{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:44:00Z","timestamp":1787031840078,"version":"build-2736575974"},"reference-count":14,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Chronic low back pain is a prevalent and debilitating condition that often resists traditional management strategies such as physical therapy, pharmacotherapy, and interventional procedures. The erector spinae plane (ESP) block, a relatively new regional anesthesia technique, has shown promise in managing various types of pain, including chronic conditions. This case report details the use of the ESP block in a male patient in his late 60\u2019s with chronic low back pain unresponsive to conventional treatments, including acetaminophen, muscle relaxants, gabapentin, epidural steroid injections, diagnostic medial branch blocks, and sacroiliac joint injections. Given the refractory nature of his pain, a right-sided lumbar ESP block was performed under fluoroscopic guidance. This case highlights the potential of the ESP block as an effective treatment for chronic lumbar pain, particularly in patients who have not responded to other interventional modalities. The safety profile of the ESP block, coupled with its efficacy in this case, supports its consideration as a viable option in chronic pain management. Further studies and clinical experience will be essential in defining its role and establishing standardized protocols for its use in chronic pain settings.<\/jats:p>","DOI":"10.52965\/001c.124769","type":"journal-article","created":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T20:57:09Z","timestamp":1730235429000},"source":"Crossref","is-referenced-by-count":2,"title":["Erector Spinae Plane Block for Chronic Lumbosacral Pain: A Case Report"],"prefix":"10.52965","volume":"16","author":[{"given":"Jamal","family":"Hasoon","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03gds6c39","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Texas Health Science Center at Houston","department":["Department of Anesthesiology, Critical Care, and Pain Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed","family":"Mahmood","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04ehecz88","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pittsburgh Medical Center","department":["Department of Physiatry and Pain Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anvinh","family":"Nguyen","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02pttbw34","id-type":"ROR","asserted-by":"publisher"}],"name":"Baylor College of Medicine","department":["Department of Anesthesiology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vwaire","family":"Orhurhu","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04ehecz88","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pittsburgh Medical Center","department":["Department of Anesthesiology and Pain Medicine"]},{"name":"MVM Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2024,10,30]]},"reference":[{"issue":"4","key":"ref1","doi-asserted-by":"publisher","first-page":"350","DOI":"10.5114\/ait.2020.97578","article-title":"Erector spinae plane block for relief of chronic intercostal neuralgia after chest tube placement","volume":"52","author":"J. Hasoon","year":"2020","journal-title":"Anaesthesiol Intensive Ther"},{"issue":"1","key":"ref2","doi-asserted-by":"publisher","first-page":"e12656","DOI":"10.7759\/cureus.12656","article-title":"Erector Spinae Plane Block for the Treatment of Post Mastectomy Pain Syndrome","volume":"13","author":"J. Hasoon","year":"2021","journal-title":"Cureus"},{"issue":"8","key":"ref3","doi-asserted-by":"publisher","first-page":"1073","DOI":"10.3390\/biology12081073","article-title":"Erector Spinae Plane Block and Chronic Pain: An Updated Review and Possible Future Directions","volume":"12","author":"A. De Cassai","year":"2023","journal-title":"Biology (Basel)"},{"issue":"7","key":"ref4","doi-asserted-by":"publisher","first-page":"e8988","DOI":"10.7759\/cureus.8988","article-title":"Utilization of Erector Spinae Plane Block in the Chronic Pain Clinic for Two Patients With Post-Thoracotomy Pain","volume":"12","author":"J. 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Jiang","year":"2023","journal-title":"Local Reg Anesth"},{"issue":"7","key":"ref8","doi-asserted-by":"publisher","first-page":"e32981","DOI":"10.1097\/MD.0000000000032981","article-title":"Ultrasound-guided erector spinae plane block for postoperative short-term outcomes in lumbar spine surgery: A meta-analysis and systematic review","volume":"102","author":"H. Liu","year":"2023","journal-title":"Medicine (Baltimore)"},{"issue":"4","key":"ref9","doi-asserted-by":"publisher","first-page":"366","DOI":"10.5114\/ait.2021.108157","article-title":"Thoracolumbar interfascial plane block and erector spinae plane block for postoperative analgesia in patients undergoing spine surgery","volume":"53","author":"A. Chitneni","year":"2021","journal-title":"Anaesthesiol Intensive Ther"},{"issue":"5","key":"ref10","doi-asserted-by":"publisher","first-page":"621","DOI":"10.1097\/AAP.0000000000000451","article-title":"The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain","volume":"41","author":"M. Forero","year":"2016","journal-title":"Reg Anesth Pain Med"},{"issue":"3","key":"ref11","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1007\/s40140-019-00333-0","article-title":"Erector Spinae Plane (ESP) Block: A Technical Review","volume":"9","author":"K. J. Chin","year":"2019","journal-title":"Curr Anesthesiol Rep"},{"key":"ref12","first-page":"59","article-title":"The Erector Spinae Plane (ESP) block: A review of indications and clinical applications","volume":"53","author":"P. Kot","year":"2019","journal-title":"J Clin Anesth"},{"issue":"3","key":"ref13","doi-asserted-by":"publisher","first-page":"209","DOI":"10.4097\/kja.d.19.00012","article-title":"The erector spinae plane block: a narrative review","volume":"72","author":"P. Kot","year":"2019","journal-title":"Korean J Anesthesiol"},{"key":"ref14","first-page":"150","article-title":"Erector Spinae Plane Block: A Safe and Simple Procedure","volume":"19","author":"E. Vidal","year":"2018","journal-title":"Am J Case Rep"}],"container-title":["Orthopedic Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/124769-erector-spinae-plane-block-for-chronic-lumbosacral-pain-a-case-report","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T15:10:36Z","timestamp":1739286636000},"score":1,"resource":{"primary":{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/124769-erector-spinae-plane-block-for-chronic-lumbosacral-pain-a-case-report"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,30]]},"references-count":14,"URL":"https:\/\/doi.org\/10.52965\/001c.124769","relation":{},"ISSN":["2035-8164"],"issn-type":[{"value":"2035-8164","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,30]]}}}