Korean J Anesthesiol.  1996 Apr;30(4):498-501. 10.4097/kjae.1996.30.4.498.

Lumbar Sympathetic Block for the Pain Management of Diabetic Neuropathy: A case report

• Cha YD
• Lee SD
• Kim CS

• KMID: 1860476
• DOI: http://doi.org/10.4097/kjae.1996.30.4.498

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.

Keyword

Metabolism; diabetes; Pain; neuropathy; Sympathetic nervous system; ganglion blockade

MeSH Terms

Burns
Diabetic Neuropathies*
Foot
Ganglia, Sympathetic
Humans
Metabolism
Middle Aged
Pain Management*
Sleep Initiation and Maintenance Disorders
Sympathetic Nervous System