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29th Napa Pain Conference Posters

Using an Unconventional Serratus Anterior Plane Block to Treat Post-Herpetic Neuralgia: A Case Report


A 49-year-old woman with a history of herpes zoster presented with recurrent left lateral flank pain of one year duration. She was diagnosed with post-herpetic neuralgia. After failing conservative therapy and previous intercostal blocks, she underwent a successful left serratus anterior plane block (SAPB) under ultrasound guidance with over 50% maximal pain relief. Although previous studies have shown efficacy of SAPB, our case uses a unique inferior approach beneath the 8th rib in a patient with much longer duration of symptoms. The SAPB is a feasible alternative intervention for patients with recurrent, intractable post-herpetic neuralgic pain.


  • Jason Kessler, Resident Physician, Department of Rehabilitation Medicine at New York University Grossman School of Medicine

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