TY - JOUR
T1 - Pain Management in Neurosurgery
T2 - Back and Lower Extremity Pain, Trigeminal Neuralgia
AU - Xu, Yifan
AU - Mauer, Kimberly M.
AU - Singh, Amit
N1 - Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2021/3
Y1 - 2021/3
N2 - Interventional anesthetic techniques are an integral component of a biopsychosocial approach and multidisciplinary treatment. Injection techniques are often used to diagnose disorders, decrease the need for surgery, or increase the time to surgery. The role of neural blockade techniques using local anesthetics and steroids in the assessment and treatment of pain continues to be refined. With the current opioid crisis and an aging population with increasing medical comorbidities, there is an emphasis on the use of nonopioid, nonsurgical, and multimodal therapies to treat chronic pain. This article reviews indications, goals, and methods of common injection techniques.
AB - Interventional anesthetic techniques are an integral component of a biopsychosocial approach and multidisciplinary treatment. Injection techniques are often used to diagnose disorders, decrease the need for surgery, or increase the time to surgery. The role of neural blockade techniques using local anesthetics and steroids in the assessment and treatment of pain continues to be refined. With the current opioid crisis and an aging population with increasing medical comorbidities, there is an emphasis on the use of nonopioid, nonsurgical, and multimodal therapies to treat chronic pain. This article reviews indications, goals, and methods of common injection techniques.
KW - Chronic back pain
KW - Epidural steroid injection
KW - Facet joint
KW - Radiofrequency ablation
KW - Sympathetic block
KW - Trigeminal neuralgia
KW - Trigger point injections
UR - http://www.scopus.com/inward/record.url?scp=85100388818&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85100388818&partnerID=8YFLogxK
U2 - 10.1016/j.anclin.2020.11.004
DO - 10.1016/j.anclin.2020.11.004
M3 - Review article
C2 - 33563380
AN - SCOPUS:85100388818
SN - 1932-2275
VL - 39
SP - 179
EP - 194
JO - Anesthesiology Clinics
JF - Anesthesiology Clinics
IS - 1
ER -