The effects of stellate ganglion block with lidocaine and ultrasound in complex regional pain syndrome: A randomized, double blind, placebo controlled study Kompleks bölgesel aǧri sendromunda lydokain ve ultrason i̇le yapilan stellat ganglyon blokajinin etki̇nli̇ǧi̇: Çi̇ft kör randomi̇ze plasebo kontrollü çalişma
Journal of Rheumatology and Medical Rehabilitation, cilt.17, sa.3, ss.193-200, 2006 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 17 Sayı: 3
- Basım Tarihi: 2006
- Dergi Adı: Journal of Rheumatology and Medical Rehabilitation
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.193-200
- Anahtar Kelimeler: Complex regional pain syndrome, Lidocaine, Stellate ganglion block, Ultrasound
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: The purpose of this study was to investigate the efficacies of stellate ganglion blockage (SGB) with lidocaine and ultrasound in complex regional pain syndrome (CRPS). Methods: Twenty-five patients were divided into three groups. Treatment modalities including Transcutaneous electrical nerve stimulation (TENS), contrast bath, pneumatic compression and exercise were applied to all patients for 21 sessions. In addition; in group 1 SGB with lidocaine and in group 2 SGB with ultrasound were applied. Sham SGB and ultrasound were applied to third group. The evaluations were performed before and after treatment and one month later with the following parameters: Spontaneous pain, provocative pain, edema, finger pulp-distal palmar crease distance (FPD), grip strength, functional hand scale (FHS) and Keitel score. Results: Improvements in edema, FPD, FHS, Keitel score and grip strength were statistically significant in ultrasound blockage group. Improvements in FPD, FHS and Keitel score were statistically significant in lidocaine blockage group. While improvements in FPD, FHS and Keitel score were statistically significant in the control group, the improvement in the Keitel score was lost at the final assessment. Conclusion: We suggest that the SGB with either ultrasound or lidocaine is effective in CRPS. Ultrasound can be preferred because of its advantages of being practical, non-invasive and having no significant complications.