Central Neuraxial Blocks

About 85 and 90 % of patients with advanced cancer can have their pain well controlled with the use of analgesic drugs and adjuvants, which usually can be taken orally [1]. However, failure in controlling the symptoms with standard pharmacological pain management requires that multimodal management and invasive techniques should be employed [2]. Several interventions are commonly used for the pelvic or perineal cancer pain treatment, including epidural medications, intrathecal administration of analgesic and local anesthetic drugs through pain pumps, superior and inferior hypogastric plexus blocks, and neurolysis of the Ganglion Impar. In other chapters, we will discuss the features and role of minimally invasive palliative procedures (MIPPs) and neurolytic sympathetic plexus blocks in management of pelvic cancer pain.