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The DRG as a Pain Generator and what to do about it

Marshall Devor, PhD, discusses an innovative interventional procedures targeting the Dorsal Root Ganglion (DRG) for pain management. Professor Devor explores mechanisms of pain generation and transmission, emphasizing electrical impulses in the nervous system. His talk highlights the potential of dilute lidocaine and other membrane stabilizing drugs in selectively blocking pain-causing impulses, offering promising solutions for major pain issues like radicular low back pain, CRPS and phantom limb pain.

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(L) Hegarty – Cervical Epidural Injections – Video Hero Slider

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Cervical Epidural Injections

Dr. Dominic Hegarty discusses the nuances and complexities of cervical epidural procedures in pain management. Working in a busy pediatric unit, he addresses the challenges and reservations his colleagues have about performing cervical procedures, including a lack of training and apprehension about needle placement in the neck. He emphasizes the significance of cervical epidural in treating conditions like radiculopathy, noting that such issues often resolve with conservative management. Dr. Hegarty stresses the importance of patient selection, citing the need for thorough physical examination and the use of imaging like MRI or CT scans to determine the suitability of an epidural.

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Stellate and T2 3 Sympathetic Block

The complexities and applications of T2 and T3 sympathetic blocks. Dr. Agnes Stogicza emphasizes the importance of understanding the sympathetic chain's anatomy for effective treatment. Key functions of the sympathetic system, such as vasomotor and afferent functions, are explored, highlighting their roles in pain reduction and vasodilation. There are various indications for sympathetic blocks, ranging from vascular conditions like Berger’s disease and Renaud disease to pain-related conditions such as CRPS. The speaker also touches upon the use of Stellate ganglion block for diverse conditions, including PTSD and COVID-related anosmia.

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Mediterranean Pain Forum 2023

This congress is aimed at all medical pain professional figures, both medical specialists, such as anesthetist, orthopedist, neurosurgeon, physiatrist, general practitioners, and last but not least, our nurses, who want to strengthen their technical skills or who want to get a good overview of the main topics of interest in pain medicine. You will have the opportunity to learn the main characteristics of chronic pain and its treatment. The basic notions will be provided in order to be able to conduct an accurate “assessment” of a patient with chronic pain. Some topics of frequent interest are also be featured, such as the main minimally invasive interventional treatments and possible complications. Fortunately, medical science is meeting in this field, proposing ever new drugs and techniques, such as radiofrequency and spinal cord stimulation.

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WIP Guidelines

A comprehensive overview of the World Institute of Pain's (WIP) efforts to establish global guidelines for interventional therapy and neuromodulation in managing intractable headache and facial pain is presented. Dr Miles Day discusses the challenges faced in gathering pain management physicians from various parts of the world to contribute to this initiative. Hi lecture emphasizes the importance of practice guidelines in educating physicians and ensuring effective treatments are covered by insurance. It involves extensive literature reviews, analyzing thousands of articles, and carefully assessing them for bias and relevance. The aim is to create well-rounded, evidence-based guidelines that reflect a global perspective on pain management. It is a candid reflection on the ambitious project's progress and an invitation for more global participation.

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Dr. Dias Assis discusses the evolution and benefits of spinal cord and DRG stimulation in pain management. Highlighting advancements in neuromodulation technology, he shares insights into various mechanisms of action and broad applicability for conditions like CRPS and neuropathies. He emphasizes the synergistic effects of combining spinal cord and DRG stimulation for enhanced patient outcomes in chronic pain treatment.

Combined SCS and DRG Stimulation