After having a spinal, persistent headaches can occur from leaking spinal fluid through the hole requiring an injection of partient’s blood to be injected to “dural patch” the hole. Now was case resolved by just injection local into back scalp blood vessels.
Headache. 2010 Mar 26. [Epub ahead of print]
Treatment of Post-Dural Puncture Headache With Bilateral Greater Occipital Nerve Block.
Akin Takmaz S, Unal Kantekin C, Kaymak C, Başar H. abstract here
- postdural puncture headache resolved within 2 minutes of a greater occipital nerve block
Comment – this block is easy as long as people are prepared to feel for the pulse occipitally near midline or within 1″ or so of it. Takes me a couple minutes to be sure. Inject local at base of scalp there and presto – it’s numb. Dural puncture headaches can be nasty, and if this is all it takes that would be great.
we can do upper trapezius trigger points injections and have a very good results
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