Neurolytic Blocks
A neurolytic block is a specialized pain management procedure that involves the injection of chemicals, such as alcohol or phenol, to intentionally damage or destroy pain-transmitting nerves. This technique provides long-term relief for patients suffering from chronic or cancer-related pain by disrupting nerve function and preventing pain signals from reaching the brain. Neurolytic blocks are typically used when other pain management strategies have proven ineffective.
Conditions Treated with Neurolytic Blocks
Neurolytic blocks are commonly used for severe, persistent pain conditions, including:
- Cancer Pain – Often used for patients with advanced cancer to relieve intractable pain, especially in the abdomen, pelvis, or spine.
- Chronic Pancreatitis – Helps manage severe abdominal pain caused by chronic inflammation of the pancreas.
- Peripheral Neuropathy – Used in cases of severe nerve damage where other treatments fail to provide relief.
- Complex Regional Pain Syndrome (CRPS) – In some cases, neurolytic blocks may be considered for severe CRPS symptoms.
- Intractable Pain Syndromes – Can be used for chronic pain conditions that do not respond to conventional therapies.
Treatment Options for Neurolytic Blocks
The choice of neurolytic block depends on the specific pain condition and affected nerves. Common types include:
- Celiac Plexus Block – Used for upper abdominal pain, commonly associated with pancreatic cancer or chronic pancreatitis.
- Superior Hypogastric Plexus Block – Targets pain in the lower abdomen, pelvis, or genitals, often for cancer pain relief.
- Lumbar Sympathetic Block – Helps with lower limb pain, especially in cases of CRPS or severe neuropathy.
- Ganglion Impar Block – Used for pain in the pelvic and perineal region.
- Peripheral Nerve Blocks – Applied to specific nerves affected by chronic pain.
Neurolytic blocks are typically performed under imaging guidance (such as fluoroscopy or ultrasound) to ensure precise nerve targeting. While they provide significant pain relief, the effects can vary in duration, and repeated treatments may be necessary.
Kansas Pain Management also offers a range of different procedures, to help alleviate pain and restore function. With board-certified and fellowship-trained physicians, Kansas Pain Management is committed to providing the highest quality care for patients suffering from pain. We provide comprehensive and personalised treatment options in Overland Park, Lawrence, Leavenworth/Lansing, Kansas City, Ottawa, Missouri and surrounding areas. We also have a location at Lee Summit Medical Center in Lee Summit, MO.