The Use of Stellate Ganglion Block and Interscalene Brachial Plexus Catheter to Treat Shoulder Hand Syndrome – A Case Report

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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

References

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2. Detaille V, Busnel F, Ravary H, Jacquot A, Katz D, Allano G. Use of continuous interscalene brachial plexus block and rehabilitation to treat complex regional pain syndrome of the shoulder. Ann Phys Rehabil Med. 2010 Aug;53(6–7):406–16.
3. Ferrillo MG. Treatment of complex regional pain syndrome with stellate ganglion local anesthetic blockade: a case report of one patient’s experiences with traditional bupivacaine HCl and liposome bupivacaine. Clin Case Rep. 2016 Jul 27;4(9):861–5.
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9. Yucel I, Demiraran Y, Ozturan K, Degirmenci E. Complex regional pain syndrome type I: efficacy of stellate ganglion blockade. J Orthop Traumatol Off J Ital Soc Orthop Traumatol. 2009 Dec;10(4):179.
10. Schürmann M, Gradl G, Wizgal I, Tutic M, Moser C, Azad S, et al. Clinical and Physiologic Evaluation of Stellate Ganglion Blockade for Complex Regional Pain Syndrome Type I. Clin J Pain. 2001 Mar;17(1):94–100.
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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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