Interventional Management of Chronic Pain

Author:

Nocom Glenice1,Ho Kok-Yuen1,Perumal Muralitharan1

Affiliation:

1. Singapore General Hospital, Singapore

Abstract

Chronic non-cancer pain is a common clinical condition affecting a significant part of the population. This article aims to review the interventional options for non-cancer pain. Multiple searches using Medline were carried out and additional searches were made using reference lists of published papers and book chapters. The article discussed procedures ranging from selective nerve root or zygapophyseal (facet) joint block with local anaesthetics to irreversible neurodestruction with radiofrequency energy or neurolytic agents and neuromodulation with spinal cord stimulation. Other techniques include intraspinal delivery of analgesics. There is evidence that these interventional procedures are valuable both diagnostically and therapeutically. Key words: Intrathecal drug delivery, Neuropathic, Spine

Publisher

Academy of Medicine, Singapore

Subject

General Medicine

Reference53 articles.

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4. Trescot AM, Boswell MV, Atluri SL, Hansen HC, Deer TR, Abdi S, et al. Opioid guidelines in the management of chronic non-cancer pain. Pain Physician 2006;9:1-39.

5. Parker MW, Murphy KJ. Radiologic evaluation. In: Wallace MS, Staats PS, editors. Pain Medicine and Management: Just the Facts. USA: McGraw-Hill Co, 2005.

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1. Use of Antidepressants in the Treatment of Chronic Pain;Annals of the Academy of Medicine, Singapore;2009-11-15

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