The efficacy of ultrasound-guided multifidus cervicis plane block versus greater occipital nerve block for cervicogenic headache

Abstract Introduction Traditionally, non-invasive and invasive techniques were used for the treatment of cervicogenic headache (CH). Greater occipital nerve block is most frequent peripheral technique management headache. The purpose this prospective, double-blinded study was to compare efficacy two different techniques: multifidus cervicis plane greater in refractory by using ultrasound. Methods Sixty patients with recruited diagnosed according ICHD-III beta version. divided into groups, one group other ultrasound-guided. Results Visual analog scale (VAS) 2.09% (MCPB) 2.22% (GONB) a median reduction − 4.33 3.048, respectively, at 2-week visits statistically significant difference better MCPB ( P < 0.001). At 4 weeks visits, VAS than GONB (3.79 4.44, respectively) (− 3.27 3.095, differences between both groups = 0.020). Conclusion Both ultrasound-guided are effective as intervention These simple, safe, more reliable less side effects, often reduce requirements analgesic drugs.