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 Table of Contents  
EDITORIAL
Year : 2022  |  Volume : 36  |  Issue : 4  |  Page : 1

Redefining pain interventions: Call it right!


1 Department of Anaesthesiology, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India
2 Department of Anaesthesiology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

Date of Web Publication30-Dec-2022

Correspondence Address:
Dr. Prateek Arora
All India Institute of Medical Sciences, Raipur, Chhattisgarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijpn.ijpn_126_22

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How to cite this article:
Dey S, Arora P. Redefining pain interventions: Call it right!. Indian J Pain 2022;36, Suppl S1:1

How to cite this URL:
Dey S, Arora P. Redefining pain interventions: Call it right!. Indian J Pain [serial online] 2022 [cited 2023 Feb 6];36, Suppl S1:1. Available from: https://www.indianjpain.org/text.asp?2022/36/4/1/366477



The concept of pain and its management is dynamic and evolving. It is a “personal experience,” and the therapies are individualized. Step 4 of the modified WHO pain ladder includes interventions[1] and, owing to its bidirectional nature, can be utilized at any step. The decision to intervene and the timing of the said intervention is multifactorial and is taken on a case-to-case basis. It requires a specialized knowledge base and skill set to relieve, reduce, or manage pain and improve a patient's overall quality of life through minimally invasive techniques specifically designed to diagnose and treat painful conditions.[2] Such interventions in former times lacked universal nomenclatures and were infamously referred to as “blocks” and “injections,” possibly due to the sheer simplicity of calling them so. A total of 113 pain medicine interventions for different indications were evaluated in an updated review by Huygen et al.[3] in 2018. The assembly of these recommendations[4],[5],[6],[7] furnishes scientific data to aid evidence-based practice. In a country with heterogeneous distribution of health-care standards, it is imperative to overcome ethical challenges and abide by the best recommended clinical standards.[8],[9] Understanding this need for uniformity in pain practice throughout India, special interest groups under the Indian Society for the Study of Pain (ISSP) developed a Minimally Invasive Pain and Spine Interventions (MIPSI) coding system, primarily as a unique system to bring uniformity in the terminologies used for interventional pain procedures and provide a uniform language applicable to medical education, research, and processing of insurance claims.[10] The ISSP general counsel adopted the term “MIPSI” for pain interventions, and a resolution was passed in the general body meeting 2019 ISSPCON Bengaluru. The coding for various MIPSI was developed in the same meeting and circulated among the society members. With this special issue of the Indian Journal of Pain on MIPSI, we want to emphasize the importance of naming the intervention right. This issue highlights some of the commonly performed minimally invasive interventions in day-to-day clinical practice supporting the vision statement of the ISSP – “Working together for pain relief.”



 
  References Top

1.
Vargas-Schaffer G. Is the WHO analgesic ladder still valid? Twenty-four years of experience. Can Fam Physician 2010;56:514-7, e202-5.  Back to cited text no. 1
    
2.
Hamza M. Interventional pain management: A commentary. Eur J Phys Rehabil Med 2013;49:97-101.  Back to cited text no. 2
    
3.
Huygen F, Kallewaard JW, van Tulder M, Van Boxem K, Vissers K, van Kleef M, et al. “Evidence-based interventional pain medicine according to clinical diagnoses”: Update 2018. Pain Pract 2019;19:664-75.  Back to cited text no. 3
    
4.
Van Zundert J, Huntoon M, Patijn J, Lataster A, Mekhail N, van Kleef M, et al. 4. Cervical radicular pain. Pain Pract 2010;10:1-17.  Back to cited text no. 4
    
5.
Vissers KC, Besse K, Wagemans M, Zuurmond W, Giezeman MJ, Lataster A, et al. 23. Pain in patients with cancer. Pain Pract 2011;11:453-75.  Back to cited text no. 5
    
6.
van Kleef M, Vanelderen P, Cohen SP, Lataster A, Van Zundert J, Mekhail N. 12. Pain originating from the lumbar facet joints. Pain Pract 2010;10:459-69.  Back to cited text no. 6
    
7.
Huygen F, Patijn J, Rohof O, Lataster A, Mekhail N, van Kleef M, et al. 9. Painful shoulder complaints. Pain Pract 2010;10:318-26.  Back to cited text no. 7
    
8.
Schofferman J. Interventional pain medicine: Financial success and ethical practice: An oxymoron? Pain Med 2006;7:457-60.  Back to cited text no. 8
    
9.
Brenner GJ, Kueppenbender K, Mao J, Spike J. Ethical challenges and interventional pain medicine. Curr Pain Headache Rep 2012;16:1-8.  Back to cited text no. 9
    
10.
Surange PN. ISSP coding system uniform nomenclature for interventional pain procedures. Indian J Pain 2019;33:51.  Back to cited text no. 10
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