OPTIMIZING OUTCOMES IN NEUROPATHIC AND MYOFASCIAL PAIN ASSOCIATED WITH BRACHIAL PLEXUS INJURY AND PHANTOM LIMB PAIN: THE ROLE OF T2-T3 SYMPATHETIC RADIOFREQUENCY ABLATION

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 efcacy 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 signicant 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.