The Eurasian Journal of Medicine

Chronic Pain: An Update of Clinical Practices and Advances in Chronic Pain Management


Department of Pain Medicine, Health Science University Derince Training and Research Hospital, Kocaeli, Turkey


Department of Physical Therapy and Rehabilitation, Sakarya Training and Research Hospital, Sakarya, Turkey


Department of Anesthesiology and Reanimation, Samsun University Faculty of Medicine, Samsun Training and Research Hospital, Samsun, Turkey


Section of Anesthesiology and Intensive Care, University Hospital of Padova, Padova, Italy


Department of Pain Medicine, Health Science University Ankara Etlik City Hospital, Ankara, Turkey


Department of Anesthesiology, Memorial Hermann Hospital, Texas Medical Centre, Houston, USA

Eurasian J Med 2022; 54: Supplement S57-S61
DOI: 10.5152/eurasianjmed.2022.22307
Read: 2540 Downloads: 660 Published: 01 December 2022

Chronic pain affects a significant amount of the population and represents a heavy personal and socioeconomic burden. Chronic pain mechanisms can be categorized as nociceptive, neuropathic, or nociplastic. Although mechanism-based pain treatment is optimal, different types of pain mechanisms may overlap in patients. Recently, the biopsychosocial model with the multidisciplinary pain management program is widely accepted as one of the most effective methods to assess and manage chronic pain. The treatment of chronic pain consists of a personalized, stepwise, and multimodal approach that includes pharmacotherapy, psychotherapy, integrative treatments, and interventional procedures. Somatic and peripheral nerve blocks for the treatment of chronic pain are often deferred. With the increasing use of ultrasound in pain medicine, newly defined interfascial plane blocks, which may be performed alone or as an adjuvant to multimodal management, have gained popularity. Adequate pain management can improve physical functioning, mental health and quality of life indicators, and reduce pain chronification. The aim of this current article is to perform a comprehensive and updated review of existing treatment options, particularly interfascial plane blocks in chronic pain syndromes.

Cite this article as: Guven Kose S, Kose HC, Celikel F, Tulgar S, De Cassai A, Taylan Akkaya O, and Hernandez N. Chronic pain: an update of clinical practices and advances in chronic pain management. Eurasian J Med., 2022;54(Suppl. 1):S57-S61.

EISSN 1308-8742