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All Interventional Pain Management Articles

Learn more about the role of neurostimulators, specifically spinal cord stimulators, in pain management.
Selective spinal and joint injections are being performed with increasing frequency in the management of acute and chronic disorders of the musculoskeletal system. Effective treatment of chronic spine and joint pain requires accurate identification of the correct pain source.
Transcranial direct current stimulation (tDCS) is a non-invasive, painless brain stimulation technique that is showing promise in the treatment of depression and chronic pain.1 tDCS is delivered through a battery-operated device that transfers electrical current of low intensity (1-2 mA) to the surface of the head, typically with 2 large (20-35 cm2) saline-soaked sponge-el
After a reader's brother went blind following a epidural steroid injection, our Editorial Board examines the safety of epidural steroid injections.
There are several evidence-based (EB) guidelines that address the use of epidural injections for the treatment of low back pain. But how influential are these guidelines to the everyday decision-making of physicians?
While the frequency of serious complications due to ESI is undefined, certain pharmaceutical characteristics of corticosteroids (ie, particulate vs nonparticulate) are thought to contribute to overall risk.
Spinal cord stimulation should no longer be considered the treatment of “last resort.” Long-term success rates reach 85% if SCS is performed within 2 years of symptom onset.
Despite improved understanding of pain mechanisms, interpretation of pain signals, and development of new analgesic techniques, the under-treatment of postoperative pain continues.
Opioid intrathecal therapy offers the advantage of delivering medication directly to the dorsal horn of the spinal cord—increasing potency and reducing the systemic exposure—thus reducing side effects.
For patients with chronic migraine, botulinum neurotoxin injections have helped reduce the frequency, duration, and disability of headaches.
Interventional pain specialists offer an overview of spinal cord stimulation (dorsal column neuromodulation) fundamentals that referring physicians can use in clinical practice.
Candidates for spinal cord stimulator implantation are typically referred for psychological assessment as part of the screening process to evaluate the likelihood of successful outcomes. The authors review the various assessment tools and discuss which may be most beneficial for chronic pain patients.
This case challenge discusses the activation of latent Lyme disease following a lumbar epidural steroid injection.
Many physicians who treat pain have been hesitant to perform invasive procedures on patients who are taking warfarin sodium due to the potential risk of complications. Article examines these safety concerns.
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