Cutaneous pain threshold changes after sympathetic block in reflex dystrophies

Pain. 1975 Jun;1(2):167-175. doi: 10.1016/0304-3959(75)90100-1.

Abstract

In a group of 30 subjects suffering from sympathetic reflex dystrophies of the limbs, the sympathetic ganglia of the affected side were blocked with a local anesthetic. Using an original method, we measured the cutaneous pain threshold before the block and at prefixed intervals after the block during a period of 2 days. In all subjects the cutaneous pain threshold showed damped oscillations both in the limb ipsilateral to the block and in the contralateral one. The analysis of these oscillations showed: (a) that the sympathetic control of the cutaneous pain threshold may be exerted through a negative feedback loop (skin-afferent input-CNS-sympathetic output-skin); (b) that the afferent discharge of a limb controls the contralateral sympathetic output through central mechanisms.

MeSH terms

  • Adult
  • Aged
  • Autonomic Nerve Block*
  • Differential Threshold
  • Female
  • Functional Laterality
  • Humans
  • Leg / innervation
  • Male
  • Middle Aged
  • Pain / physiopathology*
  • Reflex Sympathetic Dystrophy / physiopathology*
  • Reflex Sympathetic Dystrophy / therapy
  • Skin / innervation*
  • Time Factors