International Journal of Anesthesiology & Pain Medicine

Interventional pain procedures for spinal pain management: challenges and update

Joint Event on 7^th Edition of International Conference on Internal Medicine and Patient Care & 6^th Edition of International Conference on Pain Management
March 26-28, 2018 Vienna, Austria

Farnad Imani

Iran University of Medical Sciences, Iran

Posters & Accepted Abstracts: Int J Anesth Pain Med

DOI: 10.21767/2471-982X-C1-003

Abstract

Treatment 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 and minimally 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 minimally affects their ability to function. Interventional techniques 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 pain management. A greater understanding of the exact mechanisms of these procedures will also improve our ability to determine their place in clinical practice. farnadimani@yahoo.com