An Algorithmic Overview of Advanced Pain Therapies: A Narrative Review

被引:0
作者
Vu, Peter D. [1 ]
D'Souza, Ryan S. [2 ]
Javed, Saba [3 ]
机构
[1] Univ Texas Hlth Sci Ctr Houston, McGovern Med Sch, Dept Phys Med & Rehabil, 1333 B Moursund St, Ste 114, Houston, TX 77030 USA
[2] Mayo Clin, Dept Anesthesiol & Perioperat Med, Rochester, MN 55905 USA
[3] Univ Texas MD Anderson Canc Ctr, Dept Pain Med, Div Anesthesiol Crit Care & Pain Med, Houston, TX 77030 USA
关键词
Algorithm; Advanced pain therapies; Advanced pain procedures; Narrative review; SPINAL-CORD STIMULATION; DORSAL-ROOT GANGLION; INTERSPINAL PROCESS DECOMPRESSION; BASIVERTEBRAL NERVE ABLATION; SYNDROME TYPE-I; LOW-BACK-PAIN; RANDOMIZED CONTROLLED-TRIAL; CHRONIC PELVIC PAIN; SACRAL NEUROMODULATION; DOUBLE-BLIND;
D O I
10.1007/s11916-024-01343-2
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose of ReviewQuickly referenceable, streamlined, algorithmic approaches for advanced pain management are lacking for patients, trainees, non-pain specialists, and interventional specialists. This manuscript aims to address this gap by proposing a comprehensive, evidence-based algorithm for managing neuropathic, nociceptive, and cancer-associated pain. Such an algorithm is crucial for pain medicine education, offering a structured approach for patient care refractory to conservative management.Recent FindingsA comprehensive literary review with PubMed and regulatory documents from the United States Food and Drug Administration were searched for a variety of interventions. Pain syndromes were categorized into nociceptive and neuropathic pain, and an algorithm was constructed.SummaryServing as an educational tool for patients, trainees, and non-pain specialists, and as an accessible reference for pain specialists, this algorithm bridges knowledge gaps, promotes interdisciplinary collaboration, and streamlines the learning curve for new practitioners. The strength of this algorithm lies in integrating extensive clinical data, emphasizing the latest clinical evidence, and providing a structured decision-making pathway.
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页数:14
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