Role of Ultrasound Guide Greater Occipital Nerve Block at Second Cervical Vertebra in Migraine Headache Prophylaxis
NCT06432127 · Status: NOT_YET_RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 108
Last updated 2024-05-29
Summary
The goal of this randomized controlled study in Thailand. is to find if there is a role of local anesthetic greater occipital nerve block at Cervical spine level 2 under ultrasound guide in prophylaxis of episodic migraine and chronic migraine in patients with failed oral prophylaxis medication.
According to guidelines of the International Headache Society for controlled trials of preventive treatment of migraine attacks in episodic and chronic migraine,the primary and secondary outcome were monitoring followed by these research guideline
After informed consent, volunteer will be stratified random into 2 groups of injection agent at unilateral greater occipital nerve block on headache site under US guide by pain physician
* Normal saline
* 0.5% bupivacaine the injection was done 2 times between Week 0 and week 4 as to wean off placebo effect the volunteer will be monitor by pain diary at 1 month before intervention at week 0,4,8,12 and follow up at week 24 for Migraine Disability Assessment Test (MIDAS) ,Thai Hospital-Anxiety-depression index(Thai-HADS)
Conditions
- Migraine Disorders
Interventions
- DRUG
-
Unilateral Greater occipital nerve block at C2 level under ultrasound guide with needle in plane technique during ultrasound using normal saline 3 mL
- DRUG
-
Bupivacaine
Unilateral Greater occipital nerve block at C2 level under ultrasound guide with needle in plane technique during ultrasound using 0.5% Bupivacaine 3 mL
Sponsors & Collaborators
-
Mahidol University
lead OTHER
Principal Investigators
-
RAVIWON ATISOOK, M.D. · Siriraj Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-05-30
- Primary Completion
- 2026-01-31
- Completion
- 2027-01-31
Countries
- Thailand
Study Locations
More Related Trials
-
Greater Occipital Nerve Block With Bupivacaine for Acute Migraine
NCT02665273 ·Status: COMPLETED ·Phase: PHASE3
-
Pulse Radiofrequency and Occipital Nerve Block for Chronic Migraine Patients
NCT06247592 ·Status: RECRUITING ·Phase: NA
-
Greater Occipital Nerve Block Alone Versus Dual Nerve Block in Cervicogenic Headache and Occipital Neuralgia
NCT07068451 ·Status: COMPLETED ·Phase: NA
-
A Research Study of Greater Occipital Nerve Block as a Treatment for Acute Migraine Attacks
NCT03159000 ·Status: WITHDRAWN ·Phase: PHASE4
-
Efficacy of Greater Occipital Nerve Radiofrequency for Refractory Migraine Treatment
NCT05199064 ·Status: COMPLETED
-
Greater Occipital Nerve Block Versus Pulse Radiofrequency in Migraine
NCT06345326 ·Status: RECRUITING ·Phase: NA
-
Greater Occipital Nerve Block Versus Metoclopramide
NCT03269435 ·Status: COMPLETED ·Phase: PHASE4
-
Greater Occipital Nerve Block for Migraine Prophylaxis
NCT00915473 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy of Nerve Blocks for Episodic Migraine
NCT05734625 ·Status: RECRUITING ·Phase: PHASE2
-
Anesthetic Blockades and Migraine
NCT02188394 ·Status: COMPLETED ·Phase: PHASE2
-
Greater Occipital Nerve (GON) Block Effectivity in the Treatment of Chronic Migraine: 6 Months Follow up
NCT02578719 ·Status: WITHDRAWN ·Phase: PHASE4
-
Comparison of Great Occipital Nerve and Supraorbital Nerve Blockade Methods at Treatment of Acute Migraine Attack in the Emergency Department
NCT04491474 ·Status: COMPLETED ·Phase: PHASE4
-
Comparison of Occipital Nerve and Sphenopalatine Ganglion Blockade
NCT06243874 ·Status: COMPLETED ·Phase: NA
-
0.5% Bupivacaine Lower Cervical Intramuscular Injection vs IV Medications for Headache Treatment
NCT06937385 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
A Research Study to Examine the Difference Between Local Anesthetics Alone and Local Anesthetics Plus Steroids in the Treatment of Chronic Headache
NCT00203294 ·Status: COMPLETED ·Phase: NA
-
Pulsed Radiofrequency vs. Steroid Injections for Occipital Neuralgia
NCT01670825 ·Status: COMPLETED ·Phase: NA
-
Greater Occipital and Supraorbital Nerve Blockade in Migraine Patients
NCT03435185 ·Status: COMPLETED ·Phase: NA
-
Comparing Unilateral and Bilateral Proximal GONPRF in Migraine Treatment
NCT06894121 ·Status: COMPLETED ·Phase: NA
-
Ultrasound Guided Block of Stellate Ganglion Versus Greater Occipital Nerve in Resistant Migraine and Correlation to Calcitonin Gene Related Peptide
NCT06662461 ·Status: RECRUITING ·Phase: NA
-
Acute Headache Treatment in Pregnancy: Occipital Nerve Block vs PO Acetaminophen With Caffeine
NCT03951649 ·Status: COMPLETED ·Phase: PHASE4
-
The Effect of Ganglion Sphenopalatine Block (GSP-block) Versus Placebo on Postdural Puncture Headache
NCT03652714 ·Status: COMPLETED ·Phase: PHASE3
-
A Study Investigating the Efficacy of GON Blocks.
NCT04017741 ·Status: COMPLETED ·Phase: PHASE4
-
Greater Occipital Nerve Pulsed Radiofrequency for the Treatment of Combined Migraine and Cervicogenic Headache (New Approach)
NCT06121037 ·Status: COMPLETED ·Phase: NA
-
Transcutaneous Pulsed Radiofrequency in Migraine
NCT05499689 ·Status: UNKNOWN ·Phase: NA
-
Comparison of Therapeutic Effects of Greater Occipital Nerve Block, Topiramate, and Flunarizine on Episodic Migraine
NCT03712917 ·Status: COMPLETED ·Phase: NA