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Sympathicolysis is a procedure for temporary or long-term elimination of sympathetic innervation. It is used to improve blood circulation in the legs or arms. The sympathetic nervous system causes the balance of the autonomic system to lean towards narrowing of blood vessels, with elimination of its function resulting in vasodilatation ...
Because the lumbar sympathetic nerve fibers control the muscle of the lower extremities during “fight or flight” response, treatment targeting this region can help relieve chronic leg pain. One common procedure is the lumbar sympathetic nerve block. This procedure involves an injection of an anesthetic in the sympathetic nerve tissue to ...
Lumbar sympathetic neurolysis is typically used on patients with ischemic rest pain, generally associated with nonreconstructable arterial occlusive disease. Although the disease is the basis for this type of neurolysis, other diseases such as peripheral neuralgia or vasospastic disorders can receive lumbar sympathetic neurolysis for pain ...
A sympathectomy is an irreversible procedure during which at least one sympathetic ganglion is removed. One example is the lumbar sympathectomy, which is advised for occlusive arterial disease in which L2 and L3 ganglia along with intervening sympathetic trunk are removed leaving behind the L1 ganglion which is responsible for ejaculation.
The anterior divisions communicate with the sympathetic trunk. Near the origin of the divisions, they are joined by gray rami communicantes from the lumbar ganglia of the sympathetic trunk. These rami consist of long, slender branches which accompany the lumbar arteries around the sides of the vertebral bodies, beneath the Psoas major.
Lumbar sympathetic block: A procedure performed to manage pain originating from the lower back, buttocks or legs. [39] Common indications: complex regional pain syndrome (CRPS)/regional sympathetic dystrophy (RDS), post-herpetic neuralgia, neuropathy. Pudendal nerve block: A procedure performed to manage chronic pelvic pain.
The bilaterally symmetric sympathetic chain ganglia, also called the paravertebral ganglia, are located just ventral and lateral to the spinal cord. [3] The chain extends from the upper neck down to the coccyx, forming the unpaired ganglion impar. Ganglia within this chain are either cervical, thoracic, lumbar, or sacral.
Licensed in Europe for surgical procedures up to 40 minutes, chloroprocaine is an ester-type local anaesthetic with the shortest duration of action of all the established local anaesthetics. It has a significantly shorter duration of action than lidocaine and is significantly less toxic.