PainCast

Tag: Lysis of Adhesions

  • Lysis of Adhesions Panel

    Lysis of Adhesions Panel

  • Epidural Adhesiolysis Lecture

    Epidural Adhesiolysis Lecture

    [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 October 29, 2020

    Does evidence show that neurolysis is effective? In this lecture, Ludger Gerdesmeyer, MD, PhD, FIPP, presents results from a clinical trial that showcase the potential benefits of epidural adhesiolysis. He also advocates for the use of evidence-based medicine, discusses his surprising placebo results, and explains the biases and flaws of past trial designs that tried to answer this question. This lecture was filmed at the 24th Annual Gabor Racz Pain Conference and Workshop.

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  • Importance of Hyaluronidase in Epidural Neuroplasty

    Importance of Hyaluronidase in Epidural Neuroplasty

    [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 October 22, 2020

    Hyaluronidase plays an important role in pain management, says Dr. Standiford Helm, at his lecture at the 24th Annual Gabor Racz Pain Conference and Workshop. Dr. Helm presents a comprehensive overview of the literature showcasing the biological mechanisms, side effects, and clinical uses of this enzyme. Understanding the characteristics of hyaluronidase can help clinicians expand the range of treatments they provide to manage pain.

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  • Epidural Lysis of Adhesions Lecture

    Epidural Lysis of Adhesions Lecture

    [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 May 20, 2020

    Dr. Richard Epter discusses epidural lysis of adhesions. He begins with a brief history of epidural analgesia techniques and a review of pain generators. Dr. Epter then considers factors that influence epidural fibrosis-related pain perception and the significance of pro-inflammatory mediators in lumbar pain. He concludes with an in-depth discussion of strategies for epidural access, procedural and technical recommendations, and potential complications.

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  • Cervical Neuroplasty Using Hypertonic Saline

    Cervical Neuroplasty Using Hypertonic Saline

    [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 February 18, 2020
    Dr. Gabor Racz explains the advantages of cervical neuroplasty (including hypertonic saline and active cervical flexion/rotation) compared to a standard ESI. He has a preoperative consultation with his patient, whose complaint is upper back/neck pain and headaches. Dr. Racz then performs the cervical lysis procedure and follows up with a postoperative consultation and subsequent injections of hypertonic saline.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1488298613118{margin-top: -20px !important;}”]

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  • Neuroplasty for Spinal Stenosis

    Neuroplasty 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 February 7, 2020
    Dr. Standiford Helm provides a detailed presentation on the efficacy of adhesiolysis for revealing pain form spinal stenosis. He explains the pathology of stenosis, the mechanism of action of adhesiolysis, and the many pathologies for which this is effective. Using current research, Dr. Helm explains how this procedure mitigates epidural scarring and reduces inflammation. [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1488298613118{margin-top: -20px !important;}”]

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  • Caudal Neuroplasty – Experience

    Caudal Neuroplasty – Experience

    [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 January 22, 2020
    Dr. Ira Fox lectures on the lysis of adhesion procedure (of which he has performed over 13,000). He explains how the medication is delivered to the targeted nerve and why the skill of the physician is so important. He then goes over the full procedure using the caudal approach with the aid of fluoroscopic slides. [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1488298613118{margin-top: -20px !important;}”]

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  • Lysis of Adhesions – Caudal Approach

    Lysis of Adhesions – Caudal Approach

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column width=”3/4″][vc_column_text]Published on December 3, 2019
    Dr. Rafael Justiz demonstrates how to access the sacral hiatus for a caudal-lysis of adhesion procedure using fluoroscopy. He explains the importance of avoiding the mid-line while directing the catheter to the desired anterior-lateral epidural space. He also discusses the volumes of injectates he prefers to use.[/vc_column_text][/vc_column][vc_column width=”1/4″][vc_column_text]

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  • Adhesiolysis Studies

    Adhesiolysis Studies

    [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 August 23, 2019

    Dr. Ludger Gerdesmeyer gives a slide presentation discussing many different studies on lysis of adhesions. He explains how the different success rates are dependent on the quality of the study. He also discusses what impact placebos and patient’s expectation can have on statistical outcomes. He concludes by reviewing data from a large, randomized, double-blind, placebo-controlled trial on the lysis procedure for lumbar radiculopathy.

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  • Cervical Neuroplasty Mini Doc

    Cervical Neuroplasty Mini Doc

    [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 July 11, 2019

    Dr. Gabor Racz performs a cervical lysis of adhesion procedure. He first meets with the patient to discuss his history and performs a short examination that reveals neuropathy at the C5-C6 nerve roots. Dr. Racz then performs a cervical lysis procedure with an interlaminar entry between C7 and T1. During the procedure he mentions the volumes of injectants, including hyaluronidase.

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