Health Condition 1: I702- Atherosclerosis of native arteriesof the extremities Health Condition 2: G577- Causalgia of lower limb Health Condition 3: G905- Complex regional pain syndrome I (CRPS I) Health Condition 4: G620- Drug-induced polyneuropathy Health Condition 5: G893- Neoplasm related pain (acute) (chronic) Health Condition 6: I738- Other specified peripheral vascular diseases Health Condition 7: G546- Phantom limb syndrome with pain Health Condition 8: B022- Zoster with other ner
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Pain syndromes that requires lumbar sympathetic ganglion block(eg:pain with asymmetric skin temperature of lower limb,vascular insufficiency in lower limb extremities,post herpetic neuralgia,CRPS I and II,cancer related neuropathic pain,chemotherapy induced peripheral neuropathy,other lower extremity neuropathy).A score of 7 or more on the 11 point numerical rating pain scale
Exclusion criteria
Exclusion criteria: A history of post lumbar laminectomy with internal fixation or any severe anatomic variation such as scoliosis and tumor.Any history of lumbar sympathetic chemical or thermal neurolysis.Pregnancy.Infection at puncture site.Coagulopathy.Allergy to local anaesthetics.Any cognitive dysfunction or inability to provide informed consent.BMI >35kg/m2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Procedure time.Final needle tip position in ultrasound -guided and fluoroscopy guided technique.Spread of contrastTimepoint: Baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| bone touchingTimepoint: Baseline;In room radiation exposureTimepoint: 15min;post procedure NRSTimepoint: 15min;procedure related complicationTimepoint: Baseline;Success rateTimepoint: 15 min after injection | — |
Countries
India
Contacts
AIIMS New Delhi