Erector spinae plane block and rhomboid intercostal block for the treatment of post-mastectomy pain syndrome
- Resource Type
- Authors
- Morena Calli; Stefania Taddei; Emanuele Piraccini; Stefano Maitan
- Source
- Saudi Journal of Anaesthesia, Vol 14, Iss 4, Pp 517-519 (2020)
Saudi Journal of Anaesthesia
- Subject
- Thorax
medicine.medical_specialty
medicine.drug_class
medicine.medical_treatment
Case Report
Myofascial pain syndrome
lcsh:RD78.3-87.3
post-mastectomy pain syndrome
Medicine
rhomboid intercostal block
business.industry
Local anesthetic
Chronic pain
medicine.disease
hydrodissection
Surgery
fascial block
Dissection
Anesthesiology and Pain Medicine
erector spinae plane block
lcsh:Anesthesiology
Neuropathic pain
Neuralgia
business
Mastectomy
Erector spinae plane block
- Language
- ISSN
- 1658-354X
Post-mastectomy pain syndrome (PMPS) can have multiple pain generators, including neuropathic pain and myofascial pain syndrome (MPS). Erector spinae plane (ESP) block and rhomboid intercostal block (RIB) have been used to provide anesthesia of the thorax and also for some chronic pain conditions. We describe a 43-year-old man suffering from right PMPS after right mastectomy, full axillary, and mammary lymph node dissection. We treated her with ESP blocks and RIB to reduce neuralgia and MPS: Neuropathic pain disappeared and the patient experienced only slight residual pain. The result was maintained 3 months later. This report suggests that ESP block and RIB with local anesthetic and corticosteroids with might be useful to treat a PMPS.