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Ganglion blocks as a treatment of pain: current perspectives

Authors Gunduz OH, Kenis-Coskun O

Received 3 August 2017

Accepted for publication 27 October 2017

Published 14 December 2017 Volume 2017:10 Pages 2815—2826

DOI https://doi.org/10.2147/JPR.S134775

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Katherine Hanlon

Osman Hakan Gunduz, Ozge Kenis-Coskun

Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Marmara University, Istanbul, Turkey

Abstract: The inputs from sympathetic ganglia have been known to be involved in the pathophysiology of various painful conditions such as complex regional pain syndrome, cancer pain of different origin, and coccygodynia. Sympathetic ganglia blocks are used to relieve patients who suffer from these conditions for over a century. Many numbers of local anesthetics such as bupivacaine or neurolytic agents such as alcohol can be chosen for a successful block. The agent is selected according to its duration of effect and the purpose of the injection. Most commonly used sympathetic blocks are stellate ganglion block, lumbar sympathetic block, celiac plexus block, superior hypogastric block, and ganglion Impar block. In this review, indications, methods, effectiveness, and complications of these blocks are discussed based on the data from the current literature.

Keywords: cancer pain, complex regional pain syndrome, ganglion, pain management, sympathetic nervous system
 

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