We present the case of a patient who experienced residual ischemic symptoms
and invalidating chronic pain after an injury where three fingers of his l
eft hand were sliced off by a chain saw. He underwent 5 stellate ganglion R
F neurolysis over a two year period, followed by progressive and complete p
ain relief. We will underscore the value of CT guidance during needle place
ment and the efficacy of RF neurolysis.