Evidence Analysis of Sympathetic Blocks for Visceral Pain

Ameet S. Nagpal, Darrell Vydra, Jesus Correa, Isaac A. Zoch, Brian T Boies

Research output: Contribution to journalReview article

Abstract

Purpose of Review: This paper aims to review common sympathetic nerve blocks to treat visceral pain. Recent Findings: Extensive reviews exist exploring the approach to care for those with visceral pain due to malignancy. These often include interventional pain procedures. Research demonstrates these procedures may reduce opioid use. Research is ongoing to assess the efficacy when treating non-malignant source of visceral pain. Recently, several case reports and small-scale studies demonstrate benefits for non-painful entities, such as improved cardiac function after such procedures. Summary: The management of visceral algesia is complex. The approach to visceral pain should recognize the benefit of early discussions for the use of sympathetic blocks. Additionally, since most procedures have multiple techniques, analgesia can be achieved even in the setting of distorted anatomy due to tumor mass effects or post-radiation fibrosis, among other etiologies.

Original languageEnglish (US)
Pages (from-to)253-263
Number of pages11
JournalCurrent Physical Medicine and Rehabilitation Reports
Volume7
Issue number3
DOIs
StatePublished - Sep 15 2019

Keywords

  • Cancer pain
  • Coccydynia
  • Pancreatic pain
  • Pelvic pain
  • Sympathetic blocks
  • Visceral pain

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Orthopedics and Sports Medicine
  • Medicine (miscellaneous)

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