Complex Regional Pain Syndrome Type 2 (Causalgia) After Automated Laser Discectomy

Plancarte, Ricardo; Calvillo, Octavio

doi:10.1097/00007632-199702150-00021

Cited by 26 publications

(10 citation statements)

References 5 publications

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“…The literature search produced 12 articles of which 1 was eliminated secondary to it discussing surgical sympathectomy. The remaining 11 are listed in Table 6 52–62 . A grade of 1C was given to references 51 to 59 as these were low‐quality evidence, but the procedure was strongly recommended for situations where analgesics were ineffective for controlling pain.…”

Section: The Blocksmentioning

confidence: 99%

Sympathetic Blocks: The Evidence

Day

2008

Pain Practice

128

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The sympathetic nervous system has been implicated in numerous pain syndromes ranging from neuropathic pain to vascular pain to visceral pain. In light of this, sympathetic ganglia have been the target of local anesthetic blockade to determine the sympathetic role in the transmission of pain. If analgesia is afforded with local anesthetic blockade, chemical or thermal neurolysis have been utilized to attempt to provide long-term relief. Despite frequent use of minimally invasive sympathetic blocks and neurolysis by pain practitioners, their efficacy for providing analgesia has been sparsely reported in the literature. Many case reports and case series have been published, but few placebo-controlled, blinded studies exist. This manuscript will review the literature on sympathetic blocks and summarize existing studies for each of the sympathetic blocks. The goal is to provide past, current, and future pain physicians with evidence that they can use to provide appropriate care for their patients.

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Section: The Blocksmentioning

confidence: 99%

Sympathetic Blocks: The Evidence

Day

2008

Pain Practice

128

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“…In the existing reports, allodynia was always seen following spinal cord injury and associated with resultant neurological deficits [2-5]. We performed intradural lipoma operation microsurgically without incurring injury to spinal cord in our patient.…”

Section: Discussionmentioning

confidence: 83%

“…Allodynia has been reported after spinal cord injury as a result of trauma [2], intrathecal morphine administration [3] and automated lumbar discectomy [4], but no case has been reported previously after intradural lipoma surgery [5]. In the existing reports, allodynia was always seen following spinal cord injury and associated with resultant neurological deficits [2-5].…”

Section: Discussionmentioning

confidence: 99%

Transient Allodynia Following Caudal Lipoma Excision: A Case Report

et al. 2011

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“…A major concern in the performance of PLDD has been post‐procedural pain, with efforts been made to relieve patients of the pain, which would otherwise last from days to months (average of 6 weeks) without any intervention. Nerve blocks have emerged as an attractive interventional therapy in this regard, owing to its ability to completely stop pain compared to analgesics which may just reduce the pain . In the current study, we present our clinical experience with a combination of CT‐guided PLDD and CT‐guided epidural nerve block for the management of lumbar discogenic radiculopathy, demonstrating the effectiveness of such a novel combi‐therapy.…”

Section: Introductionmentioning

confidence: 84%

CT‐Guided Percutaneous Laser Disc Decompression for Lumbar Discogenic Radiculopathy‐Performance of a Novel Combi‐Therapy

Frimpong

Aboagye²,

Frimpong³

et al. 2019

Lasers Surg Med

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Background and Objectives On the basis of reported immediate and short‐term excruciating pain by patients in the post‐procedural period of computed tomography (CT)‐guided percutaneous laser disc decompression (PLDD) in our clinic, we present our initial clinical experience with a novel combi‐therapy using a combination of CT‐guided PLDD and CT‐guided epidural nerve blocks, which proved effective in managing the pain. Study Design/Materials and Methods A total of 100 patients who met the criteria for PLDD, underwent treatment for lumbar discogenic radiculopathy between 2014 and 2017. Fifty‐five percent of the patients were males and 45% were females with a mean age of 46.25 years. Ninety‐five patients underwent one level PLDD and five patients two‐level PLDD procedures. CT‐guided epidural nerve block with a combination of Bupivacaine, Lignocaine, and Kenalog was used in a 3× procedure separated by a 1‐week interval. The first nerve block was given the same day, immediately after the PLDD procedure. The visual analogue scale (VAS) for pain was used during the pre‐procedure and post‐procedure periods. Results Among the patients who underwent one level PLDD, 88 had L4–L5 levels, 5 had L5–S1 levels and 2 had L3–L4 levels. L4–L5 and L5–S1 levels were the most common two‐level PLDD locations in seven patients. Five patients in our study subsequently underwent open surgical treatment. All patients reported immediate pain relief, which was sustained after the procedure. The average pre‐procedure VAS score was 7.6 (range from 5 to 8.2) and the VAS score immediately after the procedure was on average 0.5 (ranging from 0 to 2). Conclusions Findings from this initial experience using a combi‐therapy of CT‐guided PLDD and CT‐guided epidural nerve block have shown the benefits of this novel approach, offering significant immediate pain relief in the post‐procedural phase, favorable outcomes in the short to mid‐term and a significantly reduced rate of re‐surgery (7%) compared with the use of only CT‐guided PLDD. Lasers Surg Med 00:1–5, 2019. © 2019 Wiley Periodicals, Inc.

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Complex Regional Pain Syndrome Type 2 (Causalgia) After Automated Laser Discectomy

Cited by 26 publications

References 5 publications

Sympathetic Blocks: The Evidence

Sympathetic Blocks: The Evidence

Transient Allodynia Following Caudal Lipoma Excision: A Case Report

CT‐Guided Percutaneous Laser Disc Decompression for Lumbar Discogenic Radiculopathy‐Performance of a Novel Combi‐Therapy

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