Chronic Pain Procedures in Anticipation of Surgery/Pain Status Optimization

This chapter addresses the issue of chronic painChronic pain in anticipation of surgery and the importance of a multidisciplinary approachMultidisciplinary approach for painPain status optimization. It provides insights into the classification of chronic painChronic pain, emphasizing neuropathic and nociceptive pain. Preoperative assessmentAssessment and evaluation methods, including pain assessmentPain assessment tools and diagnostic tests, are discussed to aid in devising individualized pain managementPain management plans. Non-pharmacological interventions, such as physical therapy and rehabilitation, are explored as effective approaches to managing chronic painChronic pain. The chapter further discusses the preoperative use of interventional pain proceduresInterventional pain procedures, such as peripheral nerve stimulationPeripheral nerve stimulation, epidural steroid injectionsEpidural steroid injections, and facet joint injectionsFacet joint injections, highlighting their benefits and limitations. Preoperative painPreoperative pain optimization strategies, with a focus on timing interventions and procedures, are also discussed to improve surgical outcomesSurgical outcomes and reduce postoperative complications.