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Evolution of Interventional Techniques

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Essentials of Interventional Techniques in Managing Chronic Pain

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Abstract

Chronic pain is a complex and multidimensional problem. Interventional pain management’s origins began with neural blockade and regional analgesia in 1884 and the discovery of cocaine’s numbing effect. Spinal interventional techniques started in 1901 when three separate reports described caudal epidural injections. Steroids were added to epidural injections in 1952 and 1953.

Interventional pain management is defined as the discipline of medicine devoted to the diagnosis and treatment of pain-related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

The escalating growth of interventional techniques, the emergence of a new specialty, value-based medicine with appropriate evidence, and cost-effectiveness are crucial factors in shared decision-making for the future of the specialty of interventional pain management.

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Author information

Authors and Affiliations

  1. ASIPP and SIPMS, Paducah, KY, USA

    Laxmaiah Manchikanti

  2. Pain Management Center of Paducah, Paducah, KY, USA

    Laxmaiah Manchikanti

  3. Anesthesiology and Perioperative Medicine, University of Louisville, Louisville, KY, USA

    Laxmaiah Manchikanti

  4. Spine Pain Diagnostic Associates, Iron Mountain, MI, USA

    Vijay Singh

  5. Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA

    Joshua A. Hirsch

Authors
  1. Laxmaiah Manchikanti
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  2. Vijay Singh
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  3. Joshua A. Hirsch
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Corresponding author

Correspondence to Laxmaiah Manchikanti .

Editor information

Editors and Affiliations

  1. Pain Management Center of Paducah, Paducah, Kentucky

    Laxmaiah Manchikanti

  2. Department of Anesthesia, LSU Health Science Center, New Orleans, Louisiana, USA

    Alan D. Kaye

  3. Mid Atlantic Spine and Pain Physicians, Newark, Delaware

    Frank J.E. Falco

  4. Service Line Chief of Interventional Radiology, Director of Interventional Neuroradiology, Chief of NeuroInterventional Spine Service, Massachusetts General Hospital, Boston, Massachusetts, USA

    Joshua A. Hirsch

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Manchikanti, L., Singh, V., Hirsch, J.A. (2018). Evolution of Interventional Techniques. In: Manchikanti, L., Kaye, A., Falco, F., Hirsch, J. (eds) Essentials of Interventional Techniques in Managing Chronic Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-60361-2_1

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  • DOI: https://doi.org/10.1007/978-3-319-60361-2_1

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  • Online ISBN: 978-3-319-60361-2

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