Ganglion blocks as a treatment of pain: current perspectives

The inputs from sympathetic ganglia have been known to be involved in the pathophysiology of various painful conditions such as complex regional pain syndrome, cancer pain of different origin, and coccygodynia. Sympathetic ganglia blocks are used to relieve patients who suffer from these conditions...

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Bibliographic Details
Published in:Journal of pain research 2017-01, Vol.10, p.2815-2826
Main Authors: Gunduz, Osman Hakan, Kenis-Coskun, Ozge
Format: Article
Language:English
Subjects:
Analysis
cancer pain
complex regional pain syndrome
Dosage and administration
Drug therapy
ganglion
Ganglionic blockers
Headaches
Nervous system
Pain
Pain management
Post traumatic stress disorder
Review
Studies
sympathetic nervous system
Ultrasonic imaging
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Summary:The inputs from sympathetic ganglia have been known to be involved in the pathophysiology of various painful conditions such as complex regional pain syndrome, cancer pain of different origin, and coccygodynia. Sympathetic ganglia blocks are used to relieve patients who suffer from these conditions for over a century. Many numbers of local anesthetics such as bupivacaine or neurolytic agents such as alcohol can be chosen for a successful block. The agent is selected according to its duration of effect and the purpose of the injection. Most commonly used sympathetic blocks are stellate ganglion block, lumbar sympathetic block, celiac plexus block, superior hypogastric block, and ganglion Impar block. In this review, indications, methods, effectiveness, and complications of these blocks are discussed based on the data from the current literature.
ISSN:1178-7090
1178-7090
DOI:10.2147/JPR.S134775