Interventions in chronic pain management. 2. New frontiers: invasive nonsurgical interventions.

Shah, Rinoo V; Ericksen, Jeffery J; Lacerte, Michel · Arch Phys Med Rehabil · 2003

review · Level V

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Abstract

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. To review invasive, nonsurgical pain management procedures.

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