Pain management for the neurosurgical patient in spinal procedures: overview of historic and new modalities

The potent pain-relieving properties of opioids come at a steep price. Their addictive nature and side effects raise critical concerns in managing pain after surgical spine procedures. Postoperatively, spinal surgeries often accompany acute intense pain, which presents a significant challenge in opt...

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Main Authors: Ashley M. Carter, Samantha Yost, Jessica Tobin, Simran Phuyal, Brandon Lucke-Wold
Format: Article
Language:English
Published: Open Exploration 2024-05-01
Series:Exploration of Drug Science
Subjects:
Online Access:https://www.explorationpub.com/uploads/Article/A100846/100846.pdf
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author Ashley M. Carter
Samantha Yost
Jessica Tobin
Simran Phuyal
Brandon Lucke-Wold
author_facet Ashley M. Carter
Samantha Yost
Jessica Tobin
Simran Phuyal
Brandon Lucke-Wold
author_sort Ashley M. Carter
collection DOAJ
description The potent pain-relieving properties of opioids come at a steep price. Their addictive nature and side effects raise critical concerns in managing pain after surgical spine procedures. Postoperatively, spinal surgeries often accompany acute intense pain, which presents a significant challenge in optimal recovery. This paper reviews the historical approach to pain management in spine surgeries and expands on the use of alternatives and novel agents with reduced addictive potential. Additionally showcasing individualized multimodal strategies for postoperative pain management beyond pharmacological approaches such as cognitive behavioral therapy (CBT), physical therapy, and transcutaneous electrical nerve stimulation (TENS). Given the global opioid addiction crisis, there is a growing need for a fundamental shift towards safer and effective alternatives. Transitioning beyond opioid-centric practices in spinal surgery can optimize pain relief while improving patient outcomes and minimizing risk.
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institution Kabale University
issn 2836-7677
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series Exploration of Drug Science
spelling doaj-art-ccfd7b03a1a34576bee073acbff8842c2025-02-08T03:41:44ZengOpen ExplorationExploration of Drug Science2836-76772024-05-012326827610.37349/eds.2024.00046Pain management for the neurosurgical patient in spinal procedures: overview of historic and new modalitiesAshley M. Carter0Samantha Yost1Jessica Tobin2Simran Phuyal3Brandon Lucke-Wold4https://orcid.org/0000-0001-6577-4080School of Medicine, Eastern Virginia Medical School, Norfolk, VA 23451, USASchool of Medicine, University of Utah, Salt Lake City, UT 84132, USASchool of Medicine, University of Utah, Salt Lake City, UT 84132, USASchool of Medicine, Eastern Virginia Medical School, Norfolk, VA 23451, USADepartment of Neurosurgery, University of Florida, Gainesville, FL 32608, USAThe potent pain-relieving properties of opioids come at a steep price. Their addictive nature and side effects raise critical concerns in managing pain after surgical spine procedures. Postoperatively, spinal surgeries often accompany acute intense pain, which presents a significant challenge in optimal recovery. This paper reviews the historical approach to pain management in spine surgeries and expands on the use of alternatives and novel agents with reduced addictive potential. Additionally showcasing individualized multimodal strategies for postoperative pain management beyond pharmacological approaches such as cognitive behavioral therapy (CBT), physical therapy, and transcutaneous electrical nerve stimulation (TENS). Given the global opioid addiction crisis, there is a growing need for a fundamental shift towards safer and effective alternatives. Transitioning beyond opioid-centric practices in spinal surgery can optimize pain relief while improving patient outcomes and minimizing risk.https://www.explorationpub.com/uploads/Article/A100846/100846.pdfpain managementspineopioid
spellingShingle Ashley M. Carter
Samantha Yost
Jessica Tobin
Simran Phuyal
Brandon Lucke-Wold
Pain management for the neurosurgical patient in spinal procedures: overview of historic and new modalities
Exploration of Drug Science
pain management
spine
opioid
title Pain management for the neurosurgical patient in spinal procedures: overview of historic and new modalities
title_full Pain management for the neurosurgical patient in spinal procedures: overview of historic and new modalities
title_fullStr Pain management for the neurosurgical patient in spinal procedures: overview of historic and new modalities
title_full_unstemmed Pain management for the neurosurgical patient in spinal procedures: overview of historic and new modalities
title_short Pain management for the neurosurgical patient in spinal procedures: overview of historic and new modalities
title_sort pain management for the neurosurgical patient in spinal procedures overview of historic and new modalities
topic pain management
spine
opioid
url https://www.explorationpub.com/uploads/Article/A100846/100846.pdf
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AT samanthayost painmanagementfortheneurosurgicalpatientinspinalproceduresoverviewofhistoricandnewmodalities
AT jessicatobin painmanagementfortheneurosurgicalpatientinspinalproceduresoverviewofhistoricandnewmodalities
AT simranphuyal painmanagementfortheneurosurgicalpatientinspinalproceduresoverviewofhistoricandnewmodalities
AT brandonluckewold painmanagementfortheneurosurgicalpatientinspinalproceduresoverviewofhistoricandnewmodalities