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Thread: Sympathetic Nerve Block?

  1. #1
    Senior Member RedFaced's Avatar
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    Default Sympathetic Nerve Block?

    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.

    http://www.rosacea-research.org/wiki...rummond%2C_PhD

    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.

    http://www.spineuniverse.com/treatme...ck-information

  2. #2
    Senior Member RedFaced's Avatar
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    Stellate ganglion block may relieve hot flashes by interrupting the sympathetic nervous system.

    http://www.ncbi.nlm.nih.gov/pubmed/17425958

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    Hi RedFaced

    Sorry to hear you've been experiencing this, and I hope you start to feel better soon! Interesting articles - thank you for sharing. Have you been diagnosed with rosacea before, and do you show signs of other typical rosacea symptoms such as flushing, papules, etc? What kind of neuropathic pain do you get? Have you had an MRI to rule out potential causes?

    I haven't had this procedure before so unfortunately I can't comment, but do let us know how you go with it if you choose to proceed. I have been experiencing facial neuralgia of an unknown cause for a number of months now, so you're not alone in trying to find a diagnosis and treatment! Have you tried any other methods to help with your pain? I have been offered steroids to help alleviate the neuropathy but am undecided at the moment.

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    Senior Member RedFaced's Avatar
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    Hey, I sent you a PM.

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    Default Sympathetic Nerve Block?

    Hi Red Faced,
    I suffer from severe and painful facial flushing and I have had various forms of sympathetic nerve blocks over the years. Some have helped short term, while others have not. If you email me directly at meg.edelson@prodigy.net, I would be happy to discuss the condition more in depth, as well as the nerve blocks. I have had stellate blocks, epidurals, intrathecal catheter trials, ETS and even an implanted intrathecal pump, which I ended up removing.

    My flushing has actually been diagnosed as autonomic nervous system dysfuntion and is also similar to Erythromelalgia (EM) because I have burning pain in addition to the redness.

    On a related note, I have set up a new support group dedicated to people with severe flushing with pain. Anyone interested can join at http://health.groups.yahoo.com/group...tBurningFaces/ - just click on join this group.

    Best of luck,
    Meg

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    ...and how it went whit these blocks sympathetic, six best regards to rosacea?

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    hello red face, con i af you a question?..you made the ets?

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    Senior Member RedFaced's Avatar
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    Hi, no it's not ETS and I have not had ETS either. ETS is when they cut or clamp the sympathetic nerve completely. It usually carries a lot of side effects, some of which can be quite serious.

    A nerve block is where they just temporarily freeze or numb it with an injection that wears off over time.

    I did not have the nerve block yet I am to see another neurologist for some further insight on treatments which may include the option for this nerve blocks. I will keep you posted.

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