Hi, I suffer from terrible neuropathic pain in the face from rosacea or possibly a separate facial neuralgia, not sure at this point but the two seem related or intertwined.

I am seeing various Dr.'s, neurologists and pain specialists. I have been offered the possibility of a sympathetic nerve block to diagnose and possibly ease the source of the pain.

I am wondering if anyone has ever had this procedure and how did it help or hinder their facial pain and effect their rosacea.

There seems to be a proposed belief regarding rosacea and a connection to the sypathetic nervous system.


Here is a general summary regarding the procedure.

What is a sympathetic nerve block and how is it helpful?

A sympathetic nerve block involves injecting numbing medicine around the sympathetic nerves in the low back or neck. By doing this, the sympathetic nervous system in that area is temporarily 'switched' off in hopes of reducing or eliminating pain. If pain is substantially improved after the block, then a diagnosis of sympathetically mediated pain is established. The therapeutic effects of the anesthetic can occur, at times, longer than would be normally expected. The goal is to reset the sympathetic tone to a normal state of regulation. If the initial block is successful, then additional blocks may be repeated if the pain continues to sequentially diminish.