Efficacy of T2-T3 Thoracic Sympathetic Block for Management of Complex Regional Pain Syndrome 1

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DOI: 10.21522/TIJMD.2013.07.02.Art002

Authors : Jayesh Thakrar


Background: This study is performed to evaluate the efficacy of radiofrequency ablation of T2-T3 Thoracic Sympathetic block for pain management of Complex Regional Pain Syndrome 1.

Material and Methodology: We performed first stellate ganglion block for all patients in CRPS1. Those patients who have reduce pain score less than 50% was considered for diagnostic T2-T3 Thoracic Sympathetic Block. We had done Radiofrequency Ablation in patients who have pain relief more than 50% pain relief in diagnostic T2-T3 block. We have recorded to VAS pain score and requirement of analgesic dose of drugs among patients before and after Radiofrequency Ablation.

Results: Treatment produced a significant reduction in pain score, VAS value and significantly reduce in dose of analgesic drugs.

Conclusions: The study of 18 patients shows that T2-T3 thoracic sympathetic block is effective in CRPS 1 who has inadequate pain relief in stellate ganglion block. Radiofrequency Ablation gives long term pain relief and decrease dosages of analgesic drugs.


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