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(L) Dr. Carlos Guerrero – Personalized Therapy in SCS – Video Hero Slider

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Dr. Carlos Guerrero presents a comprehensive overview of subperception spinal cord stimulation (SCS), including FAST and Contour stimulation algorithms, at the Latin American Pain Society (LAPS) Congress. He explains the evolution of SCS from traditional paresthesia-based models to high-frequency and burst therapies that avoid paresthesia, offering faster and more personalized pain relief. Clinical studies show effectiveness in conditions like diabetic neuropathy, with improvements in quality of life, nerve size, and analgesic consumption. Dr. Guerrero emphasizes the need to democratize access to advanced neuromodulation technologies across Latin America and encourages collaboration to bridge gaps in care.

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Personalized Therapy in SCS

(L) Dr. Jaspal Ricky Singh – Activation Principles of Platelet Rich Plasma – Video Hero Slider

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Activation Principles of Platelet Rich Plasma

Dr. Singh has been attending the NYNJ Pain Congress for over a decade and presented a compelling talk on platelet-rich plasma (PRP) activation and its role in regenerative medicine. Initially skeptical, his research at Weill Cornell Medicine revealed consistent functional and pain improvements in patients—even when imaging didn’t change—prompting deeper investigation into PRP dosing, growth factor release, and activation methods (calcium chloride, thrombin, freeze/thaw). He emphasized the importance of measuring platelet counts, tailoring therapy by indication, and advancing the field through standardized reporting (PLRA). His call to action: collaborate, count, and focus on patient outcomes—not just imaging.

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

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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.

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

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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

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Slide

Personalized Therapy in SCS

Dr. Carlos Guerrero presents a comprehensive overview of subperception spinal cord stimulation (SCS), including FAST and Contour stimulation algorithms, at the Latin American Pain Society (LAPS) Congress. He explains the evolution of SCS from traditional paresthesia-based models to high-frequency and burst therapies that avoid paresthesia, offering faster and more personalized pain relief. Clinical studies show effectiveness in conditions like diabetic neuropathy, with improvements in quality of life, nerve size, and analgesic consumption. Dr. Guerrero emphasizes the need to democratize access to advanced neuromodulation technologies across Latin America and encourages collaboration to bridge gaps in care.

Slide

Dr. Singh has been attending the NYNJ Pain Congress for over a decade and presented a compelling talk on platelet-rich plasma (PRP) activation and its role in regenerative medicine. Initially skeptical, his research at Weill Cornell Medicine revealed consistent functional and pain improvements in patients—even when imaging didn’t change—prompting deeper investigation into PRP dosing, growth factor release, and activation methods (calcium chloride, thrombin, freeze/thaw). He emphasized the importance of measuring platelet counts, tailoring therapy by indication, and advancing the field through standardized reporting (PLRA). His call to action: collaborate, count, and focus on patient outcomes—not just imaging.

Activation Principles of Platelet Rich Plasma

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

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Peter S. Staats

June 3, 2020

Tolerance and Neuroplasticity

Dr. Peter Staats discusses the current state of spinal cord stimulation (SCS) therapy and why SCS fails in some patients. He cites a 25% long-term failure rate and identifies factors that influence successful outcomes,...

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Peter S. Staats

September 27, 2019

Published on July 11, 2019 Dr. Peter Staats gives a statistical-based slide presentation of the ongoing opioid epidemic in the United States. He reviews the history of morphine (and opioids), and how the nation has...

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Peter S. Staats

December 4, 2018

Published on December 4, 2018 Drs. Peter Staats and Fabricio Dias Assis together announce that the World Institute of Pain now offers both the FIPP and the CIPS examinations in Portuguese. This will take place...

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Peter S. Staats

October 2, 2018

Published on October 5, 2018 Dr. Peter Staats gives an interesting slide presentation on the emerging benefits of vagus nerve stimulation. He gives a brief overview of the neuroanatomy of this cranial nerve as well...

$2.95

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Peter S. Staats

June 15, 2018

Published on June 15, 2018 Dr. Peter Staats discusses the introduction, advancement, and the future of neuromodulation for back pain. He reviews many studies comparing different waveforms (tonic, high frequency stimulation, and burst stimulation) for...

$16.95

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Peter S. Staats

June 5, 2018

Published on June 5, 2018 Dr. Peter Staats gives an interesting lecture on the history of treating pain with opioids, including the benefits and the potential for addiction and abuse. He explains how American medicine...

$16.95