Pain Management in Neurosurgery: Back and Lower Extremity Pain, Trigeminal Neuralgia

Yifan Xu, Kimberly M. Mauer, Amit Singh

Research output: Contribution to journalReview articlepeer-review


Interventional anesthetic techniques are an integral component of a biopsychosocial approach and multidisciplinary treatment. Injection techniques are often used to diagnose disorders, decrease the need for surgery, or increase the time to surgery. The role of neural blockade techniques using local anesthetics and steroids in the assessment and treatment of pain continues to be refined. With the current opioid crisis and an aging population with increasing medical comorbidities, there is an emphasis on the use of nonopioid, nonsurgical, and multimodal therapies to treat chronic pain. This article reviews indications, goals, and methods of common injection techniques.

Original languageEnglish (US)
Pages (from-to)179-194
Number of pages16
JournalAnesthesiology Clinics
Issue number1
StatePublished - Mar 2021


  • Chronic back pain
  • Epidural steroid injection
  • Facet joint
  • Radiofrequency ablation
  • Sympathetic block
  • Trigeminal neuralgia
  • Trigger point injections

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine


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