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Am J Phys Med Rehabil. 2019 Nov;98(11):e132-e135. doi: 10.1097/PHM.0000000000001121.

A Novel Technique: Ultrasound-Guided Serratus Anterior Plane Block for the Treatment of Posttraumatic Intercostal Neuralgia.

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


Serratus anterior plane block has been used for pain management during the acute period of conditions affecting the thorax, such as postthoracotomy recovery, rib fracture, and breast surgery recovery. Here, we report the use of serratus anterior plane block in posttraumatic chronic pain treatment. We describe a case of posttraumatic 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 experiencing posttraumatic chronic neuropathies of the chest wall.

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