics.

Study context

Population
Patients undergoing cervical medial branch blocks who had previously reported 50% relief following a cervical medial branch blocks (CMBB)830 block levels
Participants
179 patients
Outcome
≥30% decrease in pain scores
Follow-up
2 weeks
Methodological detailsoutpatient setting
  • Outpatient setting

Main finding

As reported in the abstract

Patients reporting a 30% or greater decrease in pain scores at 2 weeks

62.2%

Observational data: associations, not effects.

Further findings

≥30% decrease in pain scores · 12 weeks

Patients reporting a 30% or greater decrease in pain scores at 12 weeks
22.7%

All measures of pain, emotional and physical functioning · 2 and 12 weeks vs baseline

Statistically significant differences for all measures vs baseline

Association of age, opioid use, pain etiology, previous surgery, levels treated with change in NRS (exploratory analysis) · weeks 0–2 and weeks 2–12

No association found
  • Exploratory analysis

Original publication

Do cervical medial branch blocks have a therapeutic role? a prospective cohort study. Reg Anesth Pain Med. Published 28 May 2025. doi:10.1136/rapm-2025-106457

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