Dr Mert Akbas details the significance and methodology of selective nerve root blocks, introduced in 1971 for treating lower leg radicular pain. He highlights the importance of accurate diagnosis and identification of the affected spinal nerve root for various conditions, including radiculopathy and post-herpetic neuralgia. Techniques for executing selective nerve root blocks are elaborated, emphasizing patient positioning, needle guidance, and contrast application.
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Dr. David Rosenblum discusses his approach in treating headaches. He explains the importance of identifying the type of headache before any treatment can be selected. He describes a case in which he performed a sphenopalatine ganglion block that resolved occipital and facial pain completely. He also explains how to block both the maxillary and mandibular branches of the trigeminal nerve.
Dr. Ram Pasupuleti gives a very detailed overview on complex regional pain syndrome (CRPS), including symptoms, etiology, diagnosis, treatment, and prognosis. Given the complexity of this syndrome, he explains why it is often misdiagnosed and underdiagnosed. He explains the differences between the two types, i.e., CRPS I and CRPS II. Dr. Pasupuleti also discusses the variety of topical and oral medications he uses to treat the inflammation and pain. Procedures are also discussed, as he recommends sympathetic blocks, peripheral nerve blocks, and spinal cord stimulation.
Dr. Annu Navani discusses the use of regenerative medicine in her practice and the positive results these natural injection have on her patients. An explanation is given on the use of platelet-rich plasma (PRP) and bone marrow-derived mesenchymal stem cells, including how they are safely harvested from the patient’s body. She gives advice to those physicians who are interested in implementing regenerative medicine as a part of their practice. Dr. Navani has also published several articles that supports the effectiveness of this treatment.
Renowned pain expert Dr. Richard Rauck discusses how pain education is changing. He emphasizes the importance of physician training in multiple areas, including neuroradiology and psychiatry, then considers the role of device innovation and drug development in pain management. Dr. Rauck finishes with a discussion of the opioid crisis and the role of physicians in reducing the burden of opioid use in pain management.
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