DOI: 10.17116/pain20262402153 ISSN: 2219-5297

Topical issues of interventional pain management in neurology: legal aspects

T.V. Andrianova, A.V. Alekseev, Ya.V. Alekseeva, E.S. Mitrofanova, M.V. Sviridov

Objective. To update knowledge on interventional pain management techniques in neurology from the perspective of current Russian law. Material and methods. The article highlights the issues and problems of interventional pain treatment in neurology preserved in Russian law since 2019. Results. Knowledge about interventional pain treatment in neurology from the point of view of labor and specialized legislation is updated. Individual problems of interventional pain treatment in neurology from the point of view of Russian law are highlighted on the background of no separate rules for neurologists in labor law and increasing role of guidelines gradually consolidating recommendations on interventional pain treatment in neurology. Conclusion. There is a persistent gap between clinical practice in neurology and rules described in certain regulatory legal acts. The lack of legally mandated skills for interventional procedures in professional standards and educational standards has not yet been addressed. No regulations specifying the technique and composition of injections for therapeutic blockades create significant challenges for assessing the quality and safety of such procedures including court cases.

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