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New guidelines urge ERs to use nerve blocks for migraines, replacing opioids due to addiction risks and better results.
Updated guidelines recommend occipital nerve blocks in emergency rooms for acute migraine treatment, replacing opioids due to addiction risks and limited effectiveness.
Based on 26 studies, the procedure—injecting a local anesthetic and corticosteroid near the base of the skull—interrupts pain signals and provides relief for many patients.
Led by Dr. Serena Orr and Dr. Jennifer Robblee, the update, published in "Headache: The Journal of Head and Face Pain," reflects a shift toward non-opioid care and is under review for adoption in Canada.
Migraines, a common neurological condition influenced by genetics and triggers like stress or weather, may benefit significantly from this targeted treatment, which requires trained professionals but is well-tolerated given the severity of symptoms.
Las nuevas directrices instan a las salas de emergencias a usar bloqueadores nerviosos para las migrañas, reemplazando los opioides debido a los riesgos de adicción y mejores resultados.