PainCast

Category: Live Patient Procedures

  • Stogicza – TON, C3, C4 MB RFA Lateral Approach

    Stogicza – TON, C3, C4 MB RFA Lateral Approach

    [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 16, 2021

    Dr. Agnes Stogicza performs radiofrequency ablation of the third occipital nerve of the C3 and C4 medial branches in this live patient guided procedure. First, she reviews the equipment needed. The patient’s pain history is also discussed briefly. Visualization through fluoroscopy is critical to ensure proper cannula placement prior to beginning the ablation. Motor stimulation is also used to confirm proper placement. After local anesthetic is administered, the radiofrequency lesioning is performed.

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  • Day – Sacroiliac Joint Injection for Lower Back Pain

    Day – Sacroiliac Joint Injection for Lower Back 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 15, 2021

    Dr. Miles Day performs a sacroiliac joint injection for lower back pain in this live patient guided procedure. This is a procedure that Dr. Day has had to refine and adjust several times over his career. A local anesthetic is used. For sacroiliac joint injections you need to be right in the middle of the joint. Needle placement is important.

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  • Luz Padilla – Lumbar Medial Branch Radiofrequency Ablation

    Luz Padilla – Lumbar Medial Branch Radiofrequency Ablation

    [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 15, 2021

    Dr. Maria Luz Padilla performs a lumbar medial branch radiofrequency ablation in this live patient guided procedure. After reviewing the necessary equipment, Dr. Luz Padilla begins the procedure. A local anesthetic is used. The needles are positioned, and a caudal tilt is used. A lateral view is used to verify cannula placement for the ablation. A stimulation test is used before the ablation to also verify placement. Then the ablation is performed, and Dr. Luz Padilla is sure to monitor the temperature and other parameters.

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  • Herrero – Radiofrequency Ablation of Sphenopalatine Ganglion

    Herrero – Radiofrequency Ablation of Sphenopalatine Ganglion

    [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 15, 2021

    Dr. Manuel Herrero performs a radiofrequency ablation of the sphenopalatine ganglion. This patient suffers from cluster headaches. After marking the entry point, Dr. Herrero prepares to his needle. He finds it helpful to go back and forth between lateral and anterior views when positioning the needle. The patient is put to sleep for the ablation. Then Dr. Miles Day takes questions for this procedure as the moderator.

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  • Day – Superior Hypogastric Plexus Block

    Day – Superior Hypogastric Plexus Block

    [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 15, 2021

    Dr. Miles Day performs a superior hypogastric plexus block in this live patient guided procedure. The patient is a 32-year-old female who has had pelvic pain for 10 years. She has had several hypogastric plexus blocks in the past, which have temporarily relieved her pain. Here, Dr. Miles Day performs another of these procedures. This is done at the anterior aspect of L5, and he uses a “gun barrel” approach. Positioning is important.

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  • Day – Lumbar Sympathetic Nerve Block

    Day – Lumbar Sympathetic Nerve Block

    [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 15, 2021

    Dr. Miles Day performs a lumbar sympathetic block in this live patient guided procedure. The patient is a 39-year-old male with somatic pain and neuropathic sympathetically mediated pain. Temperature probes are used to monitor is the sympathetic nerve block worked. Needle positioning is very important. In this right lumbar sympathetic nerve block Dr. Miles entered at L3.

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  • Cervicogenic Headache Diagnosis and Treatment

    Cervicogenic Headache Diagnosis and Treatment

    [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 16, 2021

    Dr. Antonio Rezoagli begins with a review of the anatomical locus for cervicogenic headache, including the intersection of sensory nerve fibers from the trigeminal nucleus and the upper cervical roots, and their contributions to referred pain. He moves on to the epidemiology and differential diagnosis of cervicogenic headache, including approaches to diagnosis and the use of anesthetic blockade to confirm a diagnosis. Dr. Rezoagli concludes by considering standard and experimental treatment options for cervicogenic headache.

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  • Live Procedures 1 – Q&A

    Live Procedures 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 15, 2021

    In this Q&A session, conference attendees ask Dr. Miles Day and Dr. Agnes Storgicza about their live procedures. Attendees asked about next steps these doctors might take, as well as more specifics about the procedures they just watched. One thing that is discussed is differences in training (which leads to differences in procedures) between the United States and other countries.

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  • Live Patient Fluoroscopy – Guided Procedures 2_Q&A

    Live Patient Fluoroscopy – Guided Procedures 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 12, 2021

    In this Q&A session, Dr. Miles Day takes questions from the virtual attendees. Dr. Agnes Stogicza, Dr. Maria Luz Padilla, and Dr. Manuel Herrero answer these questions. One attendee asks, it possible to perform hip denervation with a Peng block approach, to which Dr. Stogicza answers that you can. Botulinum toxin is also a topic of interest. Differences between practices allowed in various countries (including the United States, Spain, and Australia) across the world are also discussed. These topics and more are discussed.

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