Optimizing Outcomes in Neuropathic and Myofascial Pain Associated With Brachial Plexus Injury and Phantom Limb Pain: the Role of T2-t3 Sympathetic Radiofrequency Ablation
Year: 2025
Type: article
Abstract: Neuropathic pain resulting from brachial plexus injuries (BPI) and phantom limb pain (PLP) remains a clinical challenge due to its complex, multifactorial nature involving neuropathic, nociplastic, sympathetic, and myofascial pain mechanisms. This retrospective case series evaluates the efcacy of T2-T3 sympathetic radiofrequency ablation (RFA) as part of a comprehensive multimodal treatment strategy in ve patients with chronic upper limb pain due to BPI, Pancoast tumors, and PLP. Clinical outcomes assessed by visual analog scale (VAS) demonstrated signicant pain relief ranging from 50% to 90% over six months. Interventions targeting myofascial trigger points and sympathetic modulation via T2-T3 RFA provided sustained pain reduction and improved patient outcomes. Incorporating myofascial pain management alongside neuropathic and sympathetic interventions highlights the importance of an integrated treatment approach for complex pain syndromes.
Authors: Sukhdeo Satyanarayan Gupta, Karthik Pandian M, Sridhar M, Abhilash Sadhankar, Ajit Kumar
Institution: All India Institute of Medical Sciences Rishikesh
Language: English
Subfield: Anesthesiology and Pain Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4410040592