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Treatment of pain.

Pain is the most common complain and the most important symptom in clinical practice. The pain clinic, however, was not established until department of Anesthesiology, Tokyo University Hospital opened in 1963. Now 90 percent of the medical school hospital opened pain clinic. The activity of pain clinic is to treat disorders with pain by means of nerve blocks. The pain clinic of Tokyo Women’s Medical College Hospital was established in 1981. Number of patients increase yearly. The main disorders with pain.treated were herpes zoster, cervical spondylosis, low back pain, trigeminal neuralgia, terminal cancer pain. This cancer pain consists of a half of our patients. The effects of nerve block on long standing uncontrolled pain, the effects of stellate ganglion block on variant angina, and treatment of cancer pain will be discussed.