Interventional Pain Management: Ganglionic blocks

Computer-Tomographic- and Image Intensifier-Guided Short-Term Ganglionic Blocks

Thoracic Spinal Column

Precise placement of a special needle near the sympathetic trunk is made possible through the use of image intensifier technology and, when necessary, contrast medium. Medication is injected after needle placement.

Lumbar Spinal Column

The needle is placed in the lumbar spine and the procedure continues as above.

Sacrum

The needle is placed in the sacrum and the procedure continues as above.

Indications

Thoracic Spinal Column

• occlusive arterial disease of the upper extremities
  
• brachial plexus injury following radiation therapy
  
• phantom-limb pain
  
• neuralgia following herpes infection
  
• acute herpes zoster (shingles)
  

Lumbar Spinal Column

• occlusive arterial disease of the lower extremities
  
• sympathetic reflex dystrophy (skin and soft tissue degeneration resulting from poor circulation)
  

Sacrum

• Schmerzen durch Tumorinfiltration des Beckens
  
• pelvic and leg pain caused by pelvic tumors
  

Value

Computer tomographic and image intensifier technology make a precise pain treatment possible; the correct diagnosis, however, is required. Follow-up treatment such as physical therapy is necessary. The procedure may sometimes have to be repeated.

Advantage

This is a minimal invasive procedure, available on an out-patient basis. Long and involved surgical procedures are rendered unnecessary. Medications can be reduced after treatment.

Follow-Up

A customized plan of physical therapy should be initiated immediately following treatment. The coordination of doctor and physical therapist is necessary.

Work

Light physical activity is usually possible one to two weeks after treatment, depending on diagnosis.

Sport

Patients active in sports receive an individual consultation

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