Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online:42
  • Home
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2016  |  Volume : 30  |  Issue : 3  |  Page : 171-175

Efficacy of stellate ganglion block in the management of CRPS-not otherwise specified


Department of Anaesthesia and Pain Relief Service, Tata Motors Hospital, Jamshedpur, Jharkhand, India

Correspondence Address:
Ashok Jadon
Duplex-63, Vijaya Heritage Phase-6, Kadma, Jamshedpur - 831 005, Jharkhand
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-5333.198018

Rights and Permissions

Background: Stellate ganglion block (SGB) is a well-established treatment option for CRPS (complex regional pain syndrome) type I. However, no studies have been conducted to study its efficacy in patients with CRPS-not otherwise specified (NOS). We conducted a study to evaluate the efficacy of SGB in decreasing pain and improving the functional use of the upper limb in patients with CRPS-NOS. Materials and Methods: We performed SGB on 24 patients with a diagnosis of CRPS-NOS at weekly intervals until 50% relief in pain and functional activity of the limb was achieved. Pain and functional ability of the limb were assessed by visual analog scale (VAS) disabilities of the arm, shoulder, and hand (DASH) scores, respectively. VAS and DASH scores were recorded before and 1 week after the procedure and the results were compared using appropriate statistical tests. The number of blocks required to achieve the desired effect was also noted in all the patients. Results: All the patients in our study showed significant improvement in VAS (P = 0.001) and DASH scores (P < 0.001). It was noted that the number of blocks required to achieve the desired relief was lower in patients with shorter duration of symptoms (<12 weeks) than those with longer duration of symptoms (>12 weeks). This finding was statistically significant (P = 0.047). Conclusion: SGB used early in the course of disease improves pain and functional ability of the limb in patients with CRPS-NOS. We also presume that CRPS-NOS might be an initial stage of the full blown CRPS and hence can serve as a window period in identifying and treating patients early in the course of the disease. However, this finding needs to be substantiated by further studies.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1854    
    Printed38    
    Emailed0    
    PDF Downloaded153    
    Comments [Add]    

Recommend this journal