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25th Napa Pain Conference

Interventional Pain Procedures Mechanisms of Injury

Aug 18, 2018 11:00am ‐ Aug 18, 2018 11:30am

Credits: None available.



Since 2002, there has been a growing body of largely transforaminal epidural steroid case report literature that describes paralysis, stroke, and death that immediately follows the performance of these procedures. These complications are thought to be related to a combination of factors, which may include the technique used, underlying pathophysiology that is being treated, anatomical variations in the blood supply, as well as the specific injectate used.

This session provides actionable insights on the pathogenesis of these complications and how clinicians can modify their techniques for the safety of their patients.


Understand what can go wrong with interventional procedures and prudent safety considerations to implement for the care of your patients.

  • Mechanical damage from types of needle injections
  • How injectates can damage tissue
  • Volume/pressure effects on blood flow
  • Appropriate patient selections



  • Christopher Gharibo, MD : [Aug 2018]  Speaker/Consultan t: Teva, Takeda, Daichii-Sankyo, AstraZeneca, Kaleo, Mallinckrodt, Pernix, Depomed, Flexion, Scilex   Clinical research : MBB vs IA facet, SCS, ESI/TFESI


Credits: None available.

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