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Indications and Technique of Thoracic(2) and Thoracic(3 )Neurolysis
1Texas Tech University Health Sciences Center, 3601 4th Street, Lubbock, Texas 79430, USA.
Abstract:
This article reviews the technique of thoracic (T)(2) and T(3) sympathetic ganglion block and neurolysis. Historic aspects of this technique are described. The concept of radiofrequency thermocoagulation (RFTC) of T(2) and T(3) is discussed and the technique is detailed. This procedure is useful for complex regional pain syndrome (CRPS), vascular compromise, and neuropathic pain syndromes of upper extremities. It is an alternative to stellate ganglion ablation and may be useful for patients with sympathetically maintained pain who have persistent pain after stellate ganglion procedures.
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