Pain management using guided C-arm radiography fluoroscopy in patients with chronic pain

Abstract

Medical problems commonly reported by individuals in various healthcare settings often involve discomfort or pain. Approximately 20% of the world's population experiences acute pain, and half of them go on to develop chronic pain. Proper treatment for individuals suffering from pain is essential not only to alleviate discomfort but also to enhance their quality of life. Interventional Pain Management (IPM) focuses on minimally invasive techniques guided by imaging tools to treat pain more effectively at its source. IPM utilizing C-arm radiography fluoroscopy is an excellent choice for managing chronic pain. This article presents a case study of Mr. M, who has Herniated Nucleus Pulposus (HNP) and has been complaining of left low back pain for over six months, with worsening symptoms in the last four days. Despite seven days of treatment, his pain did not decrease; in fact, his pain scale increased to 8 (on a scale of 1 to 10) on February 12, 2024. On the eighth day, the patient underwent IPM guided by C-arm fluoroscopy. This intervention significantly reduced his pain scale and contributed to a decrease in his discomfort. While IPM with C-arm guidance does not directly address the underlying cause of HNP, it serves as an effective alternative for alleviating pain by blocking the nerves in the affected area.

Keywords: Pain management; chronic pain; radiography; patient education; hernia care