All Videos – PainCast

(L) Dr. Juan Miguel Jimenez Andrade – New Concept Otheogenic Pain – Video Hero Slider

Watch Now

NEWEST VIDEO

Watch Now

New Concept Osteogenic Pain

This talk explores osteogenic pain—pain originating from bone tissue—and credits Dr. Plancarte for introducing the concept. Dr. Jimenez Andrade traces the historical view of bone as merely structural, highlighting new evidence showing that bone is richly innervated, particularly with peptidergic sensory fibers, unlike skin, which has both peptidergic and non-peptidergic fibers. Using animal models of fracture and cancer, the team demonstrates that blocking the NGF/TRK pathway leads to analgesic effects. Human studies confirm similar nerve remodeling in bone metastases. The findings support a paradigm shift: bone is a distinct pain source with unique nerve characteristics, offering new therapeutic targets.

(L) Dr. Steve Aydin – Minimally Invasive Procedures for Central and Neuroforaminal Spinal Stenosis – Video Hero Slider

Minimally Invasive Procedures for Central and Neuroforaminal Spinal Stenosis

Dr. Steve Aydin reflects on the evolution of minimally invasive treatments for lumbar spinal stenosis, questioning whether these procedures truly change patient outcomes or mainly improve symptoms. He compares options like MILD (percutaneous lumbar decompression) and interspinous devices (Vertiflex, Minuteman), noting that while imaging rarely shows significant post-procedure change, patients often experience relief. The talk highlights challenges in patient selection, balancing risks like facet pain after spacers, and the importance of individualized algorithms for central versus foraminal stenosis. Aiden emphasizes adaptability as techniques evolve, aiming for the least invasive intervention with meaningful symptom improvement over aggressive surgical alternatives.

Watch Now

NEWEST VIDEO

Watch Now

(L) Dr. Diana Perez Moreno_ Intrathecal Neurolysis – Video Hero Slider

NEWEST VIDEO

Intrathecal Neurolysis

This powerful presentation explores the role of intrathecal neurolysis in managing refractory cancer pain in palliative care. Highlighting that 30% of cancer patients do not respond to standard multimodal analgesia, Dr. Perez Moreno advocates for chemical neurolysis—primarily using alcohol or phenol—to achieve meaningful relief. Detailed comparisons between aqueous and glycerinated phenol and alcohol reveal their chemical behaviors, densities, and risk profiles. Through compelling clinical cases, including terminal patients requesting euthanasia due to unbearable pain, Dr. Perez Moreno demonstrates how carefully executed intrathecal neurolysis can offer dramatic pain relief, preserve dignity, and avoid motor complications, reinforcing its value as a compassionate, evidence-informed intervention.

Watch Now

Watch Now

(L) Dr. Baher Yanni – Posterolateral Mis Fusion for Degenerative Instability – Video Hero Slider

NEWEST VIDEOS

This presentation explores lumbar spinal stenosis and the evolution of minimally invasive treatments, focusing on fusion techniques for patients with instability. The speaker reviews the stages of spinal stenosis, common symptoms like neurogenic claudication, and current interventions including MILD, Vertiflex, and interspinous fixation devices. While mild and Vertiflex address decompression, they lack stability for advanced cases. The discussion emphasizes posterolateral minimally invasive fusion with devices such as Minuteman, which restore alignment, lift disc height, and achieve standalone fixation with reduced tissue damage and lower infection risk. Clinical cases and biomechanical data demonstrate improved fusion rates, pain reduction, and functional outcomes.

Watch Now

Watch Video

Posterolateral Mis Fusion for Degenerative Instability

(L) Dr. Miles Day – Persistent Idiopathic Facial Pain – Video Hero Slider

NEWEST VIDEO

Persistent Idiopathic Facial Pain

In this expert-level lecture, Dr. Day presents a thorough and practical overview of Persistent Idiopathic Facial Pain (PIFP)—a complex, underdiagnosed condition often mistaken for trigeminal neuralgia. He emphasizes the need for detailed history-taking, anatomical mastery, and targeted imaging protocols for accurate diagnosis. Dr. Day discusses treatment algorithms, including pulsed radiofrequency of the sphenopalatine ganglion, its anatomical approach, and procedural nuances to avoid complications. He stresses that PIFP is a diagnosis of exclusion, and procedural success hinges on precise anatomical targeting and clinical discernment, especially in cases where imaging fails to show clear pathology. The goal: safe, evidence-based, and effective relief.

Watch Now

Watch Now

Slide

This talk explores osteogenic pain—pain originating from bone tissue—and credits Dr. Plancarte for introducing the concept. Dr. Jimenez Andrade traces the historical view of bone as merely structural, highlighting new evidence showing that bone is richly innervated, particularly with peptidergic sensory fibers, unlike skin, which has both peptidergic and non-peptidergic fibers. Using animal models of fracture and cancer, the team demonstrates that blocking the NGF/TRK pathway leads to analgesic effects. Human studies confirm similar nerve remodeling in bone metastases. The findings support a paradigm shift: bone is a distinct pain source with unique nerve characteristics, offering new therapeutic targets.

New Concept Osteogenic Pain

Slide

Dr. Steve Aydin reflects on the evolution of minimally invasive treatments for lumbar spinal stenosis, questioning whether these procedures truly change patient outcomes or mainly improve symptoms. He compares options like MILD (percutaneous lumbar decompression) and interspinous devices (Vertiflex, Minuteman), noting that while imaging rarely shows significant post-procedure change, patients often experience relief. The talk highlights challenges in patient selection, balancing risks like facet pain after spacers, and the importance of individualized algorithms for central versus foraminal stenosis. Aiden emphasizes adaptability as techniques evolve, aiming for the least invasive intervention with meaningful symptom improvement over aggressive surgical alternatives.

Minimally Invasive Procedures for Central and Neuroforaminal Spinal Stenosis

Slide

This powerful presentation explores the role of intrathecal neurolysis in managing refractory cancer pain in palliative care. Highlighting that 30% of cancer patients do not respond to standard multimodal analgesia, Dr. Perez Moreno advocates for chemical neurolysis—primarily using alcohol or phenol—to achieve meaningful relief. Detailed comparisons between aqueous and glycerinated phenol and alcohol reveal their chemical behaviors, densities, and risk profiles. Through compelling clinical cases, including terminal patients requesting euthanasia due to unbearable pain, Dr. Perez Moreno demonstrates how carefully executed intrathecal neurolysis can offer dramatic pain relief, preserve dignity, and avoid motor complications, reinforcing its value as a compassionate, evidence-informed intervention.

Intrathecal Neurolysis

Slide

Posterolateral Mis Fusion for Degenerative Instability

This presentation explores lumbar spinal stenosis and the evolution of minimally invasive treatments, focusing on fusion techniques for patients with instability. Dr. Baher Yanni reviews the stages of spinal stenosis, common symptoms like neurogenic claudication, and current interventions including MILD, Vertiflex, and interspinous fixation devices. While mild and Vertiflex address decompression, they lack stability for advanced cases. The discussion emphasizes posterolateral minimally invasive fusion with devices such as Minuteman, which restore alignment, lift disc height, and achieve standalone fixation with reduced tissue damage and lower infection risk. Clinical cases and biomechanical data demonstrate improved fusion rates, pain reduction, and functional outcomes.

Slide

In this expert-level lecture, Dr. Day presents a thorough and practical overview of Persistent Idiopathic Facial Pain (PIFP)—a complex, underdiagnosed condition often mistaken for trigeminal neuralgia. He emphasizes the need for detailed history-taking, anatomical mastery, and targeted imaging protocols for accurate diagnosis. Dr. Day discusses treatment algorithms, including pulsed radiofrequency of the sphenopalatine ganglion, its anatomical approach, and procedural nuances to avoid complications. He stresses that PIFP is a diagnosis of exclusion, and procedural success hinges on precise anatomical targeting and clinical discernment, especially in cases where imaging fails to show clear pathology. The goal: safe, evidence-based, and effective relief.

Persistent Idiopathic Facial Pain

Recent Popular

5 Results found

Videos

Pro

Juan Carlos Flores

November 17, 2021

Flores – Radiation Safety

Dr. Juan Carlos Flores discusses radiation safety. There are many sources of radiation in our everyday environments, particularly in the clinical setting. Dr. Flores discusses x-rays, a prominent form of radiation for pain specialists,...

$3.75

Pro

Andrea M. Trescot

November 17, 2021

Trescot – Peripheral Nerve Entrapments – Current Treatments

Dr. Andrea Trescot discusses current treatments for peripheral nerve entrapments. Knowing the cause of the pain can help treat the pain in a more effective manner, according to Dr. Trescot. Physical exams are an...

$3.75

Pro

André Marques Mansano

November 17, 2021

Mansano – Epidural Transforaminal Techniques – Is there any Differences

Dr. Andre Mansano presents on epidural transforaminal techniques and the differences between them. The Safe Triangle approach (subpedicular technique) and Kambin’s Triangle approach (intraneural approach) are two of the methods that are discussed. Safety...

$3.75

Pro

Christophe Perruchoud

November 17, 2021

Perruchoud – Updates on the Algorithm of Treatment with Intrathecal Drug Delivery

Dr. Christophe Perruchoud describes updates on the algorithm of treatment with intrathecal drug delivery. The Polyanalgesic Consensus Conference (PACC) writes an article every few years with their recommendations on this algorithm. There are many...

$3.75

Pro

November 17, 2021

Vissers – Complex Cancer Pain Strategies

Dr. Kris Vissers discusses complex cancer pain strategies. He describes the prevalence of cancer pain and downfalls of cancer care when it comes to asking patients about their pain. Quality of life is important...

$3.75