Spinal Frontiers · Spine Team & Allied Health · Pain Medicine
Spine-related pain medicine, from perioperative analgesia guidance to interventional procedures and neuromodulation.
Spine-related pain medicine for surgeons, pain specialists and physiotherapists: the societies, guidelines for perioperative and chronic spinal pain, training routes and new papers. Spinal cord stimulators and other implanted devices are tracked by product area on Product Developments.
A Canadian multistakeholder panel issued 15 graded recommendations on indications, image guidance, repetition and outcome measurement for cervical, lumbar and sacroiliac interventional procedures.
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Functional MRI in 114 people with chronic low back pain showed that movement-provoked flares engage coupling between the default mode network and back-related somatosensory cortex.
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Patients with more centralised (nociplastic) pain features responded less well to an SCS trial, suggesting pain phenotyping could sharpen selection.
PubMed → PaywallSource checked
In over 1,100 US patients, basivertebral nerve ablation had a low complication rate, mostly transient radicular pain that settled with conservative care.
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In 58 spine operations on patients with an existing stimulator, documented device deactivation and diathermy precautions rarely met guidance, and about one case in twelve had a device-related problem.
PubMed →Source checked
No bleeding complications were seen after cervical transforaminal injections whether antithrombotics were continued or stopped, but the series is too small to be conclusive.
PubMed →Source checked
Database analysis linking cervical transforaminal injections with more later surgery, opioid use and complications than interlaminar injections, though the authors flag likely selection bias.
PubMed →Source checked
A GRADE-based multidisciplinary guideline (with AAPM involvement) on evaluating and managing acute low back pain of under six weeks, with or without radiculopathy, in outpatient care.
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The French DEXHIA trial (106 patients) found ultrasound-guided caudal dexamethasone no better than saline for disability, pain or surgery rates in acute disc-related sciatica.
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A small UK RCT reports durable five-year improvement with interspinous fixation and with open decompression for lumbar stenosis, with shorter surgery and stay for the device group; comparisons are exploratory.
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In 124 implanted patients, pain scores during the SCS trial explained little of the relief achieved up to three years later, and patient-reported versus calculated percentage relief agreed poorly.
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Repeated IV lidocaine infusions gave no extra pain relief over saline in nociplastic chronic low back pain when added to standard multimodal care.
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Spine Intervention Society
Guideline →Source checked
ASRA Pain Medicine-led multispecialty international working group
Guideline →Source checked
Canadian multistakeholder guideline panel (published in Anaesthesia)
Guideline →Source checked
Acute Low Back Pain Guideline Project with American Academy of Pain Medicine consultants (Pain Medicine)
Guideline →Source checked
North American Spine Society (NASS)
Guideline →Source checked
International Neuromodulation Society (NACC)
Guideline → PaywallSource checked
ASRA-led multisociety panel (RAPM)
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Multisociety working group (ASRA-led; RAPM and Pain Medicine)
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ESRA PROSPECT Working Group
Guideline →Source checked
Multisociety working group (ASRA-led; published in RAPM)
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ASRA with ESRA, AAPM, INS, NANS and WIP
Guideline → PaywallSource checked
NICE (UK)
NICE (UK)
Guideline →Source checked
Neuromodulation science and education; publishes Neuromodulation journal; NACC appropriateness guidance
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Neuromodulation education, research, advocacy and clinical practice guidelines
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Regional anaesthesia and pain therapy; EDRA and pain medicine diplomas; PROSPECT
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Regional anaesthesia, acute and chronic pain medicine; guidelines including interventional spine consensus documents
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Global pain science and practice body; publishes PAIN and PAIN Reports
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Federation of 40 national pain societies; runs the EDPM and pain schools
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Training, assessment (FFPMRCA) and standards for UK pain medicine
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German pain society; guidelines (e.g. LONTS), KEDOQ-Schmerz registry; Arbeitskreis Rückenschmerz
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Interventional pain education; administers FIPP and CIPS examinations
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Evidence-based spine interventions; publishes Interventional Pain Medicine; bio-skills courses
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World Institute of Pain
Details →Source checked
European Pain Federation (EFIC)
13 Nov 2026 sitting registration closed; next Part 1 date to be announced.
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ESRA
Distinct from EFIC's EDPM despite similar name; listed on ESRA diplomas page.
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Faculty of Pain Medicine, RCoA
From July 2027 (pending GMC approval) the Final MCQ becomes the AKT and the SOE becomes the CPEP station exam.
Details →Source checked
Spine Intervention Society
Details →Source checked
North American Neuromodulation Society
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ASRA Pain Medicine
Details →Source checked
International Neuromodulation Society
Details →Source checked
Each month we search Pain, Regional Anesthesia & Pain Medicine, Pain Medicine, Interventional Pain Medicine, Neuromodulation, the European Journal of Pain and the British Journal of Anaesthesia for papers on spinal pain, interventional spine procedures and spinal cord stimulation. We never publish drug doses or stimulation settings: follow the source and your local protocol.
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