RecruitingPhase 1NCT06069791
Greater Occipital Nerve Blockade in Veterans With Post-concussion Headache: Sub-study 1
Anesthetic Greater Occipital Nerve Blockade in Veterans With Post-Traumatic Headache: Sub-study 1
Sponsor
Yale University
Enrollment
12 participants
Start Date
Jan 26, 2024
Study Type
INTERVENTIONAL
Conditions
Summary
The acute and subacute sensations that occur on the scalp with injection of different concentrations of bupivacaine for grater occipital nerve blockade will be compared. Each Veteran participant will be randomized to receive three different concentrations, which will be injected one week apart each.
Eligibility
Min Age: 18 Years
Inclusion Criteria5
- United States Military Veterans within VA Connecticut Healthcare System
- Chronic post-traumatic headache per ICHD-3 criteria (i.e., headaches are continuing to occur three months after the head injury)
- At least two headache days per week
- MRI brain scan completed within the past 3 months if chronic PTH for less than one year, within the past year if chronic PTH for less than 5 years, and within 5 years if chronic PTH for more than 10 years
- Review of MRI and the medical record does not reveal another source for headache
Exclusion Criteria5
- Skull defect
- Other contraindication to bupivacaine
- Allergy or adverse reaction (e.g., rash, cardiac effects) to amide anesthetics, such as lidocaine
- Instruction from clinician to avoid amide anesthetics, such as lidocaine
- Pregnant or lack of adequate birth control
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Interventions
DRUGBupivacaine Injection
subcutaneous injection around bilateral greater occipital nerves
Locations(1)
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NCT06069791
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