Lambeth College

Abstract Cryoneurolysis is a minimally invasive image-guided technique that uses controlled freezing to provide temporary pain relief by interrupting nerve conduction. This review summarizes the current understanding of its mechanisms, indications, procedural steps, and clinical outcomes. The technique relies on the Joule–Thomson effect to create localized ice formation around the target nerve, producing reversible axonal injury while preserving connective tissue structures. When applied under ultrasound or computed tomography guidance, cryoneurolysis offers safe and effective pain management for musculoskeletal, neuropathic, and cancer-related pain. Evidence from recent studies demonstrates significant pain reduction, functional improvement, and low complication rates. This article presents a practical overview of how cryoneurolysis is performed and its growing role in interventional radiology practice.

Health inequalities are where we see differences in health across the population, and between different groups in society, that are systematic, unfair and avoidable (1). They need a long-term systemic response to support people to value their health and wellbeing (2). These social, economic environmental, cultural and commercial factors, known as the wider determinants of health, are unequally distributed across the UK population (3). This is despite numerous attempts to address them at a local, national and internationally (4, 5).

The cross‐agency project described in this paper builds on the success of an earlier collaboration, called ‘Healthy Eating’, by the same team of participants (See JAT 3.1 March 2009). Personal safety has become an issue of national importance, and here we outline a new project developed using ICT tools and digital film, to create a DVD about personal safety for, and by, people with learning disabilities. The aims and objectives, the project development, and our plans for the future are outlined. The project is complex, and so the paper presents the general aims first, and then charts the work of each separate group.