Nonoperative interventions for spinal pain

Dong Ah Shin, Hyoung Ihl Kim

Research output: Contribution to journalReview articlepeer-review


Spinal pain is a common symptom that motivates visiting a physician. However, the natural course is usually benign and few patients need invasive treatment. Even though history taking, neurological examination, and imaging studies provide useful information for understanding the etiology of spinal pain, the pain chart is the most important tool for decision making regarding spinal interventions. Invasive treatments for chronic spinal pain refractory to conservative management include surgery as well as established interventions such as medial branch blocks, nerve root blocks, the sacroiliac joint block, and radiofrequency neurotomy, as well as emerging procedures such as pressure-controlled discography and percutaneous epidural adhesiolysis. Surgery should be considered for patients with a progressive neurologic deficit including significant radiculopathy, failure of spinal interventions, or an uncertain or serious diagnosis.

Original languageEnglish
Pages (from-to)308-317
Number of pages10
JournalJournal of the Korean Medical Association
Issue number4
Publication statusPublished - 2014 Apr

All Science Journal Classification (ASJC) codes

  • Medicine(all)


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