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Hybrid Lead Placement For Chronic Neuropathic Pain

The presentation explores hybrid lead placement for chronic neuropathic pain, focusing on the combination of spinal cord stimulation (SCS) and dorsal root ganglion (DRG) stimulation. SCS has evolved with better technology, but challenges remain, including tolerance, positional changes, and inadequate coverage. DRG stimulation provides targeted therapy, especially for CRPS and neuropathic pain, with less positional variation and broader applicability. Evidence shows that combining DRG and SCS offers superior pain relief, dual modulation of nociceptive input, and improved functional outcomes. Recent studies and clinical experience confirm its benefit, particularly for patients with loss of efficacy on a single modality.

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Complex Regional Pain Syndrome CRPS

The lecture addresses Complex Regional Pain Syndrome (CRPS), a neuropathic pain disorder characterized by pain disproportionate to injury, sensory-motor changes, and autonomic dysfunction. Diagnosis relies on the Budapest Criteria, ensuring accurate identification. CRPS pathophysiology involves inflammation, immune changes, peripheral and central sensitization, and autonomic alterations, guiding treatment choices. Management starts with physical and occupational therapy to prevent atrophy, followed by pharmacologic options (anti-inflammatories, anticonvulsants, antidepressants, NMDA antagonists like ketamine, and bisphosphonates). Interventional options include sympathetic blocks, spinal cord stimulation (SCS), and dorsal root ganglion (DRG) stimulation, with DRG shown superior in trials. Early, aggressive, multimodal treatment prevents chronic disability.

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(L) Dr. Carlos De Barros – Multidisciplinary Pain Control in Cancer Patients State of the Art – Video Hero Slider

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In this heartfelt and insightful presentation, Dr. Carlos De Barros underscores the essential role of a multidisciplinary team in managing cancer-related pain. He emphasizes that cancer pain is not only physical but deeply intertwined with emotional, psychological, social, and spiritual suffering. Drawing from decades of experience treating over 5,000 patients, he explains how no single physician can address the complexity alone. He highlights the evolving needs of survivors, the pharmacological challenges of physical deterioration, and the importance of compassionate care at the end of life. His powerful message: treating cancer pain requires coordinated, holistic support—because no one should face it alone.

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Multidisciplinary Pain Control in Cancer Patients State of the Art

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Neuromodulation for Head and Face Pain

This presentation explores the challenges and opportunities in treating head and facial pain through neuromodulation. Dr. Konstantin Slavin emphasizes the importance of accurate diagnosis and appropriate treatment targeting, especially in complex pain syndromes. Various conditions—including trigeminal neuropathic pain, occipital neuralgia, and cluster headaches—can benefit from neuromodulation at multiple anatomical levels. Historical context, current innovations (like wireless stimulation), and procedural considerations for ganglion and spinal cord stimulation are discussed. The talk also highlights the growing role of non-invasive neuromodulation options and suggests they may serve as both treatment and screening tools for future implantable device use.

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(L) Dr. Jee Youn Moon – Cancer Pain and Neuromodulation – Video Hero Slider

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Cancer Pain and Neuromodulation

Dr. Jee Youn Moon from Seoul discusses neuromodulation therapy for cancer pain, emphasizing the importance of correct indication and timing. Neuropathic cancer pain—caused by tumor progression, chemotherapy, or radiation—is prevalent, affecting up to 50% of patients. Evidence supports spinal cord stimulation (SCS), DRG stimulation, and peripheral nerve stimulation (PNS) for refractory neuropathic pain, especially in cancer survivors. Neuromodulation should be considered earlier in treatment, even before high-dose opioids, to improve outcomes, reduce opioid use, and enhance quality of life. Alternative modalities like scrambler therapy, electroacupuncture, and sympathetic blocks with botulinum toxin also show promise. Earlier intervention, individualized care, and multimodal strategies are essential.

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Hybrid Lead Placement For Chronic Neuropathic Pain

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Complex Regional Pain Syndrome CRPS

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Multidisciplinary Pain Control in Cancer Patients State of the Art

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Neuromodulation for Head and Face Pain

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Cancer Pain and Neuromodulation

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Ram Pasupuleti

July 27, 2017

Lumbar Medial Branch Block

Dr. Ram Pasupuleti demonstrates the proper needle placement for a lumbar medial branch block.

$24.95

Pro

Ram Pasupuleti

June 22, 2017

Complex Regional Pain Syndrome

Dr. Ram Pasupuleti gives a very detailed overview on complex regional pain syndrome (CRPS), including symptoms, etiology, diagnosis, treatment, and prognosis.

$2.95

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Lumbar Medial Branch Block

Complex Regional Pain Syndrome

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