The Egyptian Journal of Radiology and Nuclear Medicine (Jan 2021)

Qualitative assessment of chronic pain management in patients undergoing computed tomography-guided procedures

  • Ralph Jeffrey,
  • Roy Santosham,
  • Gayathri Nagenthran,
  • Bhawna Dev,
  • Rupesh Mandava,
  • Praveenkumar Vasanthraj,
  • Siddharth Saravanan

DOI
https://doi.org/10.1186/s43055-020-00390-0
Journal volume & issue
Vol. 52, no. 1
pp. 1 – 10

Abstract

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Abstract Background To study the qualitative efficacy and safety of percutaneous pain management under CT guidance. The success rate of medical management for chronic pain in long term is very less. This study aids in evaluating the clinical success rate in each CT-guided pain management procedure we have done. Results Among the 60 patients, 39 (65%) were male patients and 21 (35%) were female patients. We did 40 celiac plexus neurolysis (66.7%), 13 radiofrequency ablations (21.6%), 4 stellate ganglion neurolysis (6.7%), and 3 trigeminal nerve neurolysis (5%). The average pre-procedural pain score in all the procedures was 7 which was significantly reduced to 1 in 24 h and 1 and 3 months. Conclusion Percutaneous pain management under CT guidance by virtue of its precise needle placement offers effective pain relief. It has a lower rate of complications, reduces the need for repeat procedures, and ultimately increases the quality of life.

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