Genicular nerve block for emergency department patient: a successful management of subacute osteoarthritic knee pain

Author:

Kong Clarence1ORCID,Bubic Irvan J2,Tran Audrey A3,Tan Gary4ORCID,Medak Anthony J2,Oswald Jessica5ORCID

Affiliation:

1. Department of Emergency Medicine, Zucker School of Medicine at Hofstra/Northwell - North Shore University Hospital/Long Island Jewish Medical Center, Long Island, NY 11040, USA

2. Department of Emergency Medicine, UC San Diego Health, San Diego, CA 92037, USA

3. Oregon Health & Sciences University School of Medicine, Portland, OR 97239, USA

4. Department of Internal Medicine, Zucker School of Medicine at Hofstra/Northwell - North Shore University Hospital/Long Island Jewish Medical Center, Long Island, NY 11040, USA

5. Department of Emergency Medicine, Department of Anesthesiology, Center for Pain Medicine, UC San Diego Health, La Jolla, CA 92037, USA

Abstract

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.

Publisher

Future Medicine Ltd

Subject

General Medicine

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