Document Type
Case Report
Abstract
Low back pain accounts for more than 2.6 million emergency department (ED) visits annually, with 40% of Americans experiencing sciatica at some point in their lives. Our case report describes a patient presenting with atraumatic right-sided low back pain and paresthesias in her right leg. We utilized a combination of a transgluteal sciatic nerve block and a lateral femoral cutaneous nerve block to achieve improved pain relief after an initial isolated transgluteal sciatic nerve block left her with persistent anterolateral thigh pain.
We detail the technique for performing this procedure under ultrasound guidance. Our patient experienced significant pain improvement and was discharged in ambulatory status without requiring further oral medications to achieve satisfactory alleviation. A primary limitation for providers in performing ultrasound-guided regional anesthesia is user experience. We aim to provide education to increase the use of this procedure for treating sciatica in the emergency department.
Recommended Citation
Smith, Courtney and Hoffman, Taryn
(2021)
"Maximizing Relief: The Benefits of Combining Lateral Femoral Cutaneous Nerve Block with Sciatic Nerve Block in the Emergency Department,"
Florida Journal of Emergency Medicine (FJEM): Vol. 2.
Available at:
https://stars.library.ucf.edu/fjem/vol2/iss1/4