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Interventions in chronic pain management. 2. New frontiers: invasive nonsurgical interventions
Rinoo V Shah1, Jeffery J Ericksen, Michel Lacerte
1Department of Anesthesiology and Pain Management, Texas Tech University Health Sciences Center, International Pain Institute, Lubbock, TX 79414, USA. rinoo_shah@yahoo.com
Unlabelled:
Invasive nonsurgical techniques have a central role in the management of patients suffering from acute and chronic pain. This article surveys common percutaneous pain procedures: trigger point injections, intra-articular injections, spinal injections, nerve blocks, radiofrequency lesioning (thermocoagulation and pulsed-mode), epidural adhesiolysis and decompressive neuroplasty, neural mapping, intradiskal and intra-annular procedures, neuromodulation, continuous intrathecal analgesia, and deep brain stimulation. Physiatrists must understand the guiding principles behind these procedures before practicing interventional pain management.
Overall Article Objective:
To review invasive, nonsurgical pain management procedures.