Thoracic and Lumbar Sympathetic Nerve Block and Neurolysis

  • Tim J. Lamer
  • Jason S. Eldrige


Sympathetic blockade of the thoracic and lumbar regions has been long described in the medical literature; initial techniques for a percutaneous thoracic block (paravertebral approach) were documented by Kappis in 1919. Earlier descriptions which postulated the role of the sympathetic system in the development and maintenance of neuropathic pain are detailed in the medical literature of the early 1900s. The sympathetic contribution to so-called causalgia was theorized in 1916 by Leriche, who argued that periarterial excision of sympathetic fibers may be of therapeutic benefit in relieving pain.


Vertebral Body Complex Regional Pain Syndrome Stellate Ganglion Sympathetic Chain Sympathetic Block 
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Copyright information

© American Academy of Pain Medicine 2015

Authors and Affiliations

  1. 1.Department of Anesthesiology and Pain ClinicRochester Methodist Hospital, Mayo ClinicRochesterUSA
  2. 2.Mayo College of MedicineRochesterUSA

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