Interventional Pain Management in Trauma: Bridging Acute Injury, Critical Care and Chronic Pain

Sony Sony

All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Shivam Shekhar *

All India Institute of Medical Sciences, Deoghar, Jharkhand, India.

*Author to whom correspondence should be addressed.


Abstract

Interventional Pain Management (IPM) has emerged as an integral component of modern trauma anaesthesia, particularly in the care of patients with neurotrauma. Traumatic injuries to the nervous system are frequently associated with complex pain syndromes that extend beyond the acute phase and may progress to chronic, function-limiting pain. Reliance on systemic pharmacological therapy alone is often insufficient and may adversely affect neurological assessment, haemodynamic stability, and long-term functional outcomes. This chapter examines the role of IPM across the continuum of neurotrauma and trauma care, including the acute perioperative period, intensive care management, rehabilitation, and chronic pain treatment. Emphasis is placed on the neurobiological mechanisms of trauma-related pain, rational selection of interventional techniques, and safety considerations unique to neurologically vulnerable and critically injured patients. Integration of IPM within a multidisciplinary trauma care framework is presented as a key strategy to enhance patient outcomes and quality of life.

Keywords: Interventional pain management, trauma anaesthesia, traumatic brain injuries, traumatic, spinal cord injuries, nerve block, neuromodulation, critical care, postoperative pain, chronic pain, analgesia, opioid-sparing


How to Cite

Sony, S., & Shekhar, S. (2026). Interventional Pain Management in Trauma: Bridging Acute Injury, Critical Care and Chronic Pain. An Overview of Disease and Health Research Vol. 9, 129–141. https://doi.org/10.9734/bpi/aodhr/v9/7033