25 / 42
Pain Management 2018
Internal Medicine 2018
International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X
Page 76
March 26-28, 2018
Vienna, Austria
JOINT EVENT
7
t h
E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Internal Medicine and Patient Care
&
6
t h
E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Pain Management
Volume 4
T
reatment of chronic spinal pain syndromes continues to
be an ongoing challenge for clinicians. Recent advances in
technology and imaging have allowed greater accuracy and a
wider variety of therapies to be offered to patients. However, the
recognition of the need for a more integrated approach to the use
of these advanced techniques continues to be a major challenge
to interventional pain physicians. These interventions do not
supplant pharmacologic and non-pharmacologic modalities
to treat chronic spinal pain; their role is complementary. Spinal
chronic pain syndromes which may be amenable to interventional
therapies include a variety of neural blocks andminimally invasive
procedures, range from basic techniques (epidural steroid
and facet joint injection, sacroiliac join injection) to advanced
procedures (intradiscal procedures, endoscopic discectomy,
percutaneous rod and screw, interspinous process device,
spinal cord stimulation) for refractory spinal pain or failed back
surgery syndrome. As with most other therapeutic options in the
treatment of chronic spinal pain, interventional procedures by
themselves will seldom lead to complete resolution of patients’
complaints. However, when used in conjunction with reasonable
medical management and physical therapy, interventional pain
management can help patients keep their pain at a level which
minimallyaffectstheirabilitytofunction.Interventionaltechniques
for cancer-related pain such as neuroablative procedures and
intraspinal drug delivery are effective measures for patients who
have failed conservative management. lnterventional approaches
to spinal pain management are continually evolving. In recent
years, there has been a growing effort to further study the efficacy
and place in therapy of interventional painmanagement. A greater
understanding of the exact mechanisms of these procedures
will also improve our ability to determine their place in clinical
practice.
farnadimani@yahoo.comInterventional pain procedures for spinal pain management:
challenges and update
Farnad Imani
Iran University of Medical Sciences, Iran
Int J Anesth Pain Med 2018, Volume 4
DOI: 10.21767/2471-982X-C1-003