Lumbar sympathetic block
Lumbar sympathetic blocks are done for people with RSD (Reflex Sympathetic
Dystrophy), also called CRPS (Complex Regional Pain Syndrome) of the legs. RSD
may result from an impaired sympathetic nervous system (the fight or flight part of our
nervous system). Typically RSD occurs after an injury, fracture, or surgery to the leg
resulting in a very sensitive lower extremity with vascular changes such as edema
and/or color changes and often decreased range of motion. The lumbar sympathetic
ganglia live in front of the L2, L3, and L4 vertebrae. Blocking the ganglia interrupts the
sympathetic nervous system in an attempt to “reset” the sympathetic nervous system.
With a sympathetic block, you should not experience numbness or weakness, however,
you should feel a warmth in your extremity. A sympathetic block allows less pain and
better movement of the extremity.