2024 Volume 31 Issue 12 Pages 250-253
A 65-year-old male who had a car accident a year ago had been complaining of neck pain, neck stiffness, left upper limb pain and numbness. He was also suffering from persistent tinnitus and nausea. The patient was referred to our pain clinic to receive a cervical nerve root block. Initially, he underwent C6 nerve root block, which was not effective for upper limb symptoms, whereas greater occipital nerve block was effective to reduce his neck pain and stiffness. The greater occipital nerve block was extremely effective for tinnitus and nausea and achieved the patient's high satisfaction. We also applied pulsed radiofrequency (42℃, 2 Hz, 20 ms, 45 V, 6 min) to the greater occipital nerve under ultrasound guidance, which was effective for three months and decreased his depression scale. The greater occipital nerve block can be an effective treatment for tinnitus in traumatic cervical syndrome patients.
