The Use of Stellate Ganglion Block and Interscalene Brachial Plexus Catheter to Treat Shoulder Hand Syndrome – A Case Report
Vol 3 | Issue 1 | January-June 2022 | Page 23-26 | Amitav V. Philip, Kiran Sasi, Rahul Pillai, Sajan Philip George
DOI: 10.13107/ijra.2022.v03i01.050
Authors: Amitav V Philip [1], Kiran Sasi [2], Rahul Pillai [1], Sajan Philip George [1]
[1] Department of Anaesthesia, Christian Medical College, Vellore, Tamil Nadu, India
[2] Department of Hand and Leprosy Reconstructive Surgery, Paul Brand Centre, Christian Medical College, Vellore, Tamil Nadu, India.
Address of Correspondence
Dr. Amitav V Philip,
Assistant Professor, Department of Anaesthesia, Christian Medical College, Vellore, Tamil Nadu, India.
E-mail: a.philip442@gmail.com
Abstract
Complex regional pain syndrome (CRPS) may develop following trivial trauma and can lead to chronic debilitating pain and dysfunction. There is limited use of sympathetic blocks in the management of CRPS; however, in patients with sympathetically mediated pain, this modality may be of value. In this paper, we report the case of a 50-year-old milkman who was diagnosed with left sided Shoulder Hand Syndrome (CRPS type 1) following prolonged immobilization after sustaining a left 3rd metacarpal fracture. The management plan included the use of a single injection stellate ganglion block and an interscalene brachial plexus catheter which was maintained for one week in order to mitigate the pain cycle. The catheter was maintained for 7 days which improved the compliance to physical therapy and psychosocial rehabilitation of the patient. The patient reported excellent pain relief with return to his work.
Keywords: CRPS type 1, Interscalene brachial plexus catheter, Stellate ganglion block
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| How to Cite this Article: Philip AV, Sasi K, Pillai R, George SP | The Use of Stellate Ganglion Block and Interscalene Brachial Plexus Catheter to Treat Shoulder Hand Syndrome – A Case Report | January-June 2022; 3(1): 23-26.
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