Mehrpour S, Shafa S, Vatankhah M, Malekshoar M, Sanie Jahromi M S, Zarei T, et al . Pain Management Methods and Techniques in Lumbar
Disc Surgery: A Narrative Review Study. Iran J Neurosurg 2024; 10 : 4
URL:
http://irjns.org/article-1-396-en.html
1- Department of Anesthesiology and Critical Care, School of Medicine, Qom University of Medical Sciences, Qom, Iran.
2- Department of Orthopedics, School of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
3- Department of Anesthesiology, Anesthesiology and Critical Care and Pain Management Research Center, School of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
4- Department of Anesthesiology, School of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.
5- Department of Anesthesiology and Critical Care, Faculty of Medicine, Golestan University of Medical Sciences, Gorgan, Iran. , mansour.deylami@gmail.com
6- Department of Emergency Medicine, School of Medicine, Birjand University of Medical Sciences, Birjand, Iran.
7- Department of Emergency Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Abstract: (2005 Views)
Background and Aim: This study examines the complex field of pain treatment related to lumbar disc disorders in a narrative review.
Methods and Materials/Patients: Our search strategy involved utilizing specific terms, including ‘pain management,’ ‘lumbar disc surgery,’ ‘methods,’ and ‘techniques.’ We formulated a search query using Boolean operators: (‘Pain management’ OR ‘analgesia’) AND (‘lumbar disc surgery’ OR
‘spinal surgery’) AND (‘techniques’ OR ‘procedures’ OR ‘approaches’ OR ‘methods’) AND ‘narrative review.’ A systematic search was conducted across reputable medical databases including PubMed, MEDLINE, and Cochrane Library. Filters were applied to refine search results based on publication type and date, with a focus on material published within the past two decades to ensure the inclusion of current, high-quality literature.
Results: This study synthesized information from several sources, demonstrating the changing methods used to address pain in lumbar disc disorders. The article explored the historical background of medical treatments, emphasized both contemporary surgical and non-surgical methods, and investigated
the predicted factors that affect the results. The study investigated the range of surgical incidents and examined the clinical factors to be taken into account for treatments. The value of efficient pain treatment in alleviating chronic back pain and maximizing patient results was emphasized.
Conclusion: In conclusion, this review underscores the paramount importance of comprehensive management of lumbar disc pain. It stresses that effective pain control not only alleviates immediate suffering but also plays a pivotal role in ensuring positive surgical experiences, enhancing patient outcomes, and promoting long-term well-being.
Article number: 4
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• The efficacy of opioids with traditional periodic administration lacks specific delineation, as pertinent outcomes were not elucidated in the respective investigations.
• Multimodal pain management strategies, incorporating non-opioid analgesics such as acetaminophen, NSAIDs, and COX-2 inhibitors, demonstrated noteworthy reductions in opioid utilization and effectively addressed concerns related to dependency across distinct studies.
• Sublingually administered preoperative buprenorphine exhibited procedural simplicity and efficacy in mitigating postoperative pain, as evidenced by diverse empirical investigations.
• Nalbuphine, employed as an intrathecal adjuvant in spinal anesthesia, showcased efficacy in achieving notable pain relief in the context of orthopedic surgical interventions, as corroborated by pertinent studies.
• Low-dose intravenous administration of ketamine exhibited pronounced analgesic efficacy, concurrent with diminished opioid consumption and a morphine-sparing effect, particularly following spine surgeries, as substantiated by a collective body of research.
Type of Study:
Review |
Subject:
Pain