Indian Journal of Pain

ORIGINAL ARTICLE
Year
: 2014  |  Volume : 28  |  Issue : 1  |  Page : 24--28

Chemical lumbar sympathetic plexus block in Buerger俟Q製 disease: Current scenario


Rampal Singh1, Aparna Shukla2, Lakhwinder Singh Kang1, Anand Prakash Verma1 
1 Department of Anesthesiology, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India
2 Department of Anesthesiology, Integral Institute of Medical Sciences and Research, Lucknow, Uttar Pradesh, India

Correspondence Address:
Aparna Shukla
Department of Anesthesiology, Integral Institute of Medical Sciences and Research, Lucknow, Uttar Pradesh - 226 026
India

Introduction: High incidences of Buerger俟Q製 disease (43-62%) in India draw our attention towards available treatment modalities in such patients. Patients with this disease are in severe pain and agony. Pain relief by any means remains first and foremost priority in such patients and if patient is able to sleep even one pain free night it is a boon for the patients. The purpose of study was to test the hypothesis that lumber sympathetic block relieves the pain of ischemic limb in Buerger俟Q製 disease. Aims and Objectives: To study the effect of chemical lumber sympathetic block on visual analog score (VAS) score and walking distance of the patients. Materials and Methods: Lumber sympathetic block was given under C-arm guidance with 17.5 cm long 22 G spinal needle at L3 and L4 level. Diagnostic block was given initially with plain bupivacaine 0.25% with two needle technique. Total seven blocks series were given in all patients. Final block was given with phenol 8%, 8 ml at L3 and L4 level. In postoperative period, VAS score was observed. Effect of block on walking distance was assessed on 3 rd day before giving next block. Statistical analysis: Software Statistical Package for Social Sciences (SPSS) version 11.5 was used for statistical analysis. Data were analyzed by paired t-test and P-value < 0.05 was considered as significant. Results: Both VAS and walking distance improved significantly after each successive block. Healing of ulcers of foot is also noted. Conclusion: Despite advances in treatment modalities in such patients, lumber sympathetic block is still very cost-effective, safe, and least-invasive technique in treating painful ischemic legs.


How to cite this article:
Singh R, Shukla A, Kang LS, Verma AP. Chemical lumbar sympathetic plexus block in Buerger's disease: Current scenario.Indian J Pain 2014;28:24-28


How to cite this URL:
Singh R, Shukla A, Kang LS, Verma AP. Chemical lumbar sympathetic plexus block in Buerger's disease: Current scenario. Indian J Pain [serial online] 2014 [cited 2019 Nov 12 ];28:24-28
Available from: http://www.indianjpain.org/article.asp?issn=0970-5333;year=2014;volume=28;issue=1;spage=24;epage=28;aulast=Singh;type=0