Treatment of cervicogenic headache by stellate ganglion block combined with modified cervical paravertebral nerve block

Objective To compare the clinical efficacy of stellate ganglion block(SGB) combined with modified cervical paravertebral nerve block(CPNB) and SGB combined with peripheral nerve block(PNB) in the treatment of cervicogenic headache.Methods A total of 136 patients with cervicogenic headache was randomly divided into two groups with 68 cases each.The patients in group A received SGB combined with CPNB and those in group B received SGB combined with PNB.All patients were treated every other day for four times as a course of treatment.The short-form McGill Pain Questionnaire and reduced range of the motion in the neck(ROM) score were evaluated before and after treatment.Results Compared to before,the pain rating index(PRI),the present pain index(PPI),visual analogue scale(VAS),ROM scores were lower after treatment(P0.05) in two groups.PRI,PPI,VAS,ROM scores were lower and the cure rate was higher in group A than those in group B after treatment(P0.05).Conclusion SGB combined with CPNB is better than SGB combined with PNB in the treatment of cervicogenic headache.