J Korean Pain Soc.
1988 Jun;1(1):120-124.
Phenol Lumbar Sympathetic Block for Buerger's Disease
- Affiliations
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- 1Department of Anesthesiology, Chonnam National University Medical School, Daejeon, Korea.
Abstract
- Phenol sympathetic block is valuable for the treatment of ischemic pain, gangrene, intermittent claudication, Paget's disease of the bone and pain associated with pancreatitis, pancreatic carcinoma, etc. The author has experienced a case of successful lumber sympathetic block using 7% phenol under fluoroscopy and given to a patient with Buerger's disease who had severe pain and ulceration of the right great toe for several years. After the sympathetic block, 2 epidural blocks with 2.5% bupivacaine were done in order to augment the effects of this sympathetic block. Subsidence of rest pain, increase in walking distance from under 100 M to over 500 M and circulatory improvement of the affected limb were observed. Improvement of circulation was confirmed by strain gauge plethysmography.
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