Neurolitic block of the lumbar sympathetic chain improves chronic pain in a patient with critical lower limb ischemia

Barreto, Elton Pereira de Sá; Nascimento, Jedson dos Santos; Castro, Anita Perpetua Carvalho Rocha de

doi:10.1016/j.bjane.2015.03.011

Cited by 2 publications

(1 citation statement)

References 16 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The use of LSGB can destroy the innervation of sympathetic nerves on the blood vessels of the lower extremities, and the innervated blood vessels continue to expand to improve local blood circulation and nutrient supply, thereby reducing pain (Table 2 ). 47 , 48 , 49 , 50 , 51 …”

Section: Application Of Lsgb In Lower Limb Painmentioning

confidence: 99%

Efficacy of the lumbar sympathetic ganglion block in lower limb pain and its application prospects during the perioperative period

Zhang

Deng

Geng

2022

Ibrain

View full text Add to dashboard Cite

The sympathetic nervous system is involved in the physiological pathogenesis of many different types of chronic pain. Sympathetic blocks can interrupt the reflex control system by intercepting the noxious afferent fibers accompanying autonomic nerves, resulting in changes in peripheral or central sensory processing. A lumbar sympathetic ganglion block (LSGB), as a treatment method, refers to the injection of nerve blockers into the corresponding lumbar sympathetic nerve segments, usually requiring imaging assistance (CT, X-ray, ultrasound) to guide. At present, LSGB has been widely used in the clinical treatment of lower limb pain, such as neuropathic pain, lower limb ischemic pain, and so on. Its mechanism of action may be through inhibiting sympathetic nerve activity and dilating blood vessels, thereby alleviating pain and inhibiting stress response. However, there are few reports of LSGB during the perioperative period, especially in postoperative pain and gastrointestinal function. Therefore, by studying the literature about LSGB-related studies, this article reviews the anatomy of the lumbar sympathetic nerve (LSN), with its clinical application and possible mechanism. We reviewed the analgesic effect of LSGB in patients with lower limb pain and postoperative pain and the potential application prospects in the recovery of gastrointestinal function, finally providing a reference for its clinical application.

show abstract

Section: Application Of Lsgb In Lower Limb Painmentioning

confidence: 99%

Efficacy of the lumbar sympathetic ganglion block in lower limb pain and its application prospects during the perioperative period

Zhang

Deng

Geng

2022

Ibrain

View full text Add to dashboard Cite

show abstract

Effectiveness of Lumbar Sympathetic Block in Patients of Chronic Leg Pain Presented to Pain Clinic at a Tertiary Government Hospital Over Past Two-Years: A Retrospective and Observational Study.

Kulkarni

Lokapur

2021

PIJR

View full text Add to dashboard Cite

Background:Lumbar sympathetic block is used in inoperable peripheral vascular disease. The block acts as a vasodilator by decreasing sympathetic tone and improves tissue oxygenation and helps in ulcer healing. No guidelines exist till date for its use in patients with chronic leg pain and ulcers. The management of patients with unreconstructable distal disease with rest pain has always been difficult. Lumbar sympathetic block helps to abolish this rest pain. Aims and Objectives: 1. To study the effectiveness of lumbar sympathetic block 2. To study the ideal level for needle insertion for 100% success rate. 3. To follow up the patients for 1 week, 4 weeks and 12 weeks for relief of symptoms. 4. To study the safety of the block and note the complications. Materials and Methods: After approval of ethical committee, this retrospective study was conducted from Pain Clinic Records over the past two years. Total number of patients studied were 30 over past 2 years. Data Collection: Demographic Data and VAS score was recorded Preblock walking distance was recorded. CT guided lumbar sympathetic block was given. Results and Conclusion: Lumbar sympathetic block was very useful, safe and effective method to decrease the rest pain in patients presented to pain OPD of our hospital. Follow up for 3 months showed healing of ulcers in some of these patients.

show abstract

Neurolitic block of the lumbar sympathetic chain improves chronic pain in a patient with critical lower limb ischemia

Cited by 2 publications

References 16 publications

Efficacy of the lumbar sympathetic ganglion block in lower limb pain and its application prospects during the perioperative period

Efficacy of the lumbar sympathetic ganglion block in lower limb pain and its application prospects during the perioperative period

Effectiveness of Lumbar Sympathetic Block in Patients of Chronic Leg Pain Presented to Pain Clinic at a Tertiary Government Hospital Over Past Two-Years: A Retrospective and Observational Study.

Contact Info

Product

Resources

About