Related Experiment Videos
[Effects of selective radicular block for reflex sympathetic dystrophy]
H Yamagami1, K Hashizume, M Shimokawa
1Department of Anesthesiology, Nara Medical University, Kashihara.
Masui. the Japanese Journal of Anesthesiology
|September 1, 1995
Summary
Selective radicular block offers significant pain relief for reflex sympathetic dystrophy patients. This treatment shows a 66.7% effective rate, with lasting pain management in many cases.
Area of Science:
- Pain Management
- Neurology
- Interventional Pain Medicine
Background:
- Reflex sympathetic dystrophy (RSD) often results in intractable pain.
- Previous neurolytic sympathetic ganglion blockade may not fully resolve symptoms.
- Residual pain necessitates further therapeutic interventions.
Purpose of the Study:
- To evaluate the therapeutic effects of selective radicular block.
- To assess pain relief in patients with residual RSD pain post-blockade.
- To determine the efficacy and safety of this intervention.
Main Methods:
- A cohort of 30 patients with RSD and residual pain was treated.
- Selective radicular block was performed as the therapeutic intervention.
- Pain relief, side effects, and long-term outcomes were monitored.
Main Results:
- An effective rate of 66.7% was observed, with 10 patients achieving complete pain relief.
- Minor side effects occurred in 10% of patients.
- Pain relief persisted in 16 out of 20 successful cases at 2 months.
- Diffuse pain responded better than regional pain; numbness and neuroma were unaffected.
Conclusions:
- Selective radicular block is a useful therapy for residual pain in RSD patients after neurolytic sympathetic ganglion blockade.
- The procedure demonstrates a favorable efficacy and safety profile for indicated cases.
- Further research may explore optimal patient selection for this intervention.