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Neurology International
Volume 17
Issue 9
10.3390/neurolint17090142
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Review

Pericapsular Nerve Group Block Versus Lumbar Epidural Block for Pain Management After Hip Surgeries with a Focus on Pediatric Patients: A Narrative Review

by
Shahab Ahmadzadeh
1,
Hunter M. Schwab
2,
Mary O’Dell Duplechin
2,
Kalob M. Broocks
2,
Jon D. Hirsch
1,
Joseph Drinkard
1 and
Sahar Shekoohi
1,*
1
Department of Anesthesiology, Louisiana State University Health Sciences Center at Shreveport, Shreveport, LA 71103, USA
2
School of Medicine, Louisiana State University Health Sciences Center at Shreveport, Shreveport, LA 71103, USA
*
Author to whom correspondence should be addressed.
Neurol. Int. 2025, 17(9), 142; https://doi.org/10.3390/neurolint17090142
Submission received: 12 June 2025 / Revised: 3 September 2025 / Accepted: 5 September 2025 / Published: 8 September 2025
(This article belongs to the Section Pain Research)
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Abstract

Pediatric hip surgeries are associated with moderate to high levels of pain, which, in severe cases can lead to opioid prescription and use. There is a growing focus on reducing post-operative pain in these patients to decrease the need for opioids, as well as increase early mobilization for recovery. Conventional methods of pain relief using opioids can have unwanted negative impacts on pediatric patients such as respiratory depression, nausea, confusion, and the concerning possibility for the development of dependence. Likewise, traditional methods of anesthesia, like the lumbar epidural block, can have unwanted systemic side effects, such as hypotension, urinary retention, arrhythmias, and spinal abscesses. These complications can lead to longer hospital stays and delayed recovery. This review analyzes the efficacy of a newer regional anesthesia technique, the pericapsular nerve group (PENG) block, in comparison to the lumbar epidural block. This technique utilizes precision-based anesthesia to selectively block the articular branches to the hip joint while avoiding the main trunks of the femoral and obturator nerves. Additionally, with the utilization of high-resolution ultrasound to guide the blocks, providers can increasingly count on proper insertion and predictable anesthetic spread. The result is a motor-sparing blockade that shows promise in allowing earlier mobilization and better functional recovery times after pediatric hip surgeries.
Keywords: pericapsular nerve group block; lumbar epidural block; hip surgeries; pain management pericapsular nerve group block; lumbar epidural block; hip surgeries; pain management

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MDPI and ACS Style

Ahmadzadeh, S.; Schwab, H.M.; O’Dell Duplechin, M.; Broocks, K.M.; Hirsch, J.D.; Drinkard, J.; Shekoohi, S. Pericapsular Nerve Group Block Versus Lumbar Epidural Block for Pain Management After Hip Surgeries with a Focus on Pediatric Patients: A Narrative Review. Neurol. Int. 2025, 17, 142. https://doi.org/10.3390/neurolint17090142

AMA Style

Ahmadzadeh S, Schwab HM, O’Dell Duplechin M, Broocks KM, Hirsch JD, Drinkard J, Shekoohi S. Pericapsular Nerve Group Block Versus Lumbar Epidural Block for Pain Management After Hip Surgeries with a Focus on Pediatric Patients: A Narrative Review. Neurology International. 2025; 17(9):142. https://doi.org/10.3390/neurolint17090142

Chicago/Turabian Style

Ahmadzadeh, Shahab, Hunter M. Schwab, Mary O’Dell Duplechin, Kalob M. Broocks, Jon D. Hirsch, Joseph Drinkard, and Sahar Shekoohi. 2025. "Pericapsular Nerve Group Block Versus Lumbar Epidural Block for Pain Management After Hip Surgeries with a Focus on Pediatric Patients: A Narrative Review" Neurology International 17, no. 9: 142. https://doi.org/10.3390/neurolint17090142

APA Style

Ahmadzadeh, S., Schwab, H. M., O’Dell Duplechin, M., Broocks, K. M., Hirsch, J. D., Drinkard, J., & Shekoohi, S. (2025). Pericapsular Nerve Group Block Versus Lumbar Epidural Block for Pain Management After Hip Surgeries with a Focus on Pediatric Patients: A Narrative Review. Neurology International, 17(9), 142. https://doi.org/10.3390/neurolint17090142

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