Techniques in Regional Anesthesia and Pain Management Techniques in Regional Anesthesia and Pain Management RSS feedThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Editorial Board
(Source: Techniques in Regional Anesthesia and Pain Management)
Source: Techniques in Regional Anesthesia and Pain Management - April 1, 2012 Category: Anesthesiology Tags: Frontmatter Source Type: research

Minimally invasive treatments for osteoporotic vertebral compression fracture: Current concepts and state-of-the-art technologies
Abstract: Osteoporotic vertebral compression fractures (VCFs) are common in the elderly and can result in debilitating pain, loss of function, kyphosis with resulting height loss, and reductions in quality of life. Conservative treatment of VCFs is considered the gold standard but has limited effectiveness after the initial 2‐3-week period when the majority of uncomplicated VCFs resolve. Surgical intervention is invasive and associated with morbidity, particularly in the elderly patient with poor bone quality. Percutaneous techniques such as vertebroplasty and vertebral augmentation have revolutionized the treatment of V...
Source: Techniques in Regional Anesthesia and Pain Management - April 1, 2012 Category: Anesthesiology Authors: Sean M. Tutton, Francis R. Facchini, Larry E. Miller Source Type: research

A novel method of neurostimulation of the peripheral nervous system: The StimRouter implantable device
We describe a novel strategy of stimulating named peripheral nerves with the StimRouter. Initial clinical data have shown successful implantation of this novel device and improvement in the acute setting. Currently, a multicenter study is under way to access the success of this novel method of stimulation in the long-term setting. The potential success of the StimRouter could affect peripheral neuromodulatory strategies. (Source: Techniques in Regional Anesthesia and Pain Management)
Source: Techniques in Regional Anesthesia and Pain Management - April 1, 2012 Category: Anesthesiology Authors: Timothy R. Deer, Jason E. Pope, Matthew Kaplan Source Type: research

High-frequency spinal cord stimulation: An emerging treatment option for patients with chronic pain
Abstract: Chronic pain is a complex syndrome estimated to affect over 100 million Americans. Pharmaceutical-based therapy, including the use of opioids, is widely accepted as a primary treatment strategy but is associated with addiction, overdose, and diversion risk. Spinal cord stimulation (SCS) is a well-established, device-based alternative for pain management. Though effective in treating leg pain, traditional SCS has been much less effective at achieving long-term back-pain relief. In addition, stimulation with traditional SCS often leads to tingling sensations and inadvertent postural-related shocks that many patient...
Source: Techniques in Regional Anesthesia and Pain Management - April 1, 2012 Category: Anesthesiology Authors: Ricardo Vallejo Source Type: research

Injectable spinal cord stimulator system: Pilot study
Abstract: Spinal cord stimulation (SCS) is widely used for relief of chronic back and limb pain. However, numerous adverse events pose a hindrance to the widened acceptability of the treatment. A prospective, nonrandomized cohort study was conducted to compare the efficacy of a wirelessly powered SCS novel system with commercial SCS systems. Each of 12 patients were serially implanted with a Medtronic 1 × 8 SCS trial lead and a Stimwave Freedom trial lead for a 1-day evaluation. Patients were asked to report on pain relief, paresthesia coverage, paresthesia intensity, and paresthesia comfort. Ten of the 12 patients succes...
Source: Techniques in Regional Anesthesia and Pain Management - April 1, 2012 Category: Anesthesiology Authors: Laura Tyler Perryman, Benjamin Speck, Carlos Montes Garcia, Ralph Rashbaum Source Type: research

Annuloplasty procedures for chronic discogenic back pain
abstract: Recently, several new minimally invasive intradiscal annuloplasty techniques for treatment of discogenic lower back pain have been introduced, but clinical evidence of their efficacy and extent of application is lagging behind. However, now we know that discTRODE annuloplasty and conventional intradiscal nuclear radiofrequency are ineffective in reducing pain and improving functional capacity. Intradiscal electrothermal therapy and intradiscal biacuplasty do produce positive therapeutic effect in an appropriately selected patient group. Based on procedural ease of radiofrequency needle placement, recent positive ...
Source: Techniques in Regional Anesthesia and Pain Management - April 1, 2012 Category: Anesthesiology Authors: Leonardo Kapural, Karlo Houra Source Type: research

Advances in biological techniques for treatment of lumbar discogenic pain
Abstract: Treatment of lumbar discogenic pain is based upon restoration of mechanical function and suppression of nociception within the intervertebral disc. The biophysical and pathologic basis of disc injury is reviewed with discussion of treatment modalities. Ablative intradiscal ethanol and restorative intradiscal fibrin appear promising. Intradiscal platelet-rich plasma is tantalizing, but unproven. Biochemical modification of anabolic-catabolic balance by intradiscal administration of growth factors including BMP-7 and GDF-5 in clinical trials, as well as multiple investigational pharmacologic moieties, is discussed....
Source: Techniques in Regional Anesthesia and Pain Management - April 1, 2012 Category: Anesthesiology Authors: Jeffrey D. Petersohn Source Type: research

Novel options for patients with lumbar spinal stenosis: Minimally invasive lumbar decompression and other strategies
Abstract: As the population ages, spinal stenosis is becoming a more common condition. Often, elderly patients suffer from comorbidities that may increase the risks associated with general anesthesia or extensive surgeries. Unfortunately, with limited conservative treatment options, surgical decompression often becomes the only alternative. Recently a percutaneous minimally invasive lumbar decompression technique has emerged as a safe and highly successful therapeutic option for this group of patients. In this review, I present the current evidence in support of minimally invasive lumbar decompression as a novel therapeuti...
Source: Techniques in Regional Anesthesia and Pain Management - April 1, 2012 Category: Anesthesiology Authors: Ricardo Vallejo, Ramsin Benyamin Source Type: research

Future directions in interventional pain management
The interventional pain practice has progressed from the day of ignorance and lack of evidence to a world of opportunity and expansion of knowledge. Many may remember the day when pain physicians freely prescribed medications with little understanding of their mechanism of action for diseases that they understood even less. Even more, back then, interventional procedures were performed blindly with large volumes of injectate to compensate for the lack of accuracy. In times when evidence was not essential to direct medical management, our field flourished with the work of pioneers that opened the gates for the birth of a ne...
Source: Techniques in Regional Anesthesia and Pain Management - April 1, 2012 Category: Anesthesiology Authors: Ricardo Vallejo Source Type: research

Complementary and alternative treatments for migraine
Abstract: Patients love complementary and alternative treatments! Most colleagues spend a significant amount of time discussing the benefit and the risk of these therapies. Fortunately, there is scientific evidence for or against the efficacy of several such therapeutic approaches. Knowing the evidence helps to facilitate the therapeutic process, especially when dealing with patients with chronic headache. Behavioral approaches, such as cognitive behavior therapy, relaxation techniques, and biofeedback, are supported by evidence (which is partly outdated), but require a significant amount of time. Physiotherapy and aerobic...
Source: Techniques in Regional Anesthesia and Pain Management - January 1, 2012 Category: Anesthesiology Authors: A.R. Gantenbein, J. Afra, W. Jenni, P.S. Sándor Source Type: research

Behavioral approaches to headache: A practical guide for non-mental health providers
We present approaches to maximize patients' openness to a multimodal model and keys to distinguish patients who require specialist-level care. We close with a call for greater inclusion of behavioral medicine in graduate level medical training. (Source: Techniques in Regional Anesthesia and Pain Management)
Source: Techniques in Regional Anesthesia and Pain Management - January 1, 2012 Category: Anesthesiology Authors: Madeline Gittleman Source Type: research

Peripheral neurostimulation techniques for primary headaches
This article provides an overview of the most relevant data on peripheral stimulation in the management of primary headaches. (Source: Techniques in Regional Anesthesia and Pain Management)
Source: Techniques in Regional Anesthesia and Pain Management - January 1, 2012 Category: Anesthesiology Authors: Eli Soto, David Abbatematteo, Shatabdi Patel Source Type: research

Central neurostimulation techniques for primary headaches
This article provides an overview of the most relevant data on efficacy in central neurostimulation for primary headaches. (Source: Techniques in Regional Anesthesia and Pain Management)
Source: Techniques in Regional Anesthesia and Pain Management - January 1, 2012 Category: Anesthesiology Authors: Eli Soto, Joy Hao, Helena Knotkova, Ricardo A. Cruciani Source Type: research

OnabotulinumtoxinA in the treatment of migraine headache
This article is designed to provide an overview of current research into the mechanism of action of onabotulinumtoxinA in the pathophysiology of pain conditions including migraine, as well the current literature supporting its efficacy in migraine treatment. (Source: Techniques in Regional Anesthesia and Pain Management)
Source: Techniques in Regional Anesthesia and Pain Management - January 1, 2012 Category: Anesthesiology Authors: Carrie O. Dougherty, Stephen D. Silberstein Source Type: research

Interventional techniques for headaches
Abstract: Primary headaches can become quite severe and incapacitating for patients that suffer from them. The management could be challenging even in the hands of experienced physicians. Once the headaches become refractory to pharmacologic management, the use of interventional techniques including peripheral nerve block can be a feasible option to achieve pain relief, and decrease the intensity and frequency of headache. Multiple studies have demonstrated that peripheral nerve blocks are safe and effective for the treatment of a variety of headaches disorders, including migraine, cluster, tension-type headaches, and cerv...
Source: Techniques in Regional Anesthesia and Pain Management - January 1, 2012 Category: Anesthesiology Authors: Eli Soto, Valeriya Bobr, Joseph A. Bax Source Type: research