The evolving role of truncal fascial plane blocks in non-surgical pain therapy: a narrative review

Truncal fascial plane blocks (TFPBs), including erector spinae plane block (ESPB), quadratus lumborum block (QLB), transversus abdominis plane block (TAPB), and serratus anterior plane block (SAPB), are regional anesthesia techniques that achieves analgesia by injecting local anesthetics into a spec...

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Main Authors: Yi Gu, Yifan Qin, Jin Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1612201/full
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author Yi Gu
Yifan Qin
Jin Wu
author_facet Yi Gu
Yifan Qin
Jin Wu
author_sort Yi Gu
collection DOAJ
description Truncal fascial plane blocks (TFPBs), including erector spinae plane block (ESPB), quadratus lumborum block (QLB), transversus abdominis plane block (TAPB), and serratus anterior plane block (SAPB), are regional anesthesia techniques that achieves analgesia by injecting local anesthetics into a specific fascial planes of the trunk, which is primarily used for postoperative pain management or multimodal analgesia regimens. TFPBs reduce surgical site pain by blocking nerve conduction while decreasing reliance on systemic analgesics, such as opioids. This narrative review evaluates the analgesic efficacy and mechanisms of TFPB in non-surgical pain management, exploring their clinical value and future development prospects.
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spelling doaj-art-e8ff222de2154c16aff86eff8a9e8f602025-08-20T02:31:48ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-06-011210.3389/fmed.2025.16122011612201The evolving role of truncal fascial plane blocks in non-surgical pain therapy: a narrative reviewYi GuYifan QinJin WuTruncal fascial plane blocks (TFPBs), including erector spinae plane block (ESPB), quadratus lumborum block (QLB), transversus abdominis plane block (TAPB), and serratus anterior plane block (SAPB), are regional anesthesia techniques that achieves analgesia by injecting local anesthetics into a specific fascial planes of the trunk, which is primarily used for postoperative pain management or multimodal analgesia regimens. TFPBs reduce surgical site pain by blocking nerve conduction while decreasing reliance on systemic analgesics, such as opioids. This narrative review evaluates the analgesic efficacy and mechanisms of TFPB in non-surgical pain management, exploring their clinical value and future development prospects.https://www.frontiersin.org/articles/10.3389/fmed.2025.1612201/fulltruncal fascial plane blocksnon-surgical pain managementerector spinae plane blockquadratus lumborum blocktransversus abdominis plane blockserratus anterior plane block
spellingShingle Yi Gu
Yifan Qin
Jin Wu
The evolving role of truncal fascial plane blocks in non-surgical pain therapy: a narrative review
Frontiers in Medicine
truncal fascial plane blocks
non-surgical pain management
erector spinae plane block
quadratus lumborum block
transversus abdominis plane block
serratus anterior plane block
title The evolving role of truncal fascial plane blocks in non-surgical pain therapy: a narrative review
title_full The evolving role of truncal fascial plane blocks in non-surgical pain therapy: a narrative review
title_fullStr The evolving role of truncal fascial plane blocks in non-surgical pain therapy: a narrative review
title_full_unstemmed The evolving role of truncal fascial plane blocks in non-surgical pain therapy: a narrative review
title_short The evolving role of truncal fascial plane blocks in non-surgical pain therapy: a narrative review
title_sort evolving role of truncal fascial plane blocks in non surgical pain therapy a narrative review
topic truncal fascial plane blocks
non-surgical pain management
erector spinae plane block
quadratus lumborum block
transversus abdominis plane block
serratus anterior plane block
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1612201/full
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