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Evolution of Interventional Techniques

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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.

Keywords

  • Interventional pain management
  • Interventional techniques
  • Regional anesthesia
  • Epidural injections
  • Facet joint nerve blocks
  • Accountable interventional pain management
  • Value-based interventional pain management

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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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