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CRPS and Sympathectomy

Doctor Hooshmand and I have co-authored the following article: Complex Regional Pain Syndrome(CRPS) and Sympathectomy.

Below is an abstract from the article Complex Regional Pain Syndrome (CRPS) and Sympathectomy.

Please click on the link below to view the full text of this article in PDF-format.

CRPS and Sympathectomy

 

Complex Regional Pain Syndrome (CRPS) and Sympathectomy

H. Hooshmand, M.D. and Eric M. Phillips

Neurological Associates Pain Management Center

Vero Beach, Florida

 

Abstract. Sympathectomy may provide temporary pain relief, but after a few weeks to months it loses its effect. Sympathectomy and the application of Chemical Sympathectomy (neurolytic agents e.g., phenol, alcohol, etc.) should be limited to patients with life expectancies measured in weeks or months - e.g., cancer patients.

Chemical Sympathectomy (e.g., alcohol, phenol or hypertonic saline nerve blocks) aimed at destroying the nerves are apt to fail, to cause serious complications, and aggravation of the pain - by leaving a large scar behind.

Complex Regional Pain Syndrome (CRPS) patients should not be exposed to aggravation of pain due to sympathectomy, chemical sympathectomy or radiofrequency sympathectomy.

Keywords. Complex Regional Pain Syndrome (CRPS), Chemical Sympathectomy, Reflex Sympathetic Dystrophy (RSD), Sympathectomy, and Radiofrequency Sympathectomy.