Lumbar Erector Spinae Plane Block versus Pericapsular Nerve Group Block for Hip Replacement Surgery: A Narrative Review

Authors

• Shahab Ahmadzadeh, LSU Health Sciences Center Shreveport, Shreveport, LA
• Riley K. Noble, LSU Health Sciences Center Shreveport, Shreveport, LA
• Joseph G. Wentling, LSU Health Sciences Center - New OrleansFollow
• Bennett M. Ford, LSU Health Sciences Center - New OrleansFollow
• Claire E. Cordell, LSU Health Sciences Center Shreveport, Shreveport, LA
• Taylor W. Moss, LSU Health Sciences Center Shreveport, Shreveport, LA
• Sahar Shekoohi, LSU Health Sciences Center Shreveport, Shreveport, LA
• Alan D. Kaye, LSU Health Sciences Center Shreveport, Shreveport, LA

Document Type

Article

Publication Date

7-8-2026

Publication Title

Current Pain and Headache Reports

Abstract

Purpose of Review: Important aspects of hip replacement surgery to consider are regional anesthesia techniques and postoperative analgesia and ambulation. Recent Findings: To maximize targeted pain relief for hip surgery while minimizing postoperative opioid consumption, two ultrasound-guided regional anesthesia nerve blocks are necessary to compare: the lumbar erector spinae plane (L-ESP) block and the pericapsular nerve group (PENG) block. Both the L-ESP and PENG blocks are useful in providing effective regional anesthesia during hip replacement surgery. Additionally, postoperatively, both blocks allow for a decrease in opioid consumption and a preservation of motor function to support ambulation. However, the targets of the blocks are different; the PENG block is focused on the anterior hip capsule, while the L-ESP block has broader coverage and can anesthetize both anterior and posterior hip regions. Summary: This narrative review explores the anatomy involved in hip replacement surgery, anesthesia, clinical considerations, and differences in using an L-ESP block compared to a PENG block.

PubMed ID

42418041

Volume

30

Rights

Copyright © 2026, The Author(s), under exclusive licence to Springer Science Business Media, LLC, part of Springer Nature

Recommended Citation

Ahmadzadeh, Shahab; Noble, Riley K.; Wentling, Joseph G.; Ford, Bennett M.; Cordell, Claire E.; Moss, Taylor W.; Shekoohi, Sahar; and Kaye, Alan D., "Lumbar Erector Spinae Plane Block versus Pericapsular Nerve Group Block for Hip Replacement Surgery: A Narrative Review" (2026). School of Medicine Faculty Publications. 4901.
https://digitalscholar.lsuhsc.edu/som_facpubs/4901
10.1007/s11916-026-01523-2