The erector spinae plane block a novel analgesic technique in thoracic neuropathic pain

Mauricio Forero, Sanjib D. Adhikary, Hector Lopez, Calvin Tsui, Ki Jinn Chin

Research output: Contribution to journalArticlepeer-review

517 Scopus citations

Abstract

Thoracic neuropathic pain is a debilitating condition that is often poorly responsive to oral and topical pharmacotherapy. The benefit of interventional nerve block procedures is unclear due to a paucity of evidence and the invasiveness of the described techniques. In this report, we describe a novel interfascial plane block, the erector spinae plane (ESP) block, and its successful application in 2 cases of severe neuropathic pain (the first resulting from metastatic disease of the ribs, and the second from malunion of multiple rib fractures). In both cases, the ESP block also produced an extensivemultidermatomal sensory block. Anatomical and radiological investigation in fresh cadavers indicates that its likely site of action is at the dorsal and ventral rami of the thoracic spinal nerves. The ESP block holds promise as a simple and safe technique for thoracic analgesia in both chronic neuropathic pain as well as acute postsurgical or posttraumatic pain.

Original languageEnglish (US)
Pages (from-to)621-627
Number of pages7
JournalRegional Anesthesia and Pain Medicine
Volume41
Issue number5
DOIs
StatePublished - Aug 23 2016

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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