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Interventional Treatment of Chronic Pain

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Chronic Pain Management in General and Hospital Practice

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Abstract

This chapter looks at the role of interventional pain treatments within a biopsychosocial approach to pain management. Interventions may be used both for diagnosis and for treatment. Indications and contraindications of procedures for spinal pain, neuropathic pain, and musculoskeletal pain are discussed. Common procedures—facet joint procedures, epidural procedures, and peripheral nerve blocks are covered. In addition, more advanced treatments including autonomic blocks, pulsed radiofrequency, Racz catheter epidurolysis, spinal endoscopy, capsaicin patch application, botoxin injections, spinal cord stimulation, and intrathecal pumps are covered. The importance of patient selection, of determining goals for interventions, of assessing outcomes, and of considering cost-effectiveness is discussed.

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Author information

Authors and Affiliations

  1. Guy’s and St Thomas’ Pain and Neuromodulation Centre, London, UK

    Thomas E. Smith

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  1. Thomas E. Smith
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Editor information

Editors and Affiliations

  1. Pain Control Institute, Shinjyuku, Tokyo, Japan

    Koki Shimoji

  2. Feinberg School of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    Antoun Nader

  3. Guy’s and St Thomas’ Hospital, Pain Management Centre, London, UK

    Wolfgang Hamann

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Smith, T.E. (2021). Interventional Treatment of Chronic Pain. In: Shimoji, K., Nader, A., Hamann, W. (eds) Chronic Pain Management in General and Hospital Practice. Springer, Singapore. https://doi.org/10.1007/978-981-15-2933-7_7

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  • DOI: https://doi.org/10.1007/978-981-15-2933-7_7

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-2932-0

  • Online ISBN: 978-981-15-2933-7

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