earticle

영어

Complex regional pain syndrome (CRPS) is a challenging disease, and various combined treatments are being attempted. A variety of drug, sympathetic ganglion block and pain control devices, such as a spinal cord stimulator (SCS) or an intrathecal drug pump (ITP) can be used to relieve pain. However, even with these treatments, pain relief may be difficult and take a significant amount of time to resolve. Lumbar sympathetic ganglion block (LSGB) is used to diagnose and treat pain associated with sympathetic nerves in the lower extremities. There are several ways to check whether sympathetic block is effective, body temperature measurement is a noninvasive and effective way to check skin blood flow change. Since nerve block using local anesthetics is temporary, radiofrequency thermocoagulation and chemical neurolysis using alcohol or botulinum toxin type A can be used to prolong the effect of nerve block. In this case report, we would like to share a case of a patient with complex regional pain syndrome at left ankle who underwent left lumbar sympathetic ganglion block and experienced an increase in right lower extremity body temperature. compression fracture was diagnosed based on MRI and DXA finding. The patient presented worsened back pain (NRS 10) and epidural steroid injection at T6-7 had no effectiveness. Percutaneous balloon kyphoplasty was done at T6 and T7 using extrapedicular approach. After kyphoplasty, back pain was improved to NRS