Invasive Interventions
Nerve Blocks
Neurologic Interventions
Management of Procedural Pain
Less invasive methods should be used for relieving pain before trying invasive
treatment. Some patients, however, may need invasive therapy.
Nerve Blocks
A nerve block is the injection of either a local anesthetic or a drug that
inactivates nerves to control otherwise uncontrollable pain. Nerve blocks can
be used to determine the source of pain, to treat painful conditions that
respond to nerve blocks, to predict how the pain will respond to long-term
treatments, and to prevent pain following procedures.
Neurologic Interventions
Surgery can be performed to implant devices that deliver drugs or electrically
stimulate the nerves. In rare cases, surgery may be done to destroy a nerve or
nerves that are part of the pain pathway.
Management of Procedural Pain
Many diagnostic and treatment procedures are painful. Pain related to
procedures may be treated before it occurs. Local anesthetics and short-acting opioids can be used to manage procedure-related pain, if enough time is allowed
for the drug to work. Anti- anxiety drugs and sedatives may be used to reduce
anxiety or to sedate the patient. Treatments such as imagery or relaxation are
useful in managing procedure-related pain and anxiety.
Patients usually tolerate procedures better when they know what to expect.
Having a relative or friend stay with the patient during the procedure may help
reduce anxiety.
Patients and family members should receive written instructions for managing
the pain at home. They should receive information regarding whom to contact for
questions related to pain management.
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