Continuous Thoracic Sympathetic Ganglion Block in Complex Regional Pain Syndrome Patients with Spinal Cord Stimulation Implantation
The sympathetic block is widely used for treating neuropathic pain such as complex regional pain syndrome (CRPS). However, single sympathetic block often provides only short-term effect. Moreover, frequent procedures for sympathetic block may increase the risk of complications. The use of epidural r...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2016/5461989 |
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| author | EungDon Kim MiSun Roh SooHyang Kim DaeHyun Jo |
| author_facet | EungDon Kim MiSun Roh SooHyang Kim DaeHyun Jo |
| author_sort | EungDon Kim |
| collection | DOAJ |
| description | The sympathetic block is widely used for treating neuropathic pain such as complex regional pain syndrome (CRPS). However, single sympathetic block often provides only short-term effect. Moreover, frequent procedures for sympathetic block may increase the risk of complications. The use of epidural route may be limited by concern of infection in case of previous implantation of the spinal cord stimulation (SCS). In contrast, a continuous sympathetic block can be administered without such concerns. The continuous thoracic sympathetic block (TSGB) has been used to treat the ischemic disease and other neuropathic conditions such as postherpetic neuralgia. We administered continuous thoracic sympathetic block using catheter in CRPS patients who underwent SCS implantations and achieved desirable outcomes. We believe a continuous sympathetic block is a considerable option before performing neurolysis or radiofrequency rhizotomy and even after SCS implantation. |
| format | Article |
| id | doaj-art-55a956c6702446f382dfaf3071bba764 |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-55a956c6702446f382dfaf3071bba7642025-02-03T01:21:44ZengWileyPain Research and Management1203-67651918-15232016-01-01201610.1155/2016/54619895461989Continuous Thoracic Sympathetic Ganglion Block in Complex Regional Pain Syndrome Patients with Spinal Cord Stimulation ImplantationEungDon Kim0MiSun Roh1SooHyang Kim2DaeHyun Jo3Department of Anesthesiology and Pain Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea, Daeheung-ro 64, Jung-gu, Daejeon 301-723, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea, Daeheung-ro 64, Jung-gu, Daejeon 301-723, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea, Daeheung-ro 64, Jung-gu, Daejeon 301-723, Republic of KoreaDepartment of Anesthesiology and Pain Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea, Daeheung-ro 64, Jung-gu, Daejeon 301-723, Republic of KoreaThe sympathetic block is widely used for treating neuropathic pain such as complex regional pain syndrome (CRPS). However, single sympathetic block often provides only short-term effect. Moreover, frequent procedures for sympathetic block may increase the risk of complications. The use of epidural route may be limited by concern of infection in case of previous implantation of the spinal cord stimulation (SCS). In contrast, a continuous sympathetic block can be administered without such concerns. The continuous thoracic sympathetic block (TSGB) has been used to treat the ischemic disease and other neuropathic conditions such as postherpetic neuralgia. We administered continuous thoracic sympathetic block using catheter in CRPS patients who underwent SCS implantations and achieved desirable outcomes. We believe a continuous sympathetic block is a considerable option before performing neurolysis or radiofrequency rhizotomy and even after SCS implantation.http://dx.doi.org/10.1155/2016/5461989 |
| spellingShingle | EungDon Kim MiSun Roh SooHyang Kim DaeHyun Jo Continuous Thoracic Sympathetic Ganglion Block in Complex Regional Pain Syndrome Patients with Spinal Cord Stimulation Implantation Pain Research and Management |
| title | Continuous Thoracic Sympathetic Ganglion Block in Complex Regional Pain Syndrome Patients with Spinal Cord Stimulation Implantation |
| title_full | Continuous Thoracic Sympathetic Ganglion Block in Complex Regional Pain Syndrome Patients with Spinal Cord Stimulation Implantation |
| title_fullStr | Continuous Thoracic Sympathetic Ganglion Block in Complex Regional Pain Syndrome Patients with Spinal Cord Stimulation Implantation |
| title_full_unstemmed | Continuous Thoracic Sympathetic Ganglion Block in Complex Regional Pain Syndrome Patients with Spinal Cord Stimulation Implantation |
| title_short | Continuous Thoracic Sympathetic Ganglion Block in Complex Regional Pain Syndrome Patients with Spinal Cord Stimulation Implantation |
| title_sort | continuous thoracic sympathetic ganglion block in complex regional pain syndrome patients with spinal cord stimulation implantation |
| url | http://dx.doi.org/10.1155/2016/5461989 |
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