Técnicas mínimamente invasivas en el tratamiento del dolor crónico

On the basis of advances in imaging, neural anatomic findings, new discoveries in chemical mediation of chronic pain, the development of precision diagnostic and therapeutic injection techniques, and reported non-operative treatment successes, has facilitated the expansion of minimally invasive techniques in the management of pain.

Described interventional techniques as minimally invasive procedures including percutaneous precision needle placement, with placement of drugs in targeted areas or ablation of targeted nerves; and some surgical techniques such as laser or endoscopic diskectomy, intrathecal infusion pumps and spinal cord stimulators, for the diagnosis and management of chronic, persistent or intractable pain.

Multiple therapeutic interventional techniques with reasonable evidence that are commonly applied are epidural injections including adhesiolysis, facet joint interventions, sacroiliac joint interventions, and implantable therapies. The rest of procedures performed in Pain Units have a more limited recommendation levels.