All Videos - PainCast

NEWEST VIDEO

Does Size Matter In Neuromodulation

This presentation explores the multifaceted role of size in neuromodulation, from electrode spacing and lead configurations to IPG dimensions, waveform characteristics, and energy delivery. Dr. Valimahomed discusses how different lead lengths, spacing, and configurations impact stimulation coverage and efficacy—particularly in spinal cord and peripheral nerve stimulation. He also analyzes how IPG size affects patient comfort, pocket pain, infection risk, and therapy adoption. Future-forward technologies like injectable and bioresorbable systems, AI-based programming, and neural dose optimization offer promising paths to miniaturization and precision. Ultimately, size matters—but contextually, depending on anatomical targets, clinical goals, and device trade-offs.

Watch Now

(L) Dr. Leonardo Kapural – Neuromodulation for Peripheral Neuropathy vs Mononeuropathy – Video Hero Slider

Watch Now

NEWEST VIDEO

Watch Now

Neuromodulation for Peripheral Neuropathy vs Mononeuropathy

In this insightful lecture, Dr. Leonardo Kapural reflects on 13 years of contributions to the Mediterranean Pain Forum and presents cutting-edge advancements in neuromodulation. Highlighting data from multiple studies, including magnetic and high-frequency peripheral nerve stimulation, the talk explores non-invasive alternatives to medication for neuropathic and diabetic pain, mononeuropathy, and post-amputation pain. With comparisons to traditional drugs like gabapentin, the speaker emphasizes the greater efficacy and patient satisfaction of neuromodulation. He also traces the evolution of techniques from invasive surgical placements to modern ultrasound-guided approaches and compact external stimulators, calling for earlier adoption of neuromodulation in pain treatment algorithms.

Neuromodulation for Visceral Pain

Dr. Andrew Kaufman presents a comprehensive review of spinal cord stimulation (SCS) for visceral pain, including anginal, abdominal, pancreatic, and pelvic pain. He discusses the complexity of visceral pain pathways and the challenges in diagnosis and treatment. Highlighting key studies—including those using high-frequency (10 kHz) and traditional SCS—Dr. Kaufman showcases improvements in pain relief, opioid reduction, and quality of life. However, he emphasizes the variability in outcomes, the need for better patient selection, and the lack of robust randomized studies. A recent sham-controlled trial even questions efficacy for chronic pancreatitis, reinforcing the importance of refining protocols.

Watch Now

NEWEST VIDEO

Watch Now

NEWEST VIDEO

Salvage for SCS

This talk addresses salvage strategies for spinal cord stimulation (SCS), focusing on patients who experience loss of efficacy, unwanted sensations, or recharge difficulties. Traditional responses like reprogramming, stimulation holidays, waveform switching, or IPG replacement often still target the dorsal column, leading to repeated, ineffective interventions. The speaker proposes a paradigm shift: exploring dorsal root ganglion (DRG) stimulation as an alternative target. DRG offers new therapeutic coverage for complex pain regions, especially in patients with failed SCS systems. A retrospective review of 60 patients demonstrated significant pain relief and opioid reduction using DRG, making it a promising salvage strategy in interventional pain management.

Watch Now

(L) Dr. Robert Rapcan – Direct Optic View for Annular Tear Repair Using Bone Marrow Derived Stem Cells – Video Hero Slider

NEWEST VIDEOS

In this comprehensive lecture, Dr. Robert Rapcan explores the combination of regenerative therapy and mechanical techniques for treating discogenic pain. He emphasizes that stem cell injections alone may not provide immediate relief and advocates combining them with procedures like thermal annuloplasty. Detailed insights are provided into intradiscal and annular tear injections under direct optic vision, with early data suggesting improved outcomes in elite athletes and general patients. The discussion covers diagnostic challenges, MRI findings, biomechanical factors, and the pathophysiology of painful discs. A small pilot study shows promising improvements in pain and function, though complications like discitis are acknowledged.

Watch Now

Watch Video

Direct Optic View for Annular Tear Repair Using Bone Marrow Derived Stem Cells

Watch Now

Does Size Matter In Neuromodulation

Watch Now

Neuromodulation for Peripheral Neuropathy vs Mononeuropathy

Watch Now

Neuromodulation for Visceral Pain

Watch Now

Salvage for SCS

Watch Now

Direct Optic View for Annular Tear Repair Using Bone Marrow Derived Stem Cells

Recent Popular

2 Results found

Videos

Pro

Scott Glaser

May 13, 2020

Transforaminal Epidural Complications

Dr. Scott Glaser discusses the risks associated with safe triangle transforaminal epidural steroid injection (TFESI). Dr. Glaser opens with several cases of safe triangle TFESI-induced spinal cord infarcts and describes the controversy surrounding the...

$16.95

Pro

Scott Glaser

November 10, 2018

Published on November 10, 2018 Dr. Scott Glaser discusses the risk of spinal cord infarction and vascular damage following transforaminal injections (TFESI), due to the vascular anatomy, mainly the Artery of Adamkiewicz, within the Safe...

$16.95

Resources

Videos

Transforaminal Epidural Complications

Stay Updated.

Sign up to receive weekly breakdowns.

Follow Us

Paincast

Partnerships

Navigation

PAINCAST

PARTNERSHIPS

NAVIGATION

FOLLOW