ASIPP Guidelines for Interventional Strategies in Chronic Spinal Pain: Epidural Injections

Douglas C. Schottenstein, MD

NY Spine Medicine
Attending Physician
New York Presbyterian
New York, NY
www.nyspinemedicine.com

The American Society of Interventional Pain Physicians (ASIPP) has recently published evidence-based guidelines for interventional strategies in the management of chronic spinal pain. These guidelines evaluate a number of commonly employed interventional treatment strategies and provide recommendations that can be utilized across specialties and organizations. Moreover, using transparent, reproducible, and clinically relevant methodology, the expert panel has attempted to assess systematically the clinical and cost effectiveness of therapies and highlight areas where further research is required. Such an approach is likely to increase compliance to evidence-based medicine, promote appropriate patient expectations, and improve relationships among patients, physicians, and payers. Here, Dr. Schottenstein discusses ASIPP guideline recommendations on therapeutic epidural injections, including various approaches to the epidural space and chronic spinal pain conditions.

References

Manchikanti L, Boswell MV, Singh V, et al. Comprehensive evidence-based guidelines for interventional techniques in the management of chronic spinal pain. Pain Physician. 2009;12(4):699-802.
Manchikanti L, Singh V, Helm S 2nd, et al. An introduction to an evidence-based approach to interventional techniques in the management of chronic spinal pain. Pain Physician. 2009;12(4):E1-33.
Manchikanti L, Helm S, Singh V, et al. An algorithmic approach for clinical management of chronic spinal pain. Pain Physician. 2009;12(4):E225-264.

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