Morphine Injected Around the Stellate Ganglion Does Not Modulate the Sympathetic Nervous System nor Does it Provide Pain Relief

1994 ◽  
Vol 38 (1) ◽  
pp. 38
Author(s):  
C. GLYNN ◽  
R. CASALE
Keyword(s):  
Nervous System ◽  
Pain Relief ◽  
Sympathetic Nervous System ◽  
Stellate Ganglion ◽  
Provide Pain Relief ◽  
Sympathetic Nervous

Sympathetic Blocks

2021 ◽  
Author(s):  
Christopher J. Gilligan ◽  
Shafik Boyaji
Keyword(s):  
Nervous System ◽  
Autonomic Nervous System ◽  
Sympathetic Nervous System ◽  
Stellate Ganglion ◽  
Phantom Pain ◽  
Celiac Plexus Block ◽  
Autonomic Nervous ◽  
Sympathetic Nervous ◽  
Plexus Block ◽  
Sympathetic Blocks

The autonomic nervous system (ANS) is the part of the nervous system that regulates involuntary functions. It is composed of the sympathetic and the parasympathetic nervous systems (SNS and PNS, respectively). The sympathetic nervous system, in addition to its vital role as part of the autonomic nervous system and the emergency response, is thought to be involved in numerous pathologic, painful conditions. These conditions are referred to as Sympathetically Mediated Pain (SMP). SMP is often considered a result of a vicious circle of events, which include changes in peripheral and central somatosensory processes. This assumption is based upon the observations that the pain is spatially correlated with signs of autonomic dysfunction, blocking the efferent sympathetic supply to the affected area would relieve the pain. Sympathetic blocks emerged as a way to help diagnose and treat several painful conditions, including complex regional pain syndrome (CRPS), phantom pain, neuralgias, herpes zoster, and even fibromyalgia. Additionally, sympathetic blockades have been used to improve perfusion, treat angina and malignant arrhythmias, and posttraumatic stress disorder (PTSD) symptoms. This review contains 1 table and 68 references. Key words: Sympathetic nervous system, sympathetically mediated pain, sympathetic blocks, neuropathic pain, chronic pain, stellate ganglion block, celiac plexus block, lumbar sympathetic block, superior hypogastric plexus block

scholarly journals Sympathetic Blocks Provided Sustained Pain Relief in a Patient with Refractory Painful Diabetic Neuropathy

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Jianguo Cheng ◽  
Anuj Daftari ◽  
Lan Zhou
Keyword(s):  
Nervous System ◽  
Pain Relief ◽  
Sympathetic Nervous System ◽  
Diabetic Neuropathy ◽  
Critical Role ◽  
Sensory Neuropathy ◽  
Painful Diabetic Neuropathy ◽  
Nerve Blocks ◽  
Sympathetic Nervous ◽  
Sympathetic Blocks

The sympathetic nervous system has been implicated in pain associated with painful diabetic neuropathy. However, therapeutic intervention targeted at the sympathetic nervous system has not been established. We thus tested the hypothesis that sympathetic nerve blocks significantly reduce pain in a patient with painful diabetic neuropathy who has failed multiple pharmacological treatments. The diagnosis of small fiber sensory neuropathy was based on clinical presentations and confirmed by skin biopsies. A series of 9 lumbar sympathetic blocks over a 26-month period provided sustained pain relief in his legs. Additional thoracic paravertebral blocks further provided control of the pain in the trunk which can occasionally be seen in severe diabetic neuropathy cases, consequent to extensive involvement of the intercostal nerves. These blocks provided sustained and significant pain relief and improvement of quality of life over a period of more than two years. We thus provided the first clinical evidence supporting the notion that sympathetic nervous system plays a critical role in painful diabetic neuropathy and sympathetic blocks can be an effective management modality of painful diabetic neuropathy. We concluded that the sympathetic nervous system is a valuable therapeutic target of pharmacological and interventional modalities of treatments in painful diabetic neuropathy patients.

Stellate ganglion block may relieve hot flashes by interrupting the sympathetic nervous system

2007 ◽  
Vol 69 (4) ◽  
pp. 758-763 ◽  
Author(s):  
E.G. Lipov ◽  
S. Lipov ◽  
J.R. Joshi ◽  
V.D. Santucci ◽  
K.V. Slavin ◽  
...  
Keyword(s):  
Nervous System ◽  
Sympathetic Nervous System ◽  
Stellate Ganglion ◽  
Hot Flashes ◽  
Stellate Ganglion Block ◽  
Ganglion Block ◽  
Sympathetic Nervous

Thyroid hormone-catecholamine interrelationships during exposure to cold

1981 ◽  
Vol 97 (1) ◽  
pp. 91-97 ◽  
Author(s):  
H. Storm ◽  
C. van Hardeveld ◽  
A. A. H. Kassenaar
Keyword(s):  
Nervous System ◽  
Plasma Concentration ◽  
Thyroid Hormone ◽  
Sympathetic Nervous System ◽  
Plasma Levels ◽  
Surgical Procedure ◽  
Exposure To Cold ◽  
Basal Plasma ◽  
Sympathetic Nervous

Abstract. Basal plasma levels for adrenalin (A), noradrenalin (NA), l-triiodothyronine (T3), and l-thyroxine (T4) were determined in rats with a chronically inserted catheter. The experiments described in this report were started 3 days after the surgical procedure when T3 and T4 levels had returned to normal. Basal levels for the catecholamines were reached already 4 h after the operation. The T3/T4 ratio in plasma was significantly increased after 3, 7, and 14 days in rats kept at 4°C and the same holds for the iodide in the 24-h urine after 7 and 14 days at 4°C. The venous NA plasma concentration was increased 6- to 12-fold during the same period of exposure to cold, whereas the A concentration remained at the basal level. During infusion of NA at 23°C the T3/T4 ratio in plasma was significantly increased after 7 days compared to pair-fed controls, and the same holds for the iodide excretion in the 24-h urine. This paper presents further evidence for a role of the sympathetic nervous system on T4 metabolism in rats at resting conditions.

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