Chinese Association for the Study of Pain: Experts consensus on ultrasound-guided injections for the treatment of spinal pain in China (2020 edition)

Wang, Yun; Wang, Aizhong; Wu, Baishan; Zheng, Yongjun; Zhao, Daqiang; Liu, Hui; Xu, Hua; Fang, Hongwei; Zhang, Jinyuan; Cheng, Zhixiang; Wang, Xiangrui

doi:10.12998/wjcc.v9.i9.2047

Cited by 5 publications

(4 citation statements)

References 51 publications

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“… 31 Studies have shown that the combination of dexmedetomidine and an opioid in analgesic pumps has a synergistic effect that greatly reduces the amount of opioids required. 32 Dexmedetomidine with opioids also reduces postoperative pain scores as well as the incidence of nausea and vomiting and other adverse events such as hypotension and drowsiness. 33 In addition, it reduces the length of hospital stay and improves patient satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Analgesic Drug Therapy for Postoperative Pain Management in Cardiovascular Surgery

Yue,

Ji,

Wang

et al. 2024

Current Therapeutic Research

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Section: Discussionmentioning

confidence: 99%

Evaluation of Analgesic Drug Therapy for Postoperative Pain Management in Cardiovascular Surgery

Yue,

Ji,

Wang

et al. 2024

Current Therapeutic Research

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“…21 Recently, expert consensus in China offers a practical reference to implement successful USguided injections in the treatment of chronic spinal pain. 22 Cervical nerve root injection for the treatment of CRP under the US guidance has been investigated by many researchers. [23][24][25][26][27] In the present study, we performed cervical TFSI under US guidance using a similar approach to Yuexiang Wang.…”

Section: Discussionmentioning

confidence: 99%

“…Over the past few decades, there has been a growing trend in the application of ultrasonography in chronic pain management, because US provides direct visualization of soft tissue, peripheral nerve, blood flow, and real-time needle advancement and avoids exposure to the risks of radiation 21. Recently, expert consensus in China offers a practical reference to implement successful US-guided injections in the treatment of chronic spinal pain 22. Cervical nerve root injection for the treatment of CRP under the US guidance has been investigated by many researchers 23–27…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided Versus Computed Tomography Fluoroscopy-assisted Cervical Transforaminal Steroid Injection for the Treatment of Radicular Pain in the Lower Cervical Spine

Zheng

Hua

et al. 2023

The Clinical Journal of Pain

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Object: To estimate the contrast dispersion short-term clinical efficacy and safety of ultrasound (US)-guided transforaminal steroid injection (TFSI) compared with computed tomography (CT) guidance for the treatment of cervical radicular pain. Method: A total of 430 patients with cervical radicular pain from cervical herniated disk or cervical spondylosis were recruited in the randomized, single-blind, controlled, noninferiority trial. The patients were randomly assigned to receive either the US-guided or CT-guided TFSI for 1 affected cervical nerve. The dispersion pattern of contrast was monitored at the time of TFSI in both groups, using CT. Patients were assessed for pain intensity by numeric rating scale (NrS) and functional disability by Neck Disability Index (NDI) at baseline, 1 and 3 months after the intervention. Complications were also recorded. Results: The satisfactory rate of contrast distribution was respectively 92.1% in US group and 95.8% in CT group. Pain reduction and functional improvement were showed in both groups during follow-up. Statistical difference was not observed in the decrease in NRS pain scores and NDI scores between 2 groups with F=1.050, P=0.306 at 1 month and F=0.103, P=0.749 at 3 months after intervention. No permanent and severe complications were observed. Conclusions: This study demonstrated that US provided a noninferior injectate spread pattern and similar improvement of radicular pain and functional status when compared with CT-guided TFSI. US may be advantageous during this procedure because it allows visualization of critical vessels and avoids radiation exposure.

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“…We read the article by Wang et al [ 1 ] with great interest, in which the authors proposed a protocol for physicians to administer ultrasound-guided injections as treatment for spinal pain. Spinal pain is highly prevalent in the general population and often causes substantial suffering, many lost workdays, and high medical costs[ 2 ].…”

Section: To the Editormentioning

confidence: 99%

Differences between the healthcare systems of Quebec and France for the treatment of pain due to spinal disorders

Boyer,

Boudier-Revéret,

Chang

2024

World J Clin Cases

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In Quebec, Canada, the public healthcare system offers free medical services. However, patients with spinal pain often encounter long waiting times for specialist appointments and limited physiotherapy coverage. In contrast, private clinics provide expedited care but are relatively scarce and entail out-of-pocket expenses. Once a patient with pain caused by a spinal disorder meets a pain medicine specialist, spinal intervention is quickly performed when indicated, and patients are provided lifestyle advice. Transforaminal epidural steroid injections are frequently administered to patients with radicular pain, and steroid injections are administered on a facet joint to control low back or neck pain. Additionally, medial branch blocks are performed prior to thermocoagulation. France’s universal healthcare system ensures accessibility at controlled costs. It emphasizes physical activity and provides free physical therapy services. However, certain interventions, such as transforaminal and interlaminar epidural injections, are not routinely used in France owing to limited therapeutic efficacy and safety concerns. This underutilization may be a potential cause of chronic pain for many patients. By examining the differences, strengths, and weaknesses of these two systems, valuable insights can be gained for the enhancement of global spinal pain management strategies, ultimately leading to improved patient outcomes and satisfaction.

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Chinese Association for the Study of Pain: Experts consensus on ultrasound-guided injections for the treatment of spinal pain in China (2020 edition)

Cited by 5 publications

References 51 publications

Evaluation of Analgesic Drug Therapy for Postoperative Pain Management in Cardiovascular Surgery

Evaluation of Analgesic Drug Therapy for Postoperative Pain Management in Cardiovascular Surgery

Ultrasound-guided Versus Computed Tomography Fluoroscopy-assisted Cervical Transforaminal Steroid Injection for the Treatment of Radicular Pain in the Lower Cervical Spine

Differences between the healthcare systems of Quebec and France for the treatment of pain due to spinal disorders

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