J Korean Pain Soc.  1992 Nov;5(2):273-278.

Chronic Pain Control of SCI Patients after Cervical Epidural Block: Case report on 2 cases

• Lee JY
• Sung CH

Abstract

With the medical progress that has given spinal cord injured (SCI) individuals greater longevity and better overall health, chronic pain is emerged as major challenge in treating this population. According to past reports, estimates of prevalance of severe/disabling chronic pain in SCI patients have ranged from 18% to 63%. In etiologies of chronic pain in SCI patients, psychic or psychogenic pain categories should be included and more recent data have demonstrated that the persistant pain is directly related to higher levels of psychosocial distress and impairment. Recently, neurophysiological classification of the SCI pain syndrome into three etiologic groups (a; mechanical pain, b; radicular pain, c; deafferentation pain) is more frequently adopted for the classification of chronic SCI pain syndrome. The deafferentation pain is most common of the pain syndromes associated with SCI. After cervical epidural anesthesia for the surgical intervention of decubitus ulcer on the hip of two SCI patients, there were much reduction of existing chronic deafferentation character pain.

Keyword

SCI patients; Chronic pain; Cervical epidural block; Pain reduction

MeSH Terms

Anesthesia, Epidural
Causalgia
Chronic Pain*
Classification
Hip
Humans
Longevity
Pressure Ulcer
Spinal Cord