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Lumbar Sympathetic Block

  • Sascha Qian
  • Vikram Sengupta
  • Ned Urbiztondo
  • Nameer Haider
Chapter

Abstract

Lumbar sympathetic block is a diagnostic test that is used to confirm the involvement of the sympathetic nervous system and a potential treatment for sympathetically mediated pain disorders such as complex regional pain syndrome. It involves targeting the sympathetic nervous system with local anesthetic or phenol; radiofrequency ablation has also been shown to be effective. Negative response to the block may be secondary to technical failure or a chronic pain pathology which is now sympathetically independent. Evidence for efficacy comprise primarily of case studies and small randomized trials, while there is a paucity of high-quality randomized control trials comparing treatment with placebo.

Keywords

Local anesthesia infiltration Chemical neurolysis Radiofrequency ablation Complex regional pain syndrome Diabetic neuropathy Raynaud’s phenomenon Hyperhidrosis Phantom limb pain Chronic occlusive arterial disease 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Sascha Qian
    • 1
  • Vikram Sengupta
    • 1
  • Ned Urbiztondo
    • 1
  • Nameer Haider
    • 1
  1. 1.Spinal & Skeletal Pain MedicineUticaUSA

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