Lumbar sympathetic block for treatment-resistant causalgia in patient with opioid dependence. A case report

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KHADEMI SEYED HOSEIN

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Journal Paper

Paper Information

Journal: Journal of Torbat Heydariyeh University of Medical Sciences Year:2021 | Volume:8 | Issue:4 Page(s): 75-79

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Information Journal Paper

Title

Lumbar sympathetic block for treatment-resistant causalgia in patient with opioid dependence. A case report

Author(s)

KHADEMI SEYED HOSEIN | Issue Writer Certificate

Keywords

Lumbar sympathetic blockQ1

CausalgiaQ1

CRPS type 2Q1

Abstract

Background & Aim: Lumbar sympathetic block is a commonly used technique for sympathetically mediated pain in lower extremity. Causalgia (complex regional pain syndrome (CRPS) type 2) is also accepted to be associated with sympathetic system activation. Treatment of this condition is difficult, especially when in the patients with has opioid dependency. There has not been any report regarding lower-extremity Lumbar sympathetic block in patients with Causalgia and drug dependency. Therefore, in this study, the aim of this study is to present our experience of in the application of the using Lumbar sympathetic block on for the control of chronic and refractory pain of Causalgia (CRPS type 2) in a patient with severe dependence on opioid drugs has been reported. Case Report: The patient was a 36-years-old male with crush injury in the left lower extremity who underwent Lumbar sympathetic block for Causalgia. The score of burning pain is reduced from 10 to 5 NRS (numeric rating scale) and electric-shock-like pain (shooting) was completely disappeared. The patient's opioid was also reduced by 50%. Conclusion: Lumbar sympathetic block could be considered in the treatment of lower limb Causalgia in patient with opioid dependency. More reports and controlled trials are needed for further understanding of the role of long-term efficacy of Lumbar sympathetic block.

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APA: Copy

KHADEMI, SEYED HOSEIN. (2021). Lumbar sympathetic block for treatment-resistant causalgia in patient with opioid dependence. A case report. JOURNAL OF TORBAT HEYDARIYEH UNIVERSITY OF MEDICAL SCIENCES, 8(4 ), 75-79. SID. https://sid.ir/paper/369940/en

Vancouver: Copy

KHADEMI SEYED HOSEIN. Lumbar sympathetic block for treatment-resistant causalgia in patient with opioid dependence. A case report. JOURNAL OF TORBAT HEYDARIYEH UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2021;8(4 ):75-79. Available from: https://sid.ir/paper/369940/en

IEEE: Copy

SEYED HOSEIN KHADEMI, “Lumbar sympathetic block for treatment-resistant causalgia in patient with opioid dependence. A case report,” JOURNAL OF TORBAT HEYDARIYEH UNIVERSITY OF MEDICAL SCIENCES, vol. 8, no. 4 , pp. 75–79, 2021, [Online]. Available: https://sid.ir/paper/369940/en

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