Genicular nerve block for emergency department patient: a successful management of subacute osteoarthritic knee pain.
Clarence KongIrvan J BubicAudrey A TranGary TanAnthony J MedakJessica C OswaldPublished in: Pain management (2023)
The genicular nerve block (GNB) performed under ultrasound is a common procedure in the perioperative and outpatient setting for the treatment of surgical knee pain and osteoarthritis. It provides motor-sparing analgesia to the knee, making it a potential alternative to other modes of pain management in the emergency department (ED). We present an elderly woman with acute-on-chronic osteoarthritic knee pain which was relieved for a week after a GNB during her ED visit. In patients with knee pain, the ultrasound guided GNB has the potential to provide short-term analgesia for patients with pain refractory to other modes of analgesia. The GNB shows promise as a reliable contribution to a multimodal approach to pain management in the ED setting.
Keyphrases
- pain management
- emergency department
- chronic pain
- total knee arthroplasty
- knee osteoarthritis
- ultrasound guided
- anterior cruciate ligament
- magnetic resonance imaging
- anterior cruciate ligament reconstruction
- liver failure
- computed tomography
- minimally invasive
- spinal cord injury
- neuropathic pain
- climate change
- artificial intelligence
- study protocol
- electronic health record
- double blind
- placebo controlled