A 26 year old male patient had admitted to the department of plastic surgery for the treatment of skin defect of forearm and spastic contracture of right hand, attributable to butn injury following carbon monoxide intoxication. After receiving
skin
graft the patients tenotomy of flexor tendons, the patients was consulted to pain clinic for further evaluation and treotomy of flexor tendons, the patients was consulted to pain clinic for further evaluation and treatment of allodynia,
hyperalgesia,
and hyperpathia with marked emotional insufficiency. The patient was treated with stellate ganglion blocks, intermittent or continuous epidural blocks, and intermittent brachial plexus blocks for 3 months. With this treatment the patient's pain
level
improved to (VAS 10 to 4~5) and was discharged. The patients was readmitted 3 months later, due to the aggrzvation of pain. Brachial plexus blocks were given again by interscallene, supraclavicular, or axillary route, sometimes using a catheter,
together with cervical epidural blocks. Tricyclic antidepressant was also prescribed. The results were remarkably good (VAS 2~3) and the patient did not require any further analgesic medication.
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