Skin Temperature Assessment During Lumbar Sympathetic Blocks by Infrared Thermography

Cañada-Soriano, Mar; Priego-Quesada, José Ignacio; Rubio, Paula; Bovaira, Maite; García‐Vitoria, Carles; Palmer, Rosario Salvador; Anda, Rosa Cibrián Ortiz de; Moratal, David

doi:10.1109/embc46164.2021.9629731

Cited by 2 publications

(4 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To standardize practice, the International Academy of Clinical Thermology (IACT) released guidelines in 2002 with the minimum characteristics necessary for infrared thermography use in clinical practice, which includes guidelines on training staff, laboratory requirements, device specifications, imaging and patient management protocols, and modalities on data reporting. 9 When measurement parameters are well controlled in this manner, infrared thermography has demonstrated accuracy and precision in CRPS 10–13 and has been recognized as a valuable diagnostic tool, particularly in atypical cases of CRPS 14 or when disease burden waxes and wanes, as in our case. In a separate study, infrared thermography was used to develop a marker of disease severity in CRPS, non-CRPS painful limb conditions, and healthy controls.…”

Section: Discussionmentioning

confidence: 80%

“…7,8 In addition, infrared thermal imaging has been applied to the assessment of efficacy of lumbar sympathetic blocks in CRPS. 12,13 While our report is limited by the patient's willingness to provide consistent and honest measurements (eg, consistent camera distance, stable ambient temperature, and high-resolution images free of artifact or falsification), the infrared images he provided facilitated CRPS diagnosis and aided treatment monitoring throughout the disease course. Moreover, his journal stimulated more thoughtful clinicianpatient discussions about the nature of CRPS and seemed to strengthen the therapeutic alliance.…”

Section: Discussionmentioning

confidence: 99%

“…7,8 In addition, infrared thermal imaging has been applied to the assessment of efficacy of lumbar sympathetic blocks in CRPS. 12,13…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A Complex Regional Pain Syndrome Imaging Journal: Case Report

Tucker-Bartley

Ahmed

et al. 2022

A&A Practice

View full text Add to dashboard Cite

Complex regional pain syndrome (CRPS) poses a diagnostic and management challenge for many clinicians, particularly when disease symptomatology waxes and wanes. Monitoring symptom variations with digital and infrared thermal images allows for more accurate evaluation of disease progression overtime. We present the case of a patient who developed CRPS and catalog his symptoms using a digital and infrared thermal imaging diary. The images were instrumental toward establishing the initial diagnosis of CRPS, monitoring disease progression, and assessing response to treatment. We discuss the present understanding of infrared thermography in CRPS and advocate for its routine use at the beside.

show abstract

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Complex Regional Pain Syndrome Imaging Journal: Case Report

Tucker-Bartley

Ahmed

et al. 2022

A&A Practice

View full text Add to dashboard Cite

show abstract

“…Along this, and according to studies, the IRT been proved as a valuable technique in evaluating the performance of LSBs. 15,36 Apart from being a non-contact image technique compared with palpation or thermocouples 19,32 that are subjective or alter the skin temperature of the patient, thermal images provide much more thermal information allowing, in turn, straightforward interpretations.…”

Section: Discussionmentioning

confidence: 99%

Clinical results of lumbar sympathetic blocks in lower limb complex regional pain syndrome using infrared thermography as a support tool

et al. 2023

Self Cite

View full text Add to dashboard Cite

AimTo describe the clinical outcomes for a group of complex regional pain syndrome patients using infrared thermography as an intraprocedural support tool when undertaking fluoroscopy‐guided lumbar sympathetic blocks.Subjects27 patients with lower limb complex regional pain syndrome accompanied by severe pain and persistent functional impairment.MethodsA series of three fluoroscopic‐guided lumbar sympathetic blocks with local anesthetic and corticoids using infrared thermography as an intraprocedural support tool were performed. Clinical variables were collected at baseline, prior to each block, and one, three, and six months after blocks in a standardized checklist assessing each of the clinical categories of complex regional pain syndrome stipulated in the Budapest criteria.Results23.75% of the blocks required more than one chance to achieve the desired thermal pattern and therefore to be considered as successful. A decrease in pain measured on a visual analogic scale was observed at all time points compared to pre‐blockade data, but only 37% of the cases were categorized as responders, representing a ≥ 30% decrease in VAS, with the disappearance of pain at rest. An improvement of most of the clinical variables recorded was observed, such as tingling, edema, perception of thermal asymmetry, difference in coloring and sweating. There was a significant decrease of neuropathic pain and improvement of functional limitation. Logistic regression analysis showed the main variable to explain the probability of being a responder was immobilization time (odds ratio of 0.89).ConclusionA series of fluoroscopy‐guided lumbar sympathetic blocks controlled by infrared thermography in the treatment of lower limb CRPS showed a responder rate of 37%.

show abstract

Skin Temperature Assessment During Lumbar Sympathetic Blocks by Infrared Thermography

Cited by 2 publications

References 12 publications

A Complex Regional Pain Syndrome Imaging Journal: Case Report

A Complex Regional Pain Syndrome Imaging Journal: Case Report

Clinical results of lumbar sympathetic blocks in lower limb complex regional pain syndrome using infrared thermography as a support tool

Contact Info

Product

Resources

About