Intractable Pain Management by Spinal Barbotage / 대한마취과학회지

ABSTRACT

Physiotherapy, psychotherapy, hormone therapy, chemical therapy, traditional surgical methods; amputation of painful extremities, cordotomy, leucotomy, rhizotomy, electrode insertion into the dorsal column of cord and acupuncture have been performed for therapeutic approaches to pain relief, but still there are problems in management of complete relief for the chronic pain today. At present, another new method of eliminating chronic pain is based on expanding the neurophysiologic aspect. Among the above mentioned therapeutic approaches to chronic pain relief, spinal barbotage seems to be least stressful to the patient and very effective in some cases. We have experienced a case of successful control of chronic pain by spinal barbotage for a 62 year old woman with metastatic colon carcinoma. The patient was well controlled chronic pain for 28 hours after the first spinal barbotage and for 3 weeks after the second spinal barbotage. It is considered that spinal barbotage is more simple, convenient and effective than other methods for intractable pain relief.