Regional Anesthesia for Chronic Pain

  • Neil Malhotra
  • Vijay Krishnamoorthy
  • Effrossyni G. Votta-Velis
  • Alain Borgeat


Sympathetic blockade has become a mainstay of therapy in the treatment of a variety of cancer-related and chronic pain conditions. The advent of ultrasound-, fluoroscopy-, endoscopy-, and CT-guided techniques has brought this important area of pain control to the regional anesthesiologist and pain management specialist. Imaging has allowed precise placement of needles to deliver local anesthetics, steroids, and neurolytic substances to block various sympathetic ganglia. With these techniques, pain relief can potentially be achieved for a variety of cancer and noncancer pain conditions.


CRPS Budapest criteria for CRPS Neuropathic pain Postherpetic neuralgia Phantom limb pain Sympathetic blocks Celiac plexus block Hypogastric plexus block 



The authors wish to thank Dr. Ruben Koshy for his contribution to this chapter in the prior edition.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Neil Malhotra
    • 1
  • Vijay Krishnamoorthy
    • 2
  • Effrossyni G. Votta-Velis
    • 1
  • Alain Borgeat
    • 3
  1. 1.Department of AnesthesiologyUniversity of Illinois at ChicagoChicagoUSA
  2. 2.Department of AnesthesiologyUniversity of WashingtonSeattleUSA
  3. 3.Department of AnesthesiologyBalgrist University HospitalZurichSwitzerland

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