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British Medical Bulletin 47:601-618 (1991)
© 1991 The British Council

research-article

Management of sympathetic pain

J E Charlton

Path Management Service, Royal Victoria Infirmary Newcastle upon Tyne, UK

Abstract

Successful treatment of sympathetic pain is directed at the restoration of normal function. This can be achieved in th majority of cases with a combination of appropriate sympathetic or somatic nerve block, usually coupled with aggressive physiotheraphy. It is a matter of regret that there are few controlled trials to demonstrate the efficacy of any of these forms of management.

Other non-invasive techiques such as stimulation-produced analgesia and pharmacology, particularly the use of adrenergic blocking agents, hold some promise of future benefit. Here too, more effort should be made to carry out properly designed studies, as there is scepticism about the place of permanent or potentially destructive therapy in any painful condition.


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