The Surgical Management of Pain

Zachary D. Johnson; Megan Still; Steve Hong; Salah G. Aoun; Mazin Al Tamimi

doi:10.1007/978-3-030-39982-5_26

The Surgical Management of Pain

Zachary D. Johnson, Megan Still, Steve Hong, Salah G. Aoun, Mazin Al Tamimi

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

Pain is a frequently encountered complaint in a neurosurgeon’s office. A wide array of symptoms including back pain, face pain, phantom limb pain, diabetic neuropathy, chest pain, and cancer-related pain may all be amenable to surgical intervention if conservative treatment strategies have failed. Likewise, some characteristic pain syndromes, including trigeminal neuralgia and occipital neuralgia, have been well studied and are primarily treated with surgery when initial medical management fails. There are three broad categories for the surgical management of chronic pain in the absence of an identifiable surgical lesion: neuromodulation and neurostimulation of the brain and spine, direct administration of medications to the central nervous system (CNS), and neuroablation.

Original language	English (US)
Title of host publication	Pain Management for Clinicians
Subtitle of host publication	A Guide to Assessment and Treatment
Publisher	Springer International Publishing
Pages	743-762
Number of pages	20
ISBN (Electronic)	9783030399825
ISBN (Print)	9783030399818
DOIs	https://doi.org/10.1007/978-3-030-39982-5_26
State	Published - Jan 1 2020
Externally published	Yes

Keywords

Cingulotomy
Cordotomy
Deep brain stimulation
Dorsal root entry zone lesion
Intrathecal drug delivery
Mesencephalic tractotomy
Motor cortex stimulation
Occipital neuralgia
Spinal cord stimulation
Thalmotomy
Trigeminal neuralgia

ASJC Scopus subject areas

General Medicine

Access to Document

10.1007/978-3-030-39982-5_26

Cite this

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abstract = "Pain is a frequently encountered complaint in a neurosurgeon{\textquoteright}s office. A wide array of symptoms including back pain, face pain, phantom limb pain, diabetic neuropathy, chest pain, and cancer-related pain may all be amenable to surgical intervention if conservative treatment strategies have failed. Likewise, some characteristic pain syndromes, including trigeminal neuralgia and occipital neuralgia, have been well studied and are primarily treated with surgery when initial medical management fails. There are three broad categories for the surgical management of chronic pain in the absence of an identifiable surgical lesion: neuromodulation and neurostimulation of the brain and spine, direct administration of medications to the central nervous system (CNS), and neuroablation.",

keywords = "Cingulotomy, Cordotomy, Deep brain stimulation, Dorsal root entry zone lesion, Intrathecal drug delivery, Mesencephalic tractotomy, Motor cortex stimulation, Occipital neuralgia, Spinal cord stimulation, Thalmotomy, Trigeminal neuralgia",

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AU - Hong, Steve

AU - Aoun, Salah G.

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The Surgical Management of Pain

Abstract

Keywords

ASJC Scopus subject areas

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