Praxis
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Certain basic principles are applicable to all forms of pain treatment when the aims are pain relief and the avoidance of chronicety. Such algorithms, as guidelines are even more important when pain is becoming chronic. ⋯ The most important basic principles in the form of algorithms are first of all that therapies should be simultaneously applied and not sequentially. Secondly, the challenge should be met to create a concept where by various therapies can be preformed in a parallel fashion, without compete one another and being effective on different aspects and causes of the pain.
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Due to the increasing knowledge on neuroplasticity and due to the unsatisfactory outcomes from behavioristic treatment alone interventional pain management is again becoming interesting. Interventional diagnostic procedures can determine the origin of pain in respect to anatomical structures and might differentiate the qualities of pain. Thus guidelines can be developed for either conservative-pharmacological, interventional or cognitive-behavioristic treatment. Interventional diagnostic and therapeutic procedures have to be made precisely, using imaging techniques with contrast media and have to be well documented.