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Korean Journal of Anesthesiology 2009;56(5):574-577.
DOI: https://doi.org/10.4097/kjae.2009.56.5.574   
Severe back pain following surgery was successfully treated by a lumbar medial branch block : A case report .
Yun Suk Choi, Yong Chul Kim, Hye Young Shin, Seung Yun Lee, Sang Hyun Park, Seung Hyun Chung
1Department of Anesthesiology and Pain Medicine, Jeju National University Hospital, Jeju, Korea.
2Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea. pain@snu.ac.kr
3Department of Anesthesiology and Pain Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.
Lower back pain commonly develops following spinal anesthesia. This pain is likely caused by strain on the ligaments associated with paraspinous muscle relaxation and positioning during the operation. We describe a case involving a healthy 61-year-old woman with a varicose vein that was scheduled for phlebotomy under spinal anesthesia. Two days after spinal anesthesia, the patient experienced severe lower back pain that was markedly aggravated by twisting and extension of the spine, but subsided with rest. Immediately after a lumbar medial branch block was performed at the area of tenderness the pain subsided. Thease results suggest that immediate treatment of acute lower back pain is important for preventing progression to chronic low back pain.
Key Words: Lumar medial branch block; Spinal anesthesia; Treatment


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