Investigators found children receiving bilateral occipital nerve blocks with 2% lidocaine had significantly greater pain relief than peers receiving saline injections.
Topical lidocaine cream led to a small decrease in pain score overall , and all participants proceeded to randomized blinded bilateral greater occipital nerve injection with 2% lidocaine or saline, she reported. Quite unexpectedly, said Szperka, patients rated the saline injection as more painful than the lidocaine injection."This was not what I expected going in, and I think is relevant for future trials," she said.Reached for comment, Shaheen Lakhan, MD, a neurologist and researcher based in Miami, Florida, said that as a neurologist and pain physician, he sees firsthand the"devastating impact of status migrainosus on children.".