Management of lower limb complex regional pain syndrome type 1: an evaluation of percutaneous radiofrequency thermal lumbar sympathectomy versus phenol lumbar sympathetic neurolysis--a pilot study.

  • Manjunath P
  • Jayalakshmi T
  • Dureja G
 et al. 
  • 15

    Readers

    Mendeley users who have this article in their library.
  • N/A

    Citations

    Citations of this article.

Abstract

BACKGROUND: Complex regional pain syndrome type 1 can be difficult to treat. The purpose of this study was to compare the safety and efficacy of two therapeutic options: percutaneous radiofrequency thermal lumbar sympathectomy and lumbar sympathetic neurolysis.

METHODS: We randomized 20 patients to receive percutaneous radiofrequency lumbar sympathectomy or lumbar sympathetic neurolysis with phenol 7% in lower limb complex regional pain syndrome type 1. The study end points were pain relief and side effects.

RESULTS: Within each group, there were statistically significant reductions from baseline in various pain scores after the procedure. However, there was no statistically significant difference in mean pain scores between the groups.

CONCLUSIONS: Based on this pilot study, radiofrequency lumbar sympathectomy may be comparable to phenol lumbar sympathectomy. A larger trial is required to confirm these findings.

Author-supplied keywords

  • Adult
  • Aged
  • Autonomic Nerve Block
  • Autonomic Nerve Block: methods
  • Disease Management
  • Double-Blind Method
  • Female
  • Humans
  • Lumbar Vertebrae
  • Male
  • Middle Aged
  • Phenol
  • Phenol: administration & dosage
  • Pilot Projects
  • Prospective Studies
  • Radio Waves
  • Radio Waves: therapeutic use
  • Reflex Sympathetic Dystrophy
  • Reflex Sympathetic Dystrophy: physiopathology
  • Reflex Sympathetic Dystrophy: therapy
  • Sympathectomy
  • Sympathectomy: methods

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document

Authors

  • Prashanth S Manjunath

  • T S Jayalakshmi

  • G P Dureja

  • a Toby Prevost

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free