Techniques in Regional Anesthesia and Pain Management
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Papers 587
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Abstract Radiofrequency ablation (RFA) is a safe and effective pain therapy with efficacy principally reliant upon induced thermal damage of neural sensory afferents. Most peripheral RFA involves induced axonal damage but cell bodies may be involved indirectly. Radiofrequency electrodes (RFE) are not simple high-temperature probes and better insight regarding RFE function from an electrical engineering viewpoint may improve clinical outcomes by reducing the risk of poor or inadequate heating of ...
1 CitationsSource
Abstract Partial neurotomy of painful large joints may be accomplished by radiofrequency (RF) lesioning of the articular branch innervation of these joints. Successful RF lesions of the knee and the hip are clinically useful procedures whose success depends upon the knowledge of articular branch neuro anatomy and the practitioner’s optimized choice of RF probe for the procedure. Although clearly indicated for patients who may not be medically suitable for arthroplasty, the procedures may be inva...
1 CitationsSource
Abstract Chronic abdominal pain is a complex physical and psychological problem that requires comprehensive treatment options tailored to the needs of patients. Splanchnic nerve blocks and radiofrequency denervation of greater and lesser splanchnic nerves may provide prolonged treatment effect that still needs to be studied in a randomized prospective fashion. Here we describe improved fluoroscopy-guided technique for the radiofrequency ablation of splanchnic nerves, details on approach, techniq...
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#1Kenneth D. Candido (UIC: University of Illinois at Chicago)H-Index: 23
#2Bryant England (UIC: University of Illinois at Chicago)
Abstract Neck pain is a common diagnostic entity, with a lifetime prevalence of between 65% and 80%. Appreciation of the role of the cervical facet joints in the etiology of cervical spine pain is paramount to providing sustained pain relief for individuals suffering from degenerative and posttraumatic neck pain. Studies have demonstrated that approximately 60% of patients who sustain whiplash-type rear-end motor vehicle collisions would have pain that results from the facet joints alone, or in ...
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#1Bruce Vrooman (Cleveland Clinic)H-Index: 6
#2Victor Foorsov (Cleveland Clinic)H-Index: 1
Abstract The objective of this article is to recommend an approach to radiofrequency ablation (RFA) of the sacral lateral branches that is safe, effective, and simple to perform. To do so, one must identify the proper patient, perform a diagnostic block to confirm the sacroiliac joint as the pain generator, and then, after 2 successful blocks, move to RFA of the sacral lateral branches as the next step in treatment. The choice of an RFA technique is controversial. Here, an argument is made for m...
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Abstract Thoracic spine pain is a relatively common condition. Pain in this region may be attributable to dysfunction of the thoracic facet joint. The true prevalence of thoracic facet pain remains somewhat elusive. Although challenging to diagnose at times, this joint is amenable to several therapeutic options. Radiofrequency neurotomy and thoracic medial branch blocks are normally used to treat facetogenic pain originating in the thoracic spine. Although demonstrating promise, larger, robustly...
1 CitationsSource
Abstract Prolotherapy, or fibroproliferative therapy, is a regenerative injection therapy, first popularized in the 1940s and 1950s. Unfortunately, the combination of “better” surgical techniques and a series of high-profile medical catastrophes by poorly trained providers relegated the technique into the “fringe” arena. However, recent recognition of the failure of surgical interventions, combined with better technology and a burgeoning interest in the continuum of regenerative injection option...
1 CitationsSource
#1Matthew B. Murphy (University of Texas at Austin)H-Index: 14
Last. Don BufordH-Index: 5
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Abstract Current best practices in regenerative medicine use cell and platelet preparations derived from a patient׳s blood or bone marrow aspirate, concentrated at the point of care, and returned to the patient during a single surgical or clinical event. As a field in its infancy, there is great confusion among many physicians, patients, regulatory agencies, and the media about what these therapies represent, their safety and efficacy, and how they are properly administered. Advances in bone mar...
4 CitationsSource
#1Christine L. Hunt (Mayo Clinic)H-Index: 4
#2Stephanie Shen (Mayo Clinic)H-Index: 2
Last. Wenchun Qu (Mayo Clinic)H-Index: 15
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Abstract This study is a systematic review of human clinical studies of stem cell therapy for discogenic pain. To summarize the current human trials and feasibility studies involving mesenchymal stem cell (MSC) therapy for treatment of discogenic pain. A search of Ovid databases and Clinicaltrials.gov was conducted from inception through July 2016. We included human clinical trials and case reports that evaluated treatment with injected MSCs for patients with discogenic back pain. The outcomes o...
2 CitationsSource
Abstract Peripheral nerve entrapments are an underrecognized cause of pain and disability. Hydrodissection (perineural deep injections) is one of the techniques that can release the entrapped nerve. Futhermore, discussed are the techniques of neural therapy, neural prolotherapy (perineural injection therapy), and autologous platelet lysate, as well as the use of adipose-derived stem cells.
4 CitationsSource
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