Cervical Plexus Block for Cervical Radiculopathy?

<p><a href="http://www.aabppain.com/">David Rosenblum, MD</a> Garden City and Brooklyn Pain Physician, world renown for his work on the PainExam Podcast, PainExam Pain Management <a href= "http://www.painexam.com/">Board Review</a> and <a href= "http://www.nrappain.org/">NRAP Academy’s Continuing Medical Education Programs</a>, discusses: a case of paresthesia in the upper neck realted to C3 and C4 stenosis and considers a selective nerve root block while wondering if a deep cervical plexus block would suffice.  </p> <p>Rational :</p> <ul> <li>Desire to avoid epidural due to proximity to spinal cord</li> <li>Ultrasound approach of cervial plexus may anesthetize C3 and C4 roots and may be sufficient to do with ultrasound alone</li> <li>Unfortunately, no data found to support this particular situation, however, it may be safe and effective if performed properly.   </li> </ul> <p><a title="Cervical Plexus Block for Neck Pain" href= "https://earnc.me/lubWXJ">Claim CME</a></p> <p><em>The CE experience for this</em> <em>Podcast</em> <em>is powered by CMEfy - click here to reflect and earn credits:</em> https://earnc.me/lubWXJ</p> <p>Also discussed on this podcast:</p> <p>The Superficial Cervical Plexus and applications for headache, neck pain, and clavicular fractures. </p> <p>Caution: Phrenic Nerve</p> <p><strong>Anatomy</strong></p> <p>The cervical plexus is a complex network of nerves located in the neck region, originating from the anterior rami (branches) of the cervical spinal nerves, specifically those stemming from the upper cervical segments (C1 to C4). This intricate network serves to provide sensory and motor innervation to various structures within the neck and surrounding areas.</p> <p>The cervical plexus is positioned within a groove between the longus capitis and the middle scalene muscles in the neck. It is organized into different nerve loops and branches that radiate outwards to supply various regions. The cervical plexus can be divided into deep and superficial components, each with distinct function