Early Paraspinous Blocks Remits Post Breast Surgery Pains

Post breast surgery paraspinous blocks reduces breast pain issues by 56% at 6 months.


Pain. 2018 Sep 17. doi: 10.1097/j.pain.0000000000001398. [Epub ahead of print]
What Makes Surgical Nerve Injury Painful? A 4-9 Year Follow-Up of Patients with
Intercostobrachial Nerve Resection in Women Treated for Breast Cancer.
Mustonen et al.
https://www.ncbi.nlm.nih.gov/pubmed/30234699

“Paravertebral block was not different from Control group in preventing CPSP [chronic postsurgical pains] at 3 months, but was protective at 6 months, with relative risk reduction (95% confidence interval) of 54% (0.24-0.88) (P = 0.02)”

Comment –  I have done a variety of block reports and they all show best results with at least 3 blocks. I call a one block a “One – Shot  – Wonder” – not a sign of affection. To get that much relief with one paraspinous block is great but having not done more might dissuade people from doing what is really needed – 3+ shots.

 

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