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(L) Dr. Valimahomed – Does Size Matter In Neuromodulation – Video Hero Slider

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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.

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

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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.

(L) Dr. Andrew G. Kaufman – Neuromodulation for Visceral Pain – Video Hero Slider

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.

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(L) Dr. Kiran Patel – Salvage for SCS – Video Hero Slider

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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.

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

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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.

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

Slide

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.

Does Size Matter In Neuromodulation

Slide

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 Peripheral Neuropathy vs Mononeuropathy

Slide

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.

Neuromodulation for Visceral Pain

Slide

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.

Salvage for SCS

Slide

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

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.

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20 Results found

Videos

Pro

July 15, 2020

Caudal Neuroplasty

Founder and president of the World Institute of Pain Dr. Gabor Racz walks us through a caudal neuroplasty procedure. Dr. Racz starts by highlighting common catheterization errors and how to avoid them, including needle...

$24.95

Pro

February 18, 2020

Cervical Neuroplasty Using Hypertonic Saline

Dr. Gabor Racz explains the advantages of cervical neuroplasty (including hypertonic saline and active cervical flexion/rotation) compared to a standard ESI.

$24.95

Pro

December 3, 2019

Published on December 3, 2019 Dr. Rafael Justiz demonstrates how to access the sacral hiatus for a caudal-lysis of adhesion procedure using fluoroscopy. He explains the importance of avoiding the mid-line while directing the catheter...

$24.95

Pro

February 28, 2019

Published on February 28, 2019 Dr. Gabor Racz gives a technique-based slide presentation on the Lysis of Adhesion procedure. He explains the mechanism of action, inclusion and exclusion criteria, and updated information regarding injectates and...

$16.95

January 13, 2017

Caudal Lysis

Dr. Mishra demonstrates how he performs a caudal lysis of adhesion procedure with the use of a cadaver and fluoroscopic guidance.

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December 19, 2016

Cervical Interlaminar Lysis

Dr. Mishra performs an interlaminar, cervical lysis on a cadaver with a RX-2 Coude needle.

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July 11, 2016

Lumbar Transforaminal

Dr. Matthew Rupert demonstrates, with the use of a cadaver, ideal needle placement for transforaminal lumbar procedures using a blunt coude® needle.

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Andrea M. Trescot

March 21, 2016

Treating Intercostal Nerve pain with Cryoanalgesia

Dr. Trescot demonstrates how to use cryoanalgesia to treat intercostal neuralgia, including machine settings and fluoroscopic assistance for proper probe placement.

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Andrea M. Trescot

March 21, 2016

Cryoanalgesia Technique

Dr. Trescot demonstrates proper probe placement and advancement for treating intercostal neuralgia using cryoanalgesia. She uses fluoroscopic imaging and gives a brief overview of the PainBlocker's settings.

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November 24, 2015

Hypogastric Plexus Block

Dr. Miles Day perform a hypogastric plexus block using a 20g Blunt Coudé® needle.

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November 24, 2015

Ganglion Impar Block

Dr. Miles Day performs a ganglion impar block using a 22g Bella-D® Needle.

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March 25, 2015

Trans-S1 Infralaminar “Scarring Triangle” Injectates

Dr. Gabor Racz reviews the injectates and volumes for the trans-S1 infralaminar "Scarring Triangle" technique during the procedure.

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March 23, 2015

Trans-S1 Infralaminar “Scarring Triangle” Technique

Dr. Gabor Racz performs the trans-S1 infralaminar "Scarring Triangle" technique using an 18g RX-2 Coudé® needle and a VERSA-KATH.®

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October 2, 2014

Cadaver Workshop: Lumbar Transforaminal

Dr. John Nelson shares his thoughts on the blunt needle and performs a lumbar transforaminal using the device.

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May 13, 2014

Interventional Pain Workshop: RX-2™ Lumbar Lysis

Dr. Gabor Racz shares the injectates and volumes for the trans-S1 infralaminar "Scarring Triangle" technique while performing the procedure.

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May 13, 2014

Interventional Pain Workshop: Splanchnic RF Neuroablation Technique

Dr. Gabor Racz demonstrates how to perform a lower thoracic, splanchnic nerve radiofrequency neuroblation using curved, blunt needle.

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May 8, 2014

Epidural Lysis of Adhesions

Dr. Gabor Racz lectures regarding Lysis of Adhesions at a Dallas Cadaver Workshop January 2013.

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April 14, 2014

Interventional Pain Workshop: Coudé® Blunt Needle

Interventional Pain Workshop: Coudé® Blunt Needle.

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January 21, 2014

Interventional Pain Workshop: Caudal Lysis

Dr. Gabor Racz shows how to perform a caudal lysis procedure.

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January 21, 2014

Interventional Pain Workshop: RX-2™ Cervical with VERSA-KATH®

Dr. Gabor Racz uses an 18g RX-2 Coudé® Epidural Needle and the VERSA-KATH® to demonstrate cervical injections.

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