Interventions in Chronic Pain Management. 6. Interventional Approaches to Chronic Pain Management

Abstract

Overton EA, Kornbluth ID, Saulino MF, Holding MY, Freedman MK. Interventions in chronic pain management. 6. Interventional approaches to chronic pain management.

This self-directed learning module highlights strategies for interventional treatments for chronic pain disorders. It is part of the chapter on chronic pain in the Self-Directed Physiatric Education Program for practitioners in physical medicine and rehabilitation. Specifically, the first module reviews an interventional protocol for recalcitrant buttock and hip pain. The protocol includes hip and spinal injections, neuroablative lesioning, and percutaneous epidural neuroplasty. The second module reviews implantable treatments (spinal cord stimulation, implantable pumps) for intractable pain.

Overall Article Objective

To discuss interventional pain management approaches in the treatment of chronic pain disorders.

Key Words: Infusion pumps, implantable, Injections, spinal, Rehabilitation, Spinal cord

a Rothman Institute, Philadelphia, PA

b Spine Medicine and Rehabilitation Therapies, Westminster, MD

c Moss Rehabilitation, Elkins Park, PA

d The Back Pain Center, Phoenixville, PA.

Correspondence to E. Anthony Overton, DO, Rothman Institute, 925 Chestnut St., Philadelphia, PA 19107

A commercial party having a direct financial interest in the results of the research supporting this article has conferred or will confer a financial benefit upon the author or 1 or more of the authors. Saulino is on the speakers bureau for Elan Corp.

Reprints are not available from the author.

PII: S0003-9993(07)01855-2

doi:10.1016/j.apmr.2007.12.007

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