title: [Selected interventional methods for the treatment of chronic pain : part 2: regional anesthetic techniques close to the spinal cord and neuromodulative methods].
abstract: Approximately 5-8 million people in Germany suffer from chronic pain and some patients can profit from specific interventional techniques. In detail these are regional anesthetic techniques close to the spinal cord, neuromodulation, blocks of the sympathetic chain and peripheral nerve blocks. Part 2 of the article presents regional anesthetic techniques close to the spinal cord and neuromodulative methods. Regional anesthetic techniques close to the spinal cord are of high importance for the treatment of chronic low back pain although the efficiency is highly disputed due to the lack of evidence. Neuromodulation includes amongst others intrathecal pharmacotherapy and spinal cord stimulation, which are used for highly selected patients and can lead to very good results for these patients.
authors.affiliation: Klinik für Anaesthesiologie, Operative Intensivmedizin und Schmerztherapie, Universitätsklinikum Gießen und Marburg, Standort Gießen, Deutschland, Eileen.Boettger@chiru.med.uni-giessen.de
authors.forename: E
authors.initials: E
authors.lastname: Böttger
authors.forename: K
authors.initials: K
authors.lastname: Diehlmann
mesh_terms: D000700:Analgesics / Q000008:administration & dosage / Q000627:therapeutic use; D000765:Anesthesia, Conduction; D000772:Anesthesia, Local; D001340:Autonomic Nerve Block; D002908:Chronic Disease; D000075202:Contraindications; D004599:Electric Stimulation Therapy / Q000009:adverse effects / Q000379:methods; D004567:Electrodes, Implanted; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007278:Injections, Spinal; D017116:Low Back Pain / Q000628:therapy; D009407:Nerve Block; D019635:Neurosurgical Procedures; D010146:Pain / Q000188:drug therapy / Q000453:epidemiology / Q000601:surgery*; D010525:Peripheral Nerves; D013116:Spinal Cord
chemical_list: D000700:Analgesics