Pain Questionnaires
Are you in pain and need help? Fill out one of the following pain questionnaires:
Interventions
- Articular Injections
- Scar Infiltration
- Spinal Injections
- Prolotherapy
- Botulinum Toxin Injections
- Sympathetic Blockade
- Intravenous Drug Trials (IVDTs)
- Intravenous Regional Blocks (IVRBs)
- Neuromodulation
Overview
A large range of procedures has been used over the last decades to help pain patients. Some of these have been proven to effective and safe time after time when used in the right patients. Others have been discarded as inefficient or too dangerous with regards to serious, sometimes life-threatening side effects.
Unfortunately it is difficult to determine the success rate and the risks associated with a particular procedure due to large differences in patient selection, how the procedure is performed, which drugs are used, how much of the drug is used, etc.
The ACC IPM intervention index attempts to give some guidance to the various procedures. However, it is important to recognise that the opinions displayed within this index are indeed only opinions. Please discuss any information you found on a particular procedure with your pain physician. At times even world-renowned pain experts discuss bitterly the pros and cons of a particular procedure, which highlights that there may not be one single truth out there. Learn about the procedure and discuss the procedure thoroughly with your doctor.
Most interventional pain procedures can be considered within the following categories.
| Early intervention in neuropathic pain (to prevent progression to chronic pain states) |
Peripheral nerve blocks |
| Sympathetic blocks | |
| Intrathecal Drug Delivery | |
| Targeted Interventions in musculoskeletal pain (diagnostic) | Zygapophyseal joint (medial branch or intra-articular) |
| Sacro-iliac joint (intra-articular) | |
| Disc (provocation discography) | |
| Targeted Interventions in musculoskeletal pain (therapeutic) | Radiofrequency neurotomy |
| Intra-articular blocks | |
| Intradiscal electrothermal annuloplasty | |
| Implanted devices | Intrathecal pumps |
| Neuromodulation (spinal cord, sacral nerve root and peripheral nerve stimulation) |
|
| Tissue ischaemia | Sympathetic blocks |
| Spinal cord stimulation | |
| Cancer Pain | Coeliac plexus block |
| Intrathecal analgesia |
