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身体康复医学评论综述
SJR: 0.121 SNIP: 0.228 CiteScore™: 0.5

ISSN 打印: 0896-2960
ISSN 在线: 2162-6553

身体康复医学评论综述

DOI: 10.1615/CritRevPhysRehabilMed.v23.i1-4.100
pages 135-146

Interventional Pain Management: An Appraisal and Evidence-based Review

Maged Hamza
Department of Anesthesiology, Physical Medicine and Rehabilitation and VCU Spine Center, Virginia Commonwealth University, Richmond
Andrew Medvadovsky
Department of Anesthesiology, Physical Medicine and Rehabilitation and VCU Spine Center, Virginia Commonwealth University, Richmond
Timothy Reis
Department of Anesthesiology, Physical Medicine and Rehabilitation and VCU Spine Center, Virginia Commonwealth University, Richmond
Audra Eason
Department of Anesthesiology, Physical Medicine and Rehabilitation and VCU Spine Center, Virginia Commonwealth University, Richmond
Mauna Radahd
Department of Anesthesiology, Physical Medicine and Rehabilitation and VCU Spine Center, Virginia Commonwealth University, Richmond
Monalyce Hamza
Department of Anesthesiology, Physical Medicine and Rehabilitation and VCU Spine Center, Virginia Commonwealth University, Richmond

ABSTRACT

The care of pain patients often requires a specialized knowledge base and skill set that allows the pain medicine specialist with tools necessary for optimal patient outcomes. Interventional pain medicine is the field of judiciously and appropriately applying such skills in the diagnosis and treatment of chronic pain; with the increasing prevalence of the disease, it cannot be overemphasized that providers must be equipped with the knowledge and skills to provide the care needed. This review provides comprehensive, point-of-care information for providers of pain therapies in a portable, easy-to-navigate format. With continued advances made in interventions available to treat pain, this article offers up-to-date details of and instructions for the use of procedural techniques as well as a concise yet informative discussion of the evidence supporting their application. We will discuss some of the most commonly performed procedures. The article presents the readers with a clear understanding of the background, indication, as well as the clini-cal utility of the discussed procedures. It is important to note the evidence is strong in comparison with other modalities, for example, multiple pharmacologic agents that are considered mainstream, generally accepted management tools have been approved by the U.S. Food and Drug Administration after 12-week trials. Multiple interventional techniques have reported trials of 6−42 months in duration. It must be mentioned, however, that stronger evidence, namely, level 1 studies (double-blinded, controlled studies with long follow-up and outcome measures documenting both pain relief as well as functional improvement) are needed to provide a basis for interventional care.


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