Title
Comparative study of greater occipital nerve block and conventional therapy in chronic migraine
Authors
Kaushal Kabir, Ritu Pauranik, Kirti Agrawal* & Manish Banjare
Affiliation
Department of Anaesthesia, Mahatma Gandhi Memorial Medical College, Indore, India; *Corresponding author
Kaushal Kabir - E-mail: kaushalmay28@gmail.com
Ritu Pauranik - E-mail: dr.rituaga@gmail.com
Kirti Agrawal - E-mail: kirtiagrawal28@gmail.com
Manish Banjare - E-mail: manishbanjare@yahoo.co.in
Article Type
Research Article
Date
Received October 1, 2025; Revised October 31, 2025; Accepted October 31, 2025, Published October 31, 2025
Abstract
Chronic migraine is disabling and medicines alone are often not enough so ultrasound guided greater occipital nerve block is used as an add-on therapy. We observed 100 patients where one group received prophylaxis with the block and the other received only prophylaxis with follow up of 90 days. The block group showed a bigger fall in migraine disability score (14.2 to 6.8 vs 14.3 to 9.2 p < 0.0001), lower VAS score (7.9 to 4.4 vs 7.1 to 6.0 p < 0.0001) and fewer headache episodes early and higher satisfaction (12.7 vs 12.3 p = 0.016). Ultrasound guided block was safe and simple and gave better pain relief with reduced medicine use and improved patient satisfaction.
Keywords
Chronic migraine, greater occipital nerve block, ultrasound-guided, prophylactic therapy, VAS scores, MIDAS score
Citation
Kabir et al. Bioinformation 21(10): 3947-3950 (2025)
Edited by
P Kangueane
ISSN
0973-2063
Publisher
License
This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.
