PainCast

Author: Justin

  • Prunskis – Avoiding Complications in Interventional Pain Management

    Prunskis – Avoiding Complications in Interventional Pain Management

  • Diwan – Sacroiliac Joint Pain – Minimally invasive treatment options

    Diwan – Sacroiliac Joint Pain – Minimally invasive treatment options

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 17, 2021

    Dr. Sudhir Diwan discusses minimally invasive treatment options for sacroiliac joint pain. He discusses the basics of sacroiliac pain, how to diagnose it, and how it presents clinically. Physical examinations are important to do, and important to do properly to make a diagnosis. Some treatment options include steroid injections, regenerative medicine neuromodulation, and minimally invasive fusion surgery. These minimally invasive surgical methods are discussed more in depth.

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  • Erdine – New Developments in the Treatment of Facial Pain

    Erdine – New Developments in the Treatment of Facial Pain

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 12, 2021

    Dr. Serdar Erdine presents on new developments in the treatment of facial pain. There are many approaches and procedures interventional pain medicine for the face. Dr. Erdine says pharmacological treatment of facial pain is the first line of treatment, and only if pharmaceuticals fail should interventional procedures be done. New treatments include techniques such as electromagnetic navigation systems. There have also been developments in intraoperative pulsed radiofrequency procedures, trigeminal neuralgia, and more.

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  • Hegarty – Risk Mitigation in Spinal Procedures

    Hegarty – Risk Mitigation in Spinal Procedures

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 17, 2021

    Dr. Dominic Hegarty presents on risk mitigation in spinal procedures. Dr. Hegarty talks about how systems engineering perspectives can inform risk. This is why it’s important to have risk mitigation options. Next, he describes different levels of risk analysis. These include individual factors, technical issues, skill set, and environmental factors. Further, safety profiles are important to consider. Dr. Hegarty also discusses other factors in risk mitigation, including needle position.

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  • Gerdesmeyer – Trials and Tribulations of Evidence-Based Medicine in Interventional Pain Management

    Gerdesmeyer – Trials and Tribulations of Evidence-Based Medicine in Interventional Pain Management

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 17, 2021

    Dr. Ludger Gerdesmeyer discusses the ‘trials and tribulations’ of evidence-based medicine in interventional pain management. Clinical studies are important to make evidence-based decisions. Dr. Gerdesmeyer admits that it is difficult to keep up with the scientific literature, but it is nevertheless important. Only rigorous scientific studies can lead to evidence-based medicine. Clinical expertise and patient experiences are also important factors to keep in mind when making medical decisions though.

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  • General Session 1 – Q&A

    General Session 1 – Q&A

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 12, 2021

    In this Q&A session following General Session 1, Dr. Javier de Andres and Dr. Dominic Hegarty moderate the questions received from conference attendees for Drs. Prunskis, Erdine, and Diwan. For example, a question was asked about doing pain intervention surgery on diabetic patients. Checking blood sugar levels is important, both before and after surgery. Treating pain with regenerative medicine is also used.

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  • Calodney – Percutaneous Image-Guided Lumbar Decompression

    Calodney – Percutaneous Image-Guided Lumbar Decompression

  • Gerdesmeyer – Epidural Neuroplasty: 10 Year Follow up

    Gerdesmeyer – Epidural Neuroplasty: 10 Year Follow up

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 17, 2021

    Dr. Ludger Gerdesmeyer presents data on epidural neuroplasty at a 10 year follow up. The number of spinal procedures is increasing across the world, but many of these therapies have little evidence that they work. Therefore, long term follow ups with patients is so important. Dr. Gerdesmeyer and his collaborators conducted a study on epidural catheter treatment in chronic low back and leg pain, and he presents these data here. When they looked at patient outcomes after treatment, these researchers found that patients responded positively, even at long follow ups. Even these data have limits though.

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  • Fox – Caudal & Transforaminal Neuroplasty – Clinical Experience for Spinal Stenosis

    Fox – Caudal & Transforaminal Neuroplasty – Clinical Experience for Spinal Stenosis

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 17, 2021

    Dr. Ira Fox discusses caudal and transforaminal neuroplasticity and clinical experience for spinal stenosis. He touches on the official disabilities guidelines. Dr. Fox also discusses objectives for epidural neuroplasty. Lesion specificity is important – know exactly where your patient’s pain is! He also discusses monitored anesthesia in the context of spinal stenosis procedures. According to Dr. Fox, ventral lateral catheter placement gives the best results. He advises to keep safeguards in mind.

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  • General Session 2 – Q&A

    General Session 2 – Q&A

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 17, 2021

    Dr. Kris Vissers and Dr. Miles Day take questions from the virtual attendees. Dr. Gabor Racz and Dr. Ludger Gerdesmeyer answer these questions. Timing of repeated procedures is discussed. Physical exams are important, says Dr. Racz. Another question asks if there are no benefits from a Racz procedure, can epiduroscopy be used? Dr. Racz also mentions neuroplasty as an alternative. Hypertonic saline is also discussed in another question, as are several other topics.

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