Open AccessIndications for Spinal Injections in the Chronic Pain Patient
Author(s) -
Landers Milton H.
Publication year - 2008
Publication title -
pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.893
H-Index - 97
eISSN - 1526-4637
pISSN - 1526-2375
DOI - 10.1111/j.1526-4637.2008.00436.x
Subject(s) - medicine , interventional pain management , specialty , chronic pain , lumbar , pain management , spinal column , physical therapy , surgery , pathology
The aim of this paper is to understand the complexity and variety of options available to the fully trained interventional pain physician in regards to spinal injection for chronic pain patients. This paper reviews and summarizes indications for some of the more common injection procedures in the cervical, thoracic, lumbar, and sacral regions. Therapeutic and diagnostic injections are discussed as well as selected interventional, nonsurgical, treatment options. Procedures and injections around and into spinal column structures are the mainstay of the medical specialty Interventional Pain Management. These precise and selective procedures require specific and intensive training over and above that afforded in the majority of the primary residencies and fellowship programs. Well‐planned, physician expert instructed and proctored cadaver training along with physician review and procedure practice guidance are required for safe performance of the procedures.