What are the considerations in upper thoracic or lumbar sympathectomy for the treatment of complex regional pain syndrome type 1 (CRPS 1) (RSD)?

Updated: Mar 09, 2021
  • Author: T P Sudha Rao, MD; Chief Editor: Herbert S Diamond, MD  more...
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Considerations include the following:

  • Indications include disease duration of longer than 6 months and failure of permanent resolution despite five percutaneous sympathetic blocks.

  • The most significant improvement following surgical sympathectomy is pain relief, although circulation, range of motion, strength, and function usually improve somewhat

  • If surgery of the involved extremity is required, perform it after the sympathectomy

  • Ensure that a surgical sympathectomy is performed by an adequately trained individual

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