title: [Selected interventional methods for the treatment of chronic pain: Part 1: peripheral nerve block and sympathetic block].
abstract: Approximately 5-8 million people in Germany suffer from chronic pain. Some patients can obtain relief from specific interventional techniques. In detail these are blocks of the sympathetic chain and peripheral nerve blocks, regional anesthetic techniques close to the spinal cord and neuromodulation. Part 1 of this article presents peripheral nerve blocks using the example of intercostal blocks and blocks of the sympathetic chain. Peripheral nerve blocks are important for postoperative pain treatment. Only a few methods are used for chronic pain and this applies primarily to the intercostal block which is used for the treatment of pain occurring after thoracotomy, intercostal neuralgia and pain associated with infiltration of cancer. Blocks of the vegetative nervous system are accomplished on the ganglions of the head and the sympathetic chain and are therefore most commonly applied to treat headache, neuropathic and sympathetic pain in the area of abdomen and the extremities.
authors.affiliation: Klinik für Anaesthesie, Operative Intensivmedizin und Schmerztherapie, Universitätsklinikum Giessen und Marburg, Standort Giessen, Deutschland. Eileen.Boettger@chiru.med.uni-giessen.de
authors.forename: E
authors.initials: E
authors.lastname: Böttger
authors.forename: K
authors.initials: K
authors.lastname: Diehlmann
mesh_terms: D000765:Anesthesia, Conduction; D000771:Anesthesia, Intravenous; D001340:Autonomic Nerve Block / Q000009:adverse effects / Q000379:methods*; D002404:Catheterization / Q000379:methods; D002908:Chronic Disease; D005730:Ganglionic Blockers / Q000627:therapeutic use; D006801:Humans; D009407:Nerve Block / Q000009:adverse effects / Q000379:methods*; D010146:Pain / Q000601:surgery; D059408:Pain Management; D010149:Postoperative Pain / Q000628:therapy; D010525:Peripheral Nerves; D013233:Stellate Ganglion
chemical_list: D005730:Ganglionic Blockers