2020 Volume 27 Issue 1 Pages 95-98
Chronic low back pain is often intractable. We report a case of chronic low back pain which was responsible for erector spine plane block (ESP block). A 58-year-old male patient was diagnosed with L3 vertebral compression fracture. Although, lumbar nerve root block, epidural block and sympathetic nerve ganglion block were not effective enough, fluoroscopic guided ESP block could ameliorate his symptoms. We consider the procedure of a fluoroscopic guided ESP block has more advantages than ultrasound-guided block. Usage of contrast medium prevent us from puncturing blood vessels. At computed tomography scan after the procedures, we recognized contrast medium spread only within the erector spinae muscles. This suggests that fluoroscopic guided ESP block leads to block dorsal lateral branch widely, and contributes to ameliorate a myofascial pain. ESP block would be a safer and more effective technique for chronic low back pain from myofascial membrane.
