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A Novel Technique

Ultrasound-Guided Serratus Anterior Plane Block for the Treatment of Post-Traumatic Intercostal Neuralgia. A Case Report

Sir, Ender*; Eksert, Sami; Emin Ince, M.; Simsek, Fatih; Ozkan, Gokhan; Burak Eskin, M.

American Journal of Physical Medicine & Rehabilitation: December 28, 2018 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/PHM.0000000000001121
Case Report: PDF Only

Serratus anterior plane block has been used for pain management during the acute period of conditions affecting the thorax, such as post-thoracotomy recovery, rib fracture, and breast surgery recovery. Here, we report the use of serratus anterior plane block in post-traumatic chronic pain treatment. We describe a case of post-traumatic chronic intercostal neuralgia, in which successful pain relief was achieved via repeated injections of local anesthetic and steroid combinations in the serratus anterior plane under ultrasonographic guidance. This novel technique is easy to administer, reliable, and warrants further investigation with regard to its use for rehabilitation of patients who are suffering from post-traumatic chronic neuropathies of the chest wall.

From the Gulhane Training and Research Hospital, Algology and Pain Medicine Department, Ankara, Turkey (ES), and Gulhane Training and Research Hospital, Anesthesia and Reanimation Department, Ankara, Turkey (SE, MEI, FS, GO, MBE)

Disclosures: The authors have no financial relationship with any organization, have no conflict of interest, and no funding was received for the manuscript.

*All correspondence should be addressed to: Ender Sir, MD, Department of Algology and Pain Medicine, Gulhane Training and Research Hospital, 06010, Ankara, Turkey Tel.: +90 532 426 60 23, Fax: +90 312 304 59 89, Email:

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