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26th Napa Pain Conference

NPC26-Sa5-B - Diagnosing & Treating Chronic Pain of the Lumbar Spine


Aug 17, 2019 2:00pm ‐ Aug 17, 2019 3:45pm


Description


Interventional Pain Management

Diagnosing & Treating Chronic Pain of the Lumbar Spine


Target Audience: Interventional pain physicians, advanced practice providers, and members of the clinical care team


Learning Objectives

As a result of participating in this activity, learners will be better able to:

  • Select appropriate interventional therapies to treat low back pain and lumbar radiculopathy

Presentations

Managing Lumbar Spinal Stenosis: Comparing & Contrasting Lumbar Decompression Procedures

Timothy Lubenow, MD

Facetogenic & Discogenic Pain

Maxim S. Eckmann, MD

Intraspinal Radiofrequency Ablation

Steve M. Aydin, DO


Description

Low back pain is usually nonspecific or mechanical. Mechanical low back pain arises intrinsically from the spine, intervertebral disks, or surrounding soft tissues.



Additional Reading

  • Deer, T. R., Grider, J. S., Pope, J. E., Falowski, S., Lamer, T. J., Calodney, A., … & Kim, C. (2019). The MIST Guidelines: The Lumbar Spinal Stenosis Consensus Group Guidelines for Minimally Invasive Spine Treatment. Pain Practice, 19(3), 250-274.
  • Manchikanti, L., Staats, P. S., Singh, V., Schultz, D. M., et al (2003). Evidence-based practice guidelines for interventional techniques in the management of chronic spinal pain. Pain Physician, 6(1), 3-81.
  • Boswell, M. V., Singh, V., Staats, P. S., & Hirsch, J. A. (2003). Accuracy of precision diagnostic blocks in the diagnosis of chronic spinal pain of facet or zygapophysial joint origin: A systematic review. Pain Physician, 6(4), 449-456.
  • Boswell, M. V., Shah, R. V., Everett, C. R., Sehgal, N., Mckenzie-Brown, A. M., Abdi, S., … & Spillane, W. F. (2005). Interventional techniques in the management of chronic spinal pain: evidence-based practice guidelines. Pain Physician, 8(1), 1-47.
  • Manchikanti, L., Staats, P. S., Singh, V., Schultz, D. M., Vilims, B. D., Jasper, J. F., ... & Racz, G. B. (2003). Evidence-based practice guidelines for interventional techniques in the management of chronic spinal pain. Pain Physician, 6(1), 3-81.
  • Chou, R., Loeser, J. D., Owens, D. K., Rosenquist, R. W., Atlas, S. J., Baisden, J., … & Stanos, S. P. (2009). Interventional therapies, surgery, and interdisciplinary rehabilitation for low back pain: an evidence-based clinical practice guideline from the American Pain Society. Spine, 34(10), 1066-1077.
  • Chou, R., Atlas, S. J., Stanos, S. P., & Rosenquist, R. W. (2009). Nonsurgical interventional therapies for low back pain: a review of the evidence for an American Pain Society clinical practice guideline. Spine, 34(10), 1078-1093.
  • Manchikanti, L., Benyamin, R. M., Singh, V., Falco, F. J., Hameed, H., Derby, R., … & Snook, L. T. (2013). An update of the systematic appraisal of the accuracy and utility of lumbar discography in chronic low back pain. Pain Physician, 16(2 Suppl), SE55-95.
  • Sinofsky, A. H., Aydin, S. M., Kim, E., & Gharibo, C. G. (2014). Concordant provocation as a prognostic indicator during interlaminar lumbosacral epidural steroid injections. Pain Physician, 17(3).
  • Chou, R., Qaseem, A., Snow, V., Casey, D., Cross, J. T., Shekelle, P., & Owens, D. K. (2007). Diagnosis and treatment of low back pain: A joint clinical practice guideline from the American College of Physicians and the American Pain Society. Annals of Internal Medicine, 147(7), 478-491.

Speaker(s):

  • Dr. Timothy Lubenow, MD, Program Director, Section of Pain, Department of Anesthesiology, Rush University Medical Center
  • Dr. Maxim S. Eckmann, MD, Director of Pain Medicine, Department of Anesthesiology, University of Texas Health Science Center
  • Dr. Steve M. Aydin, DO, Chief of PMR & Interventional Pain Management, Kayal Orthopaedic Center

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