PainCast

Tag: Spinal pain

  • Cost Effectiveness of Regenerative Medicine

    Cost Effectiveness of Regenerative Medicine

  • Panel – Facet Joint Q&A

    Panel – Facet Joint Q&A

  • Facet Joint Interventions: Clinical Relevance and Cost Utility

    Facet Joint Interventions: Clinical Relevance and Cost Utility

  • Cost Effectiveness of Regenerative Medicine – The Intervertebral Disc

    Cost Effectiveness of Regenerative Medicine – The Intervertebral Disc

    [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 30, 2022

    Douglas P. Beall, MD

    Dr. Douglas P. Beall discusses the cost-effectiveness of intervertebral disc (IVD) therapy for back pain. Dr. Beall begins with a discussion of conventional surgical and non-surgical approaches to back pain. He describes studies focusing on IVD, showing its greater efficacy compared to conventional methods. He compares the costs of conventional surgeries and IVD therapy. Dr. Beall effectively illustrates that IVD therapy is less invasive, more effective, and less costly than other surgeries for back pain.

    [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1488298613118{margin-top: -20px !important;}”]

    [/vc_column_text][/vc_column][/vc_row]

  • The Future of Bundled Ultrasound and Fluoroscopy Therapies

    The Future of Bundled Ultrasound and Fluoroscopy Therapies

    [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, 2022

    Kenneth D. Candido, MD

    Dr. Kenneth Candido raises concerns over bundled image guidance techniques. Dr. Candido explains that every surgeon must become familiar with bundling and unbundling codes. He compares and contrasts fluoroscopy and ultrasound that guide target foci during surgical procedures. He highlights the bundled preferential payment of fluoroscopy over ultrasound guidance. Dr. Candido effectively illustrates the importance of the surgeon’s informed choice of image guidance techniques to be used during surgery.

    [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1488298613118{margin-top: -20px !important;}”]

    [/vc_column_text][/vc_column][/vc_row]

  • Regenerative Medicine and Biologics

    Regenerative Medicine and Biologics

    [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 16, 2022

    Annu Navani, MD

    Dr. Annu Navani discusses the premise behind her clinical study of biologics for the treatment of musculoskeletal and spine conditions. Dr. Navani explains the clinical applicability of platelet-rich plasma (PRP) and bone marrow-derived stem cells. She explains the results of the pilot study that shows improved pain levels and function in participants. She discusses future prospects for her work on the clinical applicability of both PRP and bone marrow-derived stem cells.

    [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1488298613118{margin-top: -20px !important;}”]

    [/vc_column_text][/vc_column][/vc_row]

  • Minimally Invasive Procedures for Spinal Pain

    Minimally Invasive Procedures for Spinal 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 April 18, 2022

    Sudhir Diwan, MD, FIPP, DABIPP

    Dr. Sudhir Diwan presents an extended discussion of minimally invasive procedures for spinal pain management. Dr. Diwan describes the association between chronic spinal pain and the degenerative spine along with the evolution of the interventional algorithm for pain treatment. He also discusses the limitations of surgery for back pain despite advances in surgical technologies, followed by a description of minimally invasive treatment options that currently precede and, in some cases, prevent surgical intervention. Dr. Diwan also introduces novel technologies for minimally invasive arthrodesis (e.g., INSITE, iFuse, Tricor, Rialto).

    [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1488298613118{margin-top: -20px !important;}”]

    [/vc_column_text][/vc_column][/vc_row]

  • Intradiscal Regenerative Therapies: State of the Art

    Intradiscal Regenerative Therapies: State of the Art

    [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 April 18, 2022

    Annu Navani, MD – Comprehensive Spine Sports Center

    Dr. Annu Navani presents innovative intradiscal regenerative therapies for spinal pain localized to the low back or spinal discs. Dr. Navani discusses the current market for stem cell therapies and investments in regenerative medicine companies that are sponsoring various clinical trials worldwide. She describes studies focusing on mesenchymal stem cells (MSCs) and explains the need for advances in regenerative medicine for clinical applications in pain management and tissue repair. Dr. Navani also discusses the first ever head-to-head multi-center, randomized, placebo-controlled trial comparing platelet-rich plasma (PRP) or bone marrow concentrate (BMC) against a placebo for discogenic back pain, followed by the projected growth of regenerative therapies.

    [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1488298613118{margin-top: -20px !important;}”]

    [/vc_column_text][/vc_column][/vc_row]

  • Platelet-Rich Plasma Therapy in Chronic Spinal Pain

    Platelet-Rich Plasma Therapy in Chronic Spinal 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 April 18, 2022

    Yu-Chuan (Grace) Tsai, PhD

    Dr. Yu-Chuan (Grace) Tsai discusses current applications of platelet-rich plasma (PRP) for various forms of body pain. Dr. Tsai describes the preparation of PRP and major components, including growth factors, angiogenic factors, matrix-building proteins, and anti-inflammatory proteins. She also presents a classification of PRP and additional types that include LC-rich PRP, LC-poor PRP, PRF, and LC-PRF. Dr. Tsai describes variables that influence the growth factor profile of PRP, ways to dose PRP therapy, and applications of PRP for chronic spinal pain, internal disc disruption, and disc-related pain. She also discusses goals of interventional treatment and future studies regarding PRP therapies.

    [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1488298613118{margin-top: -20px !important;}”]

    [/vc_column_text][/vc_column][/vc_row]

  • Use of Ultrasound Versus Fluoroscopy in Spinal Pain Intervention: Pros & Cons

    Use of Ultrasound Versus Fluoroscopy in Spinal Pain Intervention: Pros & Cons

    [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 April 18, 2022

    Sean (Chia-Shiang) Lin, MD, FIPP, CIPS – Taiwan Pain Society Past President

    Dr. Sean (Chia-Shiang) Lin presents the pros and cons of using ultrasound versus fluoroscopy for image-guided interventional pain management. He compares and contrasts three image-guided modalities: computer scan tomography, fluoroscopy, and ultrasound. He also describes the target foci for interventional procedures. Dr. Lin discusses the manner in which these modalities facilitate pain management by ensuring proper placement and administration of contrast agents and/or medication. Additionally, Dr. Lin describes clinical outcomes of image-guided interventional approaches in published studies. More clinical research is needed to further elucidate the pros and cons of each image guidance method for spinal pain intervention.

    [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1488298613118{margin-top: -20px !important;}”]

    [/vc_column_text][/vc_column][/vc_row]