Thoracic Spinal Nerve Analgesia (TSPA)

Thoracic spinal nerve analgesia is a minimally invasive technique used for the relief of pain in the chest, thoracic region, and anterior or lateral parts of the trunk.

Technical procedure

The technique involves targeted injection of a local anesthetic, with or without corticosteroid, near the thoracic nerve roots responsible for the symptoms.

Therapeutic goal

• Desensitization of irritated neural structures
• Reduction of inflammation
• Pain relief
• Facilitation of motor function without inducing complete anesthesia

Indications

• Thoracic pain syndromes
• Intercostal pain
• Postoperative or post-traumatic pain
• Thoracic nerve root neuralgia

Benefits

• Significant pain relief
• Improved mobility and function

Clinical approach

In most cases, the procedure is performed using anatomical landmarks or ultrasound guidance. In rare cases, fluoroscopic guidance may be required.