1. Home
  2. Vol 9, No 3 (2009)
  3. R Em.ril

Interventional management for chronic pain

Dessy R Em.ril

Abstract


Abstract.  Chronic  pain is  a common clinical  condition affecting the quality of life  of the population.  This article aims  to review the interventional   options for chronic  pain based on literature researches.   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  epidural   injection.   Other techniques   include  intraspinal delivery  of  analgesics.   ·  There  is  evidence  that   these  interventional    procedures    are  valuable    both                                           diagnostically   and therapeutically.   (JKS 2009; 3:139-144)

Key words: spinal pain, neurophathicpain, intervention

 

Abstrak.    Nyeri   kronik  adalah  kondisi    yang  sering  dijumpai     ciao   mempengaruhi  kualitas    hidup penderitanya.   Artikel  ini bertujuan untuk rnembahas  secara  umum tentang penatalaksanaan intervensi yang bersifat  minimal invasive   pada  nyeri  kronik  berdasarkan review  terhadap  berbagai   literature.   Dalam makalah ini didiskusikan  tentang berbagai prosedur mulai dari prosedur dasar hingga yang lanjut. Sebagian penelitian membuktikan bahwa tindakan intervensi pada  nyeri kronik memberikan manfaat baik secara terapetik maupun diagnostic.   (JKS 2009; 3: 139-144)

 

Kata kunci: nyerispinal, nyeri neuropatik, tindakan intervensi


Keywords


Key words: spinal pain, neurophathicpain, intervention; nyerispinal, nyeri neuropatik, tindakan intervensi

References


Refferences

I. Boswell MV, Trescot AM, Datta S, Schultz DM, Hansen HC, Abdi S, et al. Interventional techniques: evidence-based practice guidelines in the management of chronic spinal pain. Pain Physician 2007; 10:7-111.

Mancbikanti L, Singh V, Kloth D, Slipman CW,

Jasper JF, Trescot AM, et al. Interventional techniques in the management of chronic pain:

Part 2.0 ASIPP Practice Guidelines. Pain

Physician 2001 ;4:24-98.

Trescot AM, Boswell MY, Atluri SL, Hansen

HC, Deer TR, Abdi S, et al. Opioid guidelines in

the management of chronic non-cancer pain. Pain Physician 2006;9:I-39.

Parker MW, Murphy KJ. Radiologic evaluation.

In: Wallace MS, Staats PS, editors. Pain Medicine and Management Just the Facts. USA: McGraw-Hill Co, 2005.

Kingery WS, Castellote JM, Maze M.

Methylprednisolone prevents the development of autotomy and neuropathic edema in rats, but has no effect on nociceptive thresholds. Pain

;80:555-66.

McLain RF, Kapural L, Mekhail NA. Epidural steroid therapy for back and leg pain: mechanisms of action and efficacy. Spine J

;5: 191-201.

Blankenbaker DG, Davis KW, Choi 11. Selective

nerve root block. Semin Roentgenol 2004;39:24•

Manchikanti L, Singh V, Bakhit CE, Fellows B.

Interventional techniques in the management of chronic pain: Part 1.0. Pain Physician 2000;3: 7-

Rubin DI. Epidemiology and risk factors for spine pain. Neurol Clin 2007;25:353-71.

Linton SJ, Hellsing AL, Hallden K. A

population based study of spinal pain among 35-

year-old individuals. Spine 1998;23:1457 63.

Manchikanti L, Boswell MV, Singh V, Pampati V, Damron KS, Beyer CD. Prevalence of facet joint pain in chronic spinal pain of cervical, thoracic, and lumbar regions. BMC Musculoskelet Disord 2004;5:15.

Mancbikanti L, Singh V, Pampati V, Damron KS, Barnhill RC, Beyer C, et al. Evaluation of the relative contributions of'various structures in chronic low back pain. Pain Physician

;4:308-16.

Bogduk N. International Spinal Injection Society guidelines for the performance of spinal injection procedures. Part 1: Zygapophyseal joint blocks. Clin 1 Pain 1997;13:285-302.

Nicol GD, Klingberg DK, Vasko MR.

Prostaglandin E2 enhances calcium conductance and stimulates release of substance P in avian sensory neurons. Hfeurosci 1992;12:1917-27.

Manchikanti L, Pampati V, Bakhit CE, Rivera

, Beyer CD, Damron KS, et al. Effectiveness ofluinbar facet joint nerve blocks in chronic low back pain: a randomized clinical trial. Pain

Physician 2001 ;4:101-17.

Manchikanti L, Damron KS, Cash KA, Manchukonda R, Pampati V.Therapeutic medial

branch blocks in managing chronic neck pain: a preliminary report of a randomized, double- blind, controlled trial: clinical trial NCT0033272. Pain Physician 2006;9:333-46.

Boswell MV1 Colson JD, Spillane WF.

Therapeutic facet joint interventions: A

systematic review of their role in chronic spinal pain management and complications. Pain


Full Text: PDF

Refbacks

  • There are currently no refbacks.