Deng Alison, Patel Milan, Eigner Cole, Moghim Robert, Abd-Elsayed Alaa
Department of Medicine, Loyola University Chicago Stritch School of Medicine, Maywood, IL 60153, USA.
Department of Medicine, New York Institute of Technology College of Osteopathic Medicine at Arkansas State University, Jonesboro, AR 72401, USA.
J Clin Med. 2025 Aug 23;14(17):5957. doi: 10.3390/jcm14175957.
Chronic pain management is constantly evolving, and our literature review aims to describe the general innovations happening within the field. The need for advancements in chronic pain is a necessity, as debilitating back pain and other forms of chronic pain are significant issues in the United States. Traditionally, medications have been the initial treatment options in cases of chronic pain; however, the advancement in pharmacogenetics has led to an increased ability to create more personalized medication plans. Additionally, neuromodulation in spinal cord stimulation, transcranial magnetic stimulation, transcranial direct-current stimulation, and dorsal root ganglion stimulation continue to see increased usage in mainstream chronic pain management. These techniques have continued to prove successful in many chronic pain management cases. They are allowing practicing physicians more confidence in the variety of treatment options. Lastly, great strides have also been made in stem cell and regenerative therapies, such as platelet-rich plasma injections, and artificial intelligence, further advancing the various treatment options and overall efficiency of pain management. This review aims to critically analyze and review the most up-to-date literature within each section mentioned and comprehensively discuss the future of innovation in chronic pain management.
慢性疼痛管理一直在不断发展,我们的文献综述旨在描述该领域正在发生的总体创新。慢性疼痛治疗方法取得进展是必要的,因为使人衰弱的背痛和其他形式的慢性疼痛在美国是重大问题。传统上,药物一直是慢性疼痛病例的初始治疗选择;然而,药物遗传学的进展使制定更个性化药物治疗方案的能力有所提高。此外,脊髓刺激、经颅磁刺激、经颅直流电刺激和背根神经节刺激等神经调节技术在主流慢性疼痛管理中的使用持续增加。这些技术在许多慢性疼痛管理病例中继续证明是成功的。它们让执业医生对各种治疗选择更有信心。最后,在干细胞和再生疗法(如富血小板血浆注射)以及人工智能方面也取得了巨大进展,进一步推进了各种治疗选择和疼痛管理的整体效率。本综述旨在批判性地分析和回顾上述各部分中最新的文献,并全面讨论慢性疼痛管理创新的未来。