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Analgesia and Pain Management

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...

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Neurological pain relief interventional radiology procedures.

E Tan¹, M Q W Wang¹, S Leong¹

¹Department of Vascular and Interventional Radiology, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore.

Clinical Radiology

|June 30, 2022

Summary

Interventional radiology offers neurological interventions for pain management, including local anesthetics for short-term relief and radiofrequency neuromodulation or neurolysis for longer-term control of various pain types.

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Area of Science:

Neurological interventions
Interventional Radiology

Background:

Neurological interventions are increasingly vital in interventional radiology (IR).
Indications include intraprocedural pain, cancer pain palliation, and chronic non-cancer pain.
Current IR pain management strategies range from local anesthetics to advanced neuromodulation techniques.

Purpose of the Study:

To review therapeutic options for peripheral nerve and plexus interventions in IR.
To summarize applications and techniques for neurological pain management.
To provide an overview of IR's role in pain control.

Main Methods:

Literature review of peripheral nerve and plexus interventions in IR.
Summary of techniques including local anesthetics, radiofrequency neuromodulation, and neurolysis.
Categorization of indications for neurological interventions.

Main Results:

Local anesthetics provide short-term regional anesthesia.
Radiofrequency neuromodulation and thermal/chemical neurolysis offer longer-term pain control.
Peripheral nerve and plexus interventions are key in IR for pain management.

Conclusions:

Interventional radiology provides diverse neurological interventions for pain management.
Techniques vary from anesthesia to neuromodulation and neurolysis.
These IR procedures address acute and chronic pain conditions effectively.