By Jan Van Zundert, Jacob Patijn, Craig Hartrick, Arno Lataster, Frank Huygen, Nagy Mekhail, Maarten van Kleef
Unrelieved continual soreness is a world epidemic
Chronic ache has been topic to a number of overseas tasks during the global well-being association. Interventional soreness drugs, use of minimally invasive suggestions to alleviate discomfort, is the easiest technique whilst easier measures comparable to actual remedy or medicinal drugs fail. although, those methods could be linked to major probability and fee. setting up uniformity in diagnostic standards and procedural functionality can lessen either morbidity and pointless tactics, and therefore healthcare expenditures.
While different texts clarify tips on how to practice those techniques, little concentration has been given to diagnostic issues: if and whilst those approaches can be played. Evidence-based Interventional soreness Practice uniquely makes a speciality of how the institution of a correct and particular prognosis pertains to the effectiveness of the interventions. It offers the facts for using interventional soreness options throughout all components of power soreness including:
• Head, neck and shoulder soreness
• Spinal discomfort
• Pain within the joints and extremities
• Complex local ache Syndrome
• Phantom pain
Evidence-based Interventional discomfort Practice offers crucial wisdom for somebody who makes use of, or intends to exploit, interventional discomfort techniques.
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Additional info for Evidence-based Interventional Pain Practice: According to Clinical Diagnoses
Sample text
11. Sanders M, Zuurmond WW. Efficacy of sphenopalatine ganglion blockade in 66 patients suffering from cluster headache: a 12- to 70month follow-up evaluation. J Neurosurg. 1997;87:876–880. 12. Day M. Neurolysis of the trigeminal and sphenopalatine ganglions. Pain Pract. 2001;1:171–182. 13. Edvinsson L. Blockade of CGRP receptors in the intracranial vasculature: a new target in the treatment of headache. Cephalalgia. 2004;24:611–622. 14. Narouze S, Kapural L, Casanova J, et al. Sphenopalatine ganglion radiofrequency ablation for the management of chronic cluster headache.
1. Techniques The radiofrequency treatment of the ganglion pterygopalatinum is described in the article on cluster headache in this issue22 (see page 12). PRF current of 45 V with a maximal temperature of 42°C is applied one or more times during a period of 120 seconds. Summary The diagnosis of chronic atypical facial pain is made mainly through a process of elimination of other causes. 1. Clinical practice algorithm for the treatment of atypical facial pain. MRI, magnetic resonance imaging; PRF, pulsed radiofrequency.
Techniques The radiofrequency treatment of the ganglion pterygopalatinum is described in the article on cluster headache in this issue22 (see page 12). PRF current of 45 V with a maximal temperature of 42°C is applied one or more times during a period of 120 seconds. Summary The diagnosis of chronic atypical facial pain is made mainly through a process of elimination of other causes. 1. Clinical practice algorithm for the treatment of atypical facial pain. MRI, magnetic resonance imaging; PRF, pulsed radiofrequency.