Lumbar Sympathetic Block for the Pain Management of Diabetic Neuropathy: A case report.
10.4097/kjae.1996.30.4.498
- Author:
Young Deog CHA
1
;
Seung Dae LEE
;
Chun Sook KIM
Author Information
1. Department of Anesthesiology, Soonchunhyang University College of Medicine, Chunan, Korea.
- Publication Type:Case Report
- Keywords:
Metabolism;
diabetes;
Pain;
neuropathy;
Sympathetic nervous system;
ganglion blockade
- MeSH:
Burns;
Diabetic Neuropathies*;
Foot;
Ganglia, Sympathetic;
Humans;
Metabolism;
Middle Aged;
Pain Management*;
Sleep Initiation and Maintenance Disorders;
Sympathetic Nervous System
- From:Korean Journal of Anesthesiology
1996;30(4):498-501
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Involvement of the peripheral nerveous system by diabetes is referred to as diabetic neuropathy. The frequency of diabetic neuropathy ranges from 5% to 60% and the pain management is one of the greatest problem. The patient was a 57-year-old man who has been treated with diabetes(DM type IIa) for about 12 years. The symmetrical pain, swelling and sensory loss on feet were started 3 months before admission and the burning pain was intensified at night with resultant insomnia. The systoms were aggravated 1 month ago and they were not relieved by any medication and physical therapy. We attempted lumbar epidural block to the patient and the result was good. So we performed a permanent lumbar sympathetic ganglion block with neurolytics(99.9% alcohol) for the long term relief of pain. The patient was satisfied with the result of the block and discharged.
