The sympathetic nerves/ganglions are responsible for pain with burning, shooting and tingling properties. These are specialized nerves that can become “fired-up” even with the smallest injuries or no injuries at all. Most common syndromes related to the sympathetic nerves include RSD(reflex sympathetic dystrophy), facial pain from trigeminal neuralgia, pancreatic cancer pain, etc. Your pain specialist can perform an injection with local anesthetics with or without steroids to disrupt the pain signals from these sympathetic nerves/ganglions.
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