| Lumbar Sympathetic Block for the Pain Management of Diabetic Neuropathy: A case report. |
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Young Deog Cha, Seung Dae Lee, Chun Sook Kim |
1Department of Anesthesiology, Soonchunhyang University College of Medicine, Chunan, Korea.
2Department of Anesthesiology, Inha University College of Medicine, Inchon, Korea. |
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| Abstract |
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Involvement of the peripheral nerveous system by diabetes is referred to as diabetic neuropathy. The frequency of diabetic neuropathy ranges from 5% to 60% and the pain management is one of the greatest problem. The patient was a 57-year-old man who has been treated with diabetes(DM type IIa) for about 12 years. The symmetrical pain, swelling and sensory loss on feet were started 3 months before admission and the burning pain was intensified at night with resultant insomnia. The systoms were aggravated 1 month ago and they were not relieved by any medication and physical therapy. We attempted lumbar epidural block to the patient and the result was good. So we performed a permanent lumbar sympathetic ganglion block with neurolytics(99.9% alcohol) for the long term relief of pain. The patient was satisfied with the result of the block and discharged. |
| Key Words:
Metabolism; diabetes; Pain; neuropathy; Sympathetic nervous system; ganglion blockade |
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