Procedures, interventions and infusions

There is some debate as to the long term benefit of may medical interventions (e.g. injections and infusions).  Whilst many centres actively engage in a  wide variety of nerve blocks, others undertake few- if any.  The Waitemata Pain Services undertakes a limited number of these interventions.

Medical Interventions currently undertaken at WPS

  • Infusion therapy (lignocaine/lidocaine, ketamine, calcitonin and pamidronate)
  • Epidural and caudal injections
  • Peripheral nerve blocks (eg occipital n, ilioinguinal n)
  • Sacroiliac nerve blocks

Medical interventions currently under review for possible inclusion

  • Botulinum B toxin injections for migraine, headaches and some types of neuropathic pain
  • Facet joint (local anaesthesia +/- radio frequency ablation)
  • High concentration 8% capsaiscin (Qutenza)

Interventions carried out at the Auckland regional pain centre.  (These require review at WPS and if appropriate they are referred to Auckland.  This may then require an attendance to their clinic and may be subject to further evaluation)

  • Spinal cord stimulation
  • Intrathecal delivery systems
  • Neurosurgical interventions