Pain Medicine Journal
The American Academy of Pain Medicine's Peer-Reviewed Journal
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Pain Medicine | Volume 27, Issue 8

CMS proposed restrictions on peripheral nerve blocks and procedures for chronic pain: clinical, ethical, and policy implications for millions of Americans
Extract:
Chronic pain affects nearly 1 in 4 adults in the United States and imposes profound burdens on individuals, and the healthcare system. Peripheral nerve blocks (PNBs) and related interventional procedures are essential components of modern multimodal pain management. They offer targeted, reversible, and cost-effective diagnostic, prognostic and therapeutic benefits for a broad array of conditions. The recently proposed “Local Coverage Determination (LCD) for Peripheral Nerve Blocks and Procedures for Chronic Pain” threatens to severely limit access to these evidence-based interventions.
Pain Medicine Journal
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Table of Contents: Volume 27, Issue 8, August 2026
Commentary
- Onboarding and retaining advanced practice providers in pain management: a call for practice management recommendations
- CMS proposed restrictions on peripheral nerve blocks and procedures for chronic pain: clinical, ethical, and policy implications for millions of Americans
Co-Morbid Pain & Substance Use Disorders Section
Original Research Articles
- Opioid use disorder diagnosis after low back pain diagnosis in active duty, retired, and veteran service members: A time-to-event cohort study
Interventional Pain & Spine Medicine Section
Original Research Article
- Association of postlaminectomy syndrome with cardiovascular events in patients undergoing posterior lumbar fusion
Review Article
Musculoskeletal, Rehabilitation, Regenerative Medicine Section
Review Article
- Steroid injections for arthropathy, tendinopathy and myopathy in the pediatric population: a systematic review
Neuormodulation & Minimally Invasive Section
Review Article
- Spinal cord stimulation, peripheral nerve stimulation, and pulsed radiofrequency in the management of herpes zoster–related pain: a network meta-analysis
Interventional Pain & Spine Medicine Section
Original Research Article
Review Article
- Efficacy and safety of genicular nerve ablation techniques for knee osteoarthritis: a systematic review and meta-analysis of sham-controlled randomized trials
Neuromodulation & Minimally Invasive Surgery Section
Original Research Article
- Spinal cord stimulation, peripheral nerve stimulation, and pulsed radiofrequency in the management of herpes zoster–related pain: a network meta-analysis
Technical Note
- A novel 14 gauge needle for 2 lead access for percutaneous spinal cord stimulator trials and permanent implants
Psychology, Psychiatry & Brain Neuroscience Section
Original Research Article
- Qualitative analysis of lessons learned by Master’s-level behavioral health practitioners for remote delivery of cognitive behavioral therapy–based treatment for chronic pain
Clinical Perspectives
Resident & Fellow Forum
- Losing sight: how scoliosis can impact MRI interpretation in lumbar spinal stenosis of the central canal
Research Letters
- Integrated nurse care management to reduce pain interference for primary care patients in rural communities: results from a pilot study
- Substance-related disorders in patients with chronic migraine: an exploratory, observational study
- Reducing intravenous opioid reliance with subcutaneous administration in the emergency department
- Graded chronic pain scale revised: validation in a sample of the general German population
- Emotional awareness and expression therapy for migraine: a preliminary randomized controlled trial
Letters To The Editor
- Pregabalin and duloxetine in painful diabetic neuropathy: comparative evidence and the need to advance towards combination therapies
- Reply to letter to the editor about the article “efficacy and safety of pregabalin and duloxetine in painful diabetic neuropathy: a systematic review and meta-analysis”
- Lumbar erector spinae plane block: injection plane selection and the sequential strategy of the Tulgar approach
- Anatomical clarification of superficial and deep lumbar ESP injections based on the erector spinae fascial boundary



