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Interventional Management Strategies of Pain for the Pandemic Era

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Headache Disorders in Pandemic Conditions

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Abstract

One of the greatest disasters that mankind has experienced recently has been the COVID-19 pandemic. COVID-19 has significantly affected both social life and healthcare all over the world. Chronic pain may cause immunosuppression in some individuals. On the other hand, opioids which are the most commonly used drugs in chronic pain may have similar immunosuppressive effects on immunity and increase the risk for infections. Therefore, interventional procedures may be beneficial to avoid these risks. Interventional pain treatment procedures do not cause aerosol formation as they can generally be applied with sedoanalgesia and do not require intubation. These interventions should be applied in accordance with the use of personal protective equipment and general infection protection principles. The use of a short-acting steroid with the lowest effective dose is more reasonable during COVID-19. Regenerative medicine is safe and effective; it may be a good alternative for steroids, local anesthetics, and opioids. In general, radiofrequency and neuromodulation procedures are safe and there is no obstacle to their application in pandemics with appropriate indications. Global lockdown and restrictions of the COVID-19 pandemic have disrupted interventional pain management practices and decreased the number of pain treatment procedures.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Division of Pain Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey

    Halil Cetingok

  2. Algo Pain Center and Acibadem Altunizade Hospital Pain Clinic, İstanbul, Turkey

    N. Suleyman Ozyalcin

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  1. Halil Cetingok
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  2. N. Suleyman Ozyalcin
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Editor information

Editors and Affiliations

  1. Department of Neurology, Mersin University Faculty of Medicine, Mersin, Türkiye

    Aynur Özge

  2. Neurology, Brain 360-Brain Health Center, Istanbul, Türkiye

    Derya Uludüz

  3. Dept of Neurology & Algology, NÖROM, Neuropsychiatry Center, Gazi University, Ankara, Türkiye

    Hayrunnisa Bolay

  4. Department of Neurology, Gülhane Faculty of Medicine, Ankara, Türkiye

    Ömer Karadaş

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Cetingok, H., Ozyalcin, N.S. (2023). Interventional Management Strategies of Pain for the Pandemic Era. In: Özge, A., Uludüz, D., Bolay, H., Karadaş, Ö. (eds) Headache Disorders in Pandemic Conditions . Headache. Springer, Cham. https://doi.org/10.1007/978-3-031-26309-5_22

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  • DOI: https://doi.org/10.1007/978-3-031-26309-5_22

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