The Path to Personalized Pain Management

Dear Colleagues,

The special issue is initiated by SICCMI (https://siccmi.org).

The Path to Personalized Pain Management is evolving, but is still tied to identifying pain generators using medical science reports in the medical literature, which is based on historical concepts and techniques.

There are different philosophies and techniques that also differ in different regions of the world, continents, and countries with variations of political ideology and history.

Current concepts have become increasingly global, but are still tied to the treatment of pain in personalized pain care. This can lead to the inclusion of naturopathic and mental health, but a subsequent reversion to minimally invasive surgical care as the ultimate “cure”.

The intervertebral disc is the initial primary surgical source of pain in the cervical, thoracic, and lumbar spine, which can be readily confirmed with diagnostic and therapeutic injections. Soft tissue trauma will usually heal with time, but surgical pain care can speed up recovery. Successful surgical clinical outcomes can be personalized and achieved with the endoscopic visualization of pain generators on par with open or microsurgical decompression, but with less surgical morbidity.       

New technology is evolving, expanding, ongoing, and changing established clinical surgical criteria, validated by meta-analysis and peer-reviewed publications, with eventual global acceptance.

Endoscopic video visualization with patient verbal intraoperative feedback is the most powerful and convincing evidence for validation of a surgical technique that can also help patient selection.

The future of personalized pain management is to focus on personal pain care and patient selection based on individual patient needs.

Dr. Kai-Uwe Lewandrowski
Dr. Anthony T Yeung
Dr. Xifeng Zhang
Dr. Ivo Abraham
Guest Editors

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