Interventional Pain Management: Now and Future

Monday, March 6, 2023

5:45 PM – 5:50 PM

Location: Phoenix Convention Center, North Ballroom 120ABC, Poster Hall

Abstract Presenter(s)

Izzet Altun, MD

Interventional Radiology Resident
University of Maryland School of Medicine

Disclosure(s): No financial relationships to disclose

Author/Co-author(s)

FK

Fereshteh Khorshidi, MD

Physician
University of Maryland School of Medicine
David Prologo, MD

Associate Professor
Emory University
HR

Howard Richard, MD

Interventional Radiologist
University of Maryland Medical Center
Ji Buethe, MD

Physician
Johns Hopkins Hospitals
Nariman Nezami, MD

Attending
University of Maryland School of Medicine

Disclosure(s):

Izzet Altun, MD: No financial relationships to disclose

David Prologo, MD: Focused Cryo: Board Membership (Ongoing), Ownership Interest (Ongoing)

Nariman Nezami, MD: CAPS Medical: Consultant (Ongoing)

Learning Objectives:

Provide information about the current approach to pain management in acute and elective settings. Compare and illustrate the routine applications of interventional radiology to relief of pain. Discuss the results of commonly practiced pain management procedures, the role of advanced image-guided modalities and role of interventional radiologists.

Background:

Pain management in cancer patients, elderly, and children are challenging that often requires minimally invasive procedures and an interdisciplinary approach. Commonly used methods such as intercostal nerve block, spinal injection, and other peripheral nerve injections that preferred for non-cancer-induced pain, while nerve ablation is generally preferred for severe medication-resistant cancer-related pains. Recently, more advanced techniques such as deep brain stimulation become a novel approach to pain management. Moreover, there are interventional therapies to relieve pain through tumor ablation, embolization and vertebral augmentation. Interventional pain management offers an efficient, minimally invasive approach with fewer side effects and risks than traditional methods.

Clinical Findings/Procedure Details:

This educational exhibit will provide various currently available interventional pain management approaches. We will illustrate techniques used in pain management with indications, contraindications, possible alternatives, and potential risks. We will also discuss and review the role of interventional radiologists and emerging image guidance systems in interventional pain management.

Conclusion and/or Teaching Points:

There are multiple pain management options available for the patient. However, treatment-resistant patients often require a multidisciplinary approach and novel technique. Minimally invasive procedures offer a relatively safe option for pain management. Advancements in image-guided technologies can provide a more efficient and safer procedure option for pain management.