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Military & Veteran Healthcare
This presentation explores the unique healthcare challenges in the U.S. military and veteran systems. Drawing from 15 years of military medical experience, the speaker highlights critical distinctions between the VA and DOD systems, barriers to care access, staffing shortages, and referral inefficiencies. He underscores the impact of limited resources, geographic constraints, and service-specific policies on medical readiness, treatment continuity, and career retention. The talk advocates for improved provider awareness, responsible opioid prescribing, and expanded use of non-opioid, minimally invasive therapies, particularly in deployed settings. Enhanced collaboration between military, VA, and civilian sectors is essential to optimizing outcomes for this underserved population.
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This presentation introduces the concept of osteogenic pain, emphasizing that bone is more than a structural tissue—it is richly innervated with nociceptive fibers, making it a significant pain generator. Evidence from human and animal studies shows dense sensory innervation in bone, similar to skin, involving C fibers. Conditions such as metastasis, fractures, and osteoedema can disturb this nociceptive system. Clinical implications include minimally invasive strategies like polymethylmethacrylate (PMMA) applications, vertebral stabilization, and combined approaches (e.g., RF ablation with PMMA) to reduce pain and enhance stability. The talk calls for further research and the adoption of new diagnostic and therapeutic methods for bone pain.
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New Concept Osteogenic Pain
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How to Think about New Wave Forms
Dr. Corey Hunter discusses the evolving landscape of neuromodulation for chronic pain management. Highlighting the shift from limited options pre-2015 to today's expanding field, he emphasizes individualized therapy selection based on condition, features, and patient preferences. Hunter critiques reliance solely on waveform efficacy and encourages considering device attributes like battery type, MRI compatibility, and remote monitoring. He introduces a decision-making framework tailored to patient needs and demonstrates that switching between neuromodulation modalities can restore effectiveness. The talk concludes with a strong message: failure of one system doesn't mean failure of the therapy—innovation and patient-centered customization are key.
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The Functional Unit
This presentation highlights the concept of biotensegrity—the interconnected nature of muscles, ligaments, fascia, and joints—and its role in chronic pain management. Dr. George Chien emphasizes that pain often arises from multiple structures, not a single pathology, requiring a shift from isolated treatments to a comprehensive approach targeting the entire functional unit. Using examples like spine degeneration, SI joint dysfunction, and knee or shoulder injuries, he advocates for precision techniques such as ultrasound-guided injections, regenerative therapies (PRP, BMAC), and fascial considerations. The key message: pain management should address the system holistically, acknowledging the structural and biomechanical relationships that contribute to persistent pain.
Device Company CEO Panel: Industry Thoughts from Company Presidents
This panel brings together top executives from leading neuromodulation and minimally invasive spine companies to discuss the current and future state of interventional pain therapies. Each leader shares insights on growth, innovation, compliance, and the need for collaboration across the industry to combat negative public perceptions, regulatory hurdles, and payer resistance. Key themes include expanding patient access, building objective data to validate therapies, elevating compliance standards, and strategically investing in advocacy and education. Panelists emphasize that while competition fuels progress, unity is essential to protect and grow the field for the benefit of patients worldwide.
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This presentation explores the unique healthcare challenges in the U.S. military and veteran systems. Drawing from 15 years of military medical experience, the speaker highlights critical distinctions between the VA and DOD systems, barriers to care access, staffing shortages, and referral inefficiencies. He underscores the impact of limited resources, geographic constraints, and service-specific policies on medical readiness, treatment continuity, and career retention. The talk advocates for improved provider awareness, responsible opioid prescribing, and expanded use of non-opioid, minimally invasive therapies, particularly in deployed settings. Enhanced collaboration between military, VA, and civilian sectors is essential to optimizing outcomes for this underserved population.
Military & Veteran Healthcare
Watch Now
New Concept Osteogenic Pain
This presentation introduces the concept of osteogenic pain, emphasizing that bone is more than a structural tissue—it is richly innervated with nociceptive fibers, making it a significant pain generator. Evidence from human and animal studies shows dense sensory innervation in bone, similar to skin, involving C fibers. Conditions such as metastasis, fractures, and osteoedema can disturb this nociceptive system. Clinical implications include minimally invasive strategies like polymethylmethacrylate (PMMA) applications, vertebral stabilization, and combined approaches (e.g., RF ablation with PMMA) to reduce pain and enhance stability. The talk calls for further research and the adoption of new diagnostic and therapeutic methods for bone pain. Watch Now
Dr. Corey Hunter discusses the evolving landscape of neuromodulation for chronic pain management. Highlighting the shift from limited options pre-2015 to today's expanding field, he emphasizes individualized therapy selection based on condition, features, and patient preferences. Hunter critiques reliance solely on waveform efficacy and encourages considering device attributes like battery type, MRI compatibility, and remote monitoring. He introduces a decision-making framework tailored to patient needs and demonstrates that switching between neuromodulation modalities can restore effectiveness. The talk concludes with a strong message: failure of one system doesn't mean failure of the therapy—innovation and patient-centered customization are key.
How to Think about New Wave Forms
Watch Now
This presentation highlights the concept of biotensegrity—the interconnected nature of muscles, ligaments, fascia, and joints—and its role in chronic pain management. Dr. George Chien emphasizes that pain often arises from multiple structures, not a single pathology, requiring a shift from isolated treatments to a comprehensive approach targeting the entire functional unit. Using examples like spine degeneration, SI joint dysfunction, and knee or shoulder injuries, he advocates for precision techniques such as ultrasound-guided injections, regenerative therapies (PRP, BMAC), and fascial considerations. The key message: pain management should address the system holistically, acknowledging the structural and biomechanical relationships that contribute to persistent pain.
The Functional Unit
Watch Now
This panel brings together top executives from leading neuromodulation and minimally invasive spine companies to discuss the current and future state of interventional pain therapies. Each leader shares insights on growth, innovation, compliance, and the need for collaboration across the industry to combat negative public perceptions, regulatory hurdles, and payer resistance. Key themes include expanding patient access, building objective data to validate therapies, elevating compliance standards, and strategically investing in advocacy and education. Panelists emphasize that while competition fuels progress, unity is essential to protect and grow the field for the benefit of patients worldwide.
Device Company CEO Panel: Industry Thoughts from Company Presidents
