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Article
March 5, 1927

BILATERAL LUMBAR SYMPATHETIC GANGLIONECTOMY AND RAMISECTOMY: FOR POLYARTHRITIS OF THE LOWER EXTREMITIES

Author Affiliations

ROCHESTER, MINN.
From the Division of Medicine and the Division of Surgery, Mayo Clinic and The Mayo Foundation.

JAMA. 1927;88(10):694-696. doi:10.1001/jama.1927.02680360006002
Abstract

The need of improvement in our methods of treatment of chronic arthritis cannot be questioned. The constant presence in every community of partially or completely disabled victims bespeaks our inability to cope successfully with this disease. Every physician of broad experience has had, in both private and hospital practice, cases in which there has been relentless progression of the disease in spite of his most assiduous efforts. In such a case of so-called nonspecific rheumatoid arthritis, or arthritis deformans, we have attempted a new form of treatment.

The patient with this form of chronic arthritis usually suffers from cold clammy hands and feet. The extremities are not only cold to the touch, but also show pallor, areas of cyanosis, puffiness of the tissue, and so-called trophic changes, and are usually covered with a fine film of moisture. These signs indicate a localized vasoconstriction of the arterioles, capillaries and probably the

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