A patient with Raynaud's disease receives no symptomatic relief with diltiazem (Cardizem).Which surgical intervention might be a treatment option for this patient to help provide symptomatic relief?

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Sympathectomy severs the pathways to the sympathetic nervous system.The procedure improves vascular blood supply and eliminates vasospasm.It is effective for treatment of pain associated with vascular disorders,such as Raynaud's disease.Cordotomy interrupts pain and temperature sensation below the tract that is severed.This procedure is commonly performed to relieve trunk and leg pain.Rhizotomy interrupts the anterior or posterior nerve route located between the ganglion and the cord.It is commonly used to treat head and neck pain.Neurectomy is used to eliminate intractable localized pain.The pathways of peripheral or cranial nerves are interrupted to block pain transmission.

A Patient with Raynaud's Disease Receives No Symptomatic Relief with Diltiazem