697 © Springer International Publishing AG 2018 L. Manchikanti Et

Total Page:16

File Type:pdf, Size:1020Kb

697 © Springer International Publishing AG 2018 L. Manchikanti Et Index A Anisotropy, 447 Abdominal pain. See Nerve blocks Ankle injection. See Tibiotalar injection Abdominal wall blocks and neurolysis Ansa subclavia, 538 accuracy, 489 Anticoagulant therapy, 53–55 analgesia, 495 Antithrombotic and antiplatelet therapy chronic, 489 epidural hematoma, 53 diagnostic and therapeutics, 495 epidural hematomas, 53 ilioinguinal (see Ilioinguinal and iliohypogastric nerves block) guidelines, 53 paravertebral (see Paravertebral nerve block) interventional technique guidelines, 56 procedures, 489 risk/benefit ratio, 53 rectus sheath (see Rectus sheath block) surgical interventions, 53 TAP block (see Transversus abdominal plane (TAP) block) survey, 53 Accountable interventional pain management, 3 thrombotic risks with discontinuation, 53, 54 epidural injections utilization, 5, 12 Arteria radicularis magna (ARM), 201 facet joint interventions, 6, 10 Arthritis, 370 Medicare beneficiaries, epidural injections, 6, 8 botulinum toxin, 630–631 policies, 6 As low as reasonably achievable (ALARA), 118, 121 sacroiliac joint interventions, 6, 8 Atlanto-axial joint Acetylcholinesterases (AChE), 612 anatomy, 415–417 Acromioclavicular joint injection, 637, 638 C1-C2 injection, 414 Acute cervical disc extrusion, 102 cervicogenic headache, 413, 414 Ambulatory surgery centers (ASCs) diagnosis, 414–415 anesthetic requirements, 37 fluoroscopy, 418, 419 anesthetic risk and evaluation, 38 inflammatory disorders, 414 discharge/disposition, 38–39 pathophysiology, 413, 414 guidelines, medical record, 37 physical examination, 415 history and physical examination, 36 side effects, 420 intra- and postoperative documentation requirements, 38 TON, 416 physician’s history, 36 ultrasound, 419, 420 physician’s physical examination, 37 vertebral artery, 416, 417 preoperative Medical Record Requirements, 37 Atlanto-occipital joint procedural documentation, 38 fluoroscopy, 417 requirements, 36 ultrasound, 417–420 American Society of Interventional Pain Physicians (ASIPP) See also Atlanto-axial joint guidelines, 382 Automated percutaneous lumbar discectomy, 309, 312, 313, American Society of Regional Anesthesia and Pain Medicine (ASRA) 323–325 guidelines, 365, 382 Axillary nerve anatomy, 500 Anatomy of the spine Axillary nerve block, 499, 500 injectionist, 63 ligaments (see Ligaments of spine) planes B bony elements, 70 Biacuplasty, 302–306 column (see Spinal column) Biceps tendon sheath fluoroscopic (see Fluoroscopic anatomy, spine) anatomy, 619 and nomenclature, 63 color Doppler, 619 position, 63 diagnosis, 619 spondylolisthesis, 71 inflammation, pain/tenderness, 618 spondylolysis, 70 landmark-based and ultrasound-guided techniques, 619 Anesthetic discography, 273 pathophysiology, 618–619 lumbar functional, 276 ultrasound, 619–620 © Springer International Publishing AG 2018 697 L. Manchikanti et al. (eds.), Essentials of Interventional Techniques in Managing Chronic Pain, https://doi.org/10.1007/978-3-319-60361-2 698 Index Bleeding risk C antithrombotic and antiplatelet therapy, 53 Cadaver dissection, 554 atherothrombotic events, 54 Cadaver study, 554 cerebral and cardiovascular events, 54 Calcitonin gene-related peptide (CGRP), 612 epidural hematoma, 55 Cancer thromboembolic phenomenon, 54 sacral fractures, 432 Blind Intercostal Nerve Blocks, 483–484 vertebral fractures, 432 Bony elements Carpal tunnel injection coronal cadaver section, 71 corticosteroid, 641 load-bearing capacity, 71 CTS, 641 lumbar vertebral motion segment, 70 flexor carpi radialis and palmaris tendon, 641 midline spinous processes, 71 glucocorticoid, 641 pars interarticularis, lumbar vertical body, 72 indications and diagnosis, 641 prototypical vertebra, 70 intravascular placement, 641 red bone marrow, 70 pathophysiology, 641 spondylolysis precautions, 641–642 and fluoroscopy, 73 randomized controlled trials, 641 and spondylolisthesis, 72 ultrasound, 642 transverse processes, 70 ultrasound-guided, 641 vertical C-arm, L4-L5, 70 Carpal tunnel syndrome (CTS), 502 Botulinum toxin Caudal epidural adhesiolysis, 255–258, 261, arthritis, 630–631 264, 265 blockade, acetylcholine release, 630 Caudal epidural injections, 174, 178–182 capsaicin, 630 Caudocranial angulations, 544 cervical dystonia, 632 Celiac plexus blocks history, 629 anatomy, 596–600 injection, 629 bent-tip needle, 603, 604 lifesaving treatment modality, 632 cardiac and hypogastric plexuses, 595 mechanism of analgesia, 630 celiac ganglia, 602 MFPS, 631 chronic abdominal pain, 595 migraine, 630 indications, 596 neuromuscular disorders, 629 neurolysis, 603–605 neuropathic pain, 630 pancreatic cancer, 596 pain modulation, 630 percutaneous approach, 595 pelvic pain and dysfunctional defecation, 632 precautions, 605 preparation, 629 retrocrural approach, 600–602 treatment, chronic pain, 630 side effects, 605, 606 trigeminal neuralgia, 631 splanchnic nerve blocks, 603 Brachial plexus blocks, 497–499 transdiscal approach, 603 Brilinta®, 366 Centers for Medicare and Medicaid Services Buerger’s disease, 535 (CMS), 301 Bursa Central nervous system injection, 543 iliopsoas (IP) Certified Registered Nurse Anesthetists anatomy, 621, 622 (CRNAs), 41 diagnosis, 621, 622 Cervical and thoracic sympathetic blocks evidence based, 621 analgesia, 531 hip pain, 622 CRPS, 531, 533 osteoarthritis, 622 diagnosis, 535 pathophysiology, 621, 622 ganglion block, 534 tendon and hip joint capsule, 621 history, 531 ultrasound-guided injection technique, 621–623 hyperhidrosis, 535 precautions, 625 IASP criteria set, 535 subacromial-subdeltoid pathophysiology, 532–533 diagnosis, 618 peripheral neuropathic pain, 534 evidence based, 617–618 stellate ganglion block, 531 location, 618 superior cervical ganglion, 536 pain, upper extremity, 617 Cervical discogenic pain, 209, 210, 212 pathophysiology, 617 Cervical discography shoulder disorders, 617 anterior approach, 282–286 supraspinatus tendon, 618 anterolateral, 290, 291 ultrasound, 619 anterolateral approach, 282, 286 ultrasound-guided injection technique, 618 assessment, pain relief, 273 Bursitis CT-discograms, 292 PAB, 623, 624 CT imaging, 291 RB, 624, 625 diagnostic accuracy, 277 Index 699 disc injection treatment, 408, 409 completion, 290 typical cervical levels, 406, 407 high discometric pressure, 286 vascular structures, 396, 397 pain level, 286 Cervical interlaminar epidural injection, 218–222 pain quality, 290 axial diagram, 222 saline or contrast, 286 complications, 236 discogram, 292 dural puncture, 222 evaluation, 273 epidurographic patterns, 222 low back pain, 274 fluoroscopic imaging, 220 rationale, 276 indications, 212 validity and functions, 273 intravascular entry, 228 spine status post disc injection, 292 midline approach, 222, 223 Cervical dystonia, 632 paramedian approach, 220 Cervical epidural injections paramedian position, 222 anatomy resistance technique, 220 C2 and C3 spinal nerve, 218 subdural filling patterns, 228 cervical spine, 212 subdural placement, 225 dorsal and ventral rootlets, 217 Cervical radicular pain, 209, 210 dural root sleeve, 212 Cervical radiofrequency neurotomy, 405, 406 epidural space, 215 Cervical spinal stenosis, 210, 212, 215 ligaments, 214 Cervical sympathetic ganglia, 536, 538 ligamentum flavum, 215 Cervical sympathetic trunk, 536 typical cervical vertebrae, 212 Cervical transforaminal epidural injections, 212 venous system, 218 axial view, 231 evidence base, 210–212 complications, 236 indications, 212 critical anatomic considerations, 229–231 interlaminar and transforaminal approach, 212 fluoroscopy, 228 pathophysiology level IV evidence, 212 cervical radiculopathies, 210 step-by-step approach, 234 corticosteroids and local anesthetics, 210 Cervical transforaminal injections, 209 disc displacement, 210 Cervicogenic headache, 413–415 hard protrusions, 210 Cervicothoracic, 536 myelopathy, 210 Chemical neurolysis, 455 post cervical laminectomy syndrome, 210 Chemical neurolytic block, 565 radicular pain, 210 Chemonucleolysis, 309, 313 precautions, 236, 237 Chest wall blocks and neurolysis. See Intercostal nerve blocks resistance technique, 209 Chronic abdominal pain, 595 side effects and complications, 235, 236 Chronic disorders, 611 technical aspects Chronic low back pain. See Percutaneous adhesiolysis extra-epidural placement, 222–228 Chronic pain extraneural placement of needle, 235 classification and prevalence, 24 interlaminar epidural injections, 218–222 intrathecal analgesics, 678 safety considerations, 231–233 NMDA receptor antagonists, 22 technique, 233–235 opioids, 671 transforaminal epidural injections, 228–231 pain signaling (see Pain signaling) Cervical facet joint nerve blocks, 390, 391 psychological assessment, 676 Cervical facet joint pain and spasticity, 671, 672 C7 transverse process, 407, 408 terminology, 15 controlled diagnostic blocks, 389, 390 therapy, 676 diagnosis, 389 Chronic perineal pain, 581 false-positive rate, 387 Chronic shoulder pain false-positive rates, 390 block, suprascapular nerve (see Suprascapular nerve block) features, 392 intraarticular corticosteroids, 471 indications, 392 muscles and shoulder joint, 471 innervation, 392–396 treatment options, 471 intra-articular (see Intra-articular cervical facet joint injections) Classic approach, 576 neck pain, 387 Classic superior hypogastric block, 576, 577 nerve blocks, 390, 391 Cluster headaches, 521 pathophysiology, 388, 389 Cochrane review, 552 pulsed mode radiofrequency, 405 Common peroneal nerve (CPN) block, 513 radiofrequency neurotomy, 405, 406 Complex regional pain syndrome (CRPS), 531, 532, 659, 661, 683 RCTs, 389 Compliance and documentation. See Documentation
Recommended publications
  • Opioid Withdrawal ��������������������������������������������������������������������������������������������������� 15 Mark S
    Magdalena Anitescu Honorio T. Benzon Mark S. Wallace Editors Challenging Cases and Complication Management in Pain Medicine 123 Challenging Cases and Complication Management in Pain Medicine Magdalena Anitescu Honorio T. Benzon • Mark S. Wallace Editors Challenging Cases and Complication Management in Pain Medicine Editors Magdalena Anitescu Honorio T. Benzon Department of Anesthesia and Critical Care Department of Anesthesiology University of Chicago Medicine Northwestern University Chicago, IL Feinberg School of Medicine USA Chicago, IL USA Mark S. Wallace Division of Pain Medicine Department of Anesthesiology University of California San Diego School of Medicine La Jolla, CL USA ISBN 978-3-319-60070-3 ISBN 978-3-319-60072-7 (eBook) https://doi.org/10.1007/978-3-319-60072-7 Library of Congress Control Number: 2017960332 © Springer International Publishing AG 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication.
    [Show full text]
  • Covering the Receiver
    PERCUTANEOUS RADIOFREQUENCY THERMAL LUMBAR SYMPATHECTOMY AND ITS CLINICAL USE PERCUTANEOUS RADIOFREQUENCY THERMAL LUMBAR SYMPATHECTOMY AND ITS CLINICAL USE Thermische Iurn bale sympathectomie door mid del van· percutane radiofrequency en zijn klinische toepassing PROEFSCHRIFT ter verkrijging van de graad van doctor aan de Erasmus Universiteit Rotterdam op gezag van de rector magnificus Prof. Dr. A.H.G. Rinnooy Kan en volgens besluit van het College van Dekanen. De openbare verdediging zal plaatsvinden op vrijdag 23 september 1988 om 15.00 uur door JANINA PERNAK geboren te Polen Eburon Delft 1988 PROMOTIECOMMISSIE: Promotor: Prof. Dr. W. Erdmann Overige !eden: Prof. Dr. P. Scherpereel (Lille) Prof. Dr. O.T. Terpstra Prof. Dr. B.D.· Bangma CONTENTS ABBREVIATIONS I INTRODUCTION 1 II AIMS OF STUDY 2 PART ONE: LITERATURE REVIEW Chapter 1 DIFFERENT THERAPIES IN THE REFLEX SYMPATHETIC DYSTROPHY 5 I Introduction 5 II Reflex Sympathetic Dystrophy and its treatment 7 1 Physical therapy 9 2 Pharmacological intervention 9 3 Transcutaneous electrostimulation 10 4 Dorsal spinal cord stimulation 11 5 Acupuncture 13 6 Laser 13 7 Cryoanalgesia 15 8 Percutaneous facet joints denervation 17 9 Epidural blocks 17 10 Sympathetic blocks 19 11 Intravenous sympathetic blocks 20 12 Sympathectorp.y 20 Chapter 2 SYMPATHECTOMY 21 I Historical Review 21 II Lumbar sympathectomy: 21 a. surgical - technique 21 b. chemical - technique 23 III Comparison between surgical and chemical sympathectomy 25 IV Summary and conclusions 25 PART TWO : OWN INVESTIGATION AND FINDINGS
    [Show full text]
  • 08. Serdar Erdine.Indd
    AĞRI 2009;21(4):133-140 REVIEW - DERLEME Neurolytic blocks: When, How, Why Nörolitik bloklar: Ne zaman, Nasıl, Niçin Serdar ERDİNE1 Summary Interventional techniques are divided into two categories: neuroablative and neuromodulatory procedures. Neuroablation is the physical interruption of pain pathways either surgically, chemically or thermally. Neuromodulation is the dynamic and functional inhibition of pain pathways either by administration of opioids and other drugs intraspinally or intraventricularly or by stimulation. Neuroablative techniques for cancer pain treatment have been used for more than a century. With the de- velopment of imaging facilities such as fl uoroscopy, neuroablative techniques can be performed more precisely and effi ciently. Key words: Neuroablative techniques; neurolytic blocks; radiofrequency thermocoagulation. Özet Girişimsel teknikler nöroablatif ve nöromodülatör işlemler olarak iki gruba ayrılırlar. Nöroablasyon, cerrahi, kimyasal veya ısı uy- gulamalarıyla ağrı yolaklarında fi ziksel iletinin kesilmesidir. Nöromodülasyon, stimülasyon uygulamasıyla veya intraventriküler ya da intraspinal uygulanan opioidler ve diğer ajanlarla ağrı yolaklarının dinamik ve fonksiyonel inhibisyonudur. Nöroablatif teknik- ler kanser tedavisinde yüzyıldan fazla zamandır kullanılmaktadır. Fluroskopi gibi görüntüleme araçlarındaki gelişmelerle nöroabla- tif uygulamalar daha doğru ve etkili bir şekilde gerçekleştirilmektedir. Anahtar sözcükler: Nöroablatif teknikler; nörolitik bloklar; radyofrekans termokoagulasyon. 1Department of
    [Show full text]
  • Appendix - Preparation of Solutions
    Appendix - Preparation of Solutions PREPARATION OF NEUROLYTIC SOLUTIONS - PHENOL (HYDROXYBENZENE) At 20 0 e one part phenol dissolves in 12 parts of water. Accordingly, phenol may be prepared in aqueous solution only in lower con­ centrations. If a stronger preparation is required a water-glycerin mixture is used as the solvent. Product: phenol injection 5% in glycerin Formula: phenol crystals 5 g glycerin (previously dried at 120 0 e and cooled) to 100 g Method o/preparation: Dissolve the phenol in glycerin with the aid of gentle heat. Whilst still warm pass through a No.3 sintered glass filter. Packaging: Pack in 2 ml or 5 ml ampoules. Protect from light. Store in a cool place. Sterilization: Dry heat at 1500 e for 1 h. Stability: 1 year from date of manufacture. 185 186 Appendix Product: aqueous phenol 5% phenol injection 7% Formula: phenol crystals 5 g phenol crystals 7 g water for injections glycerin 50% v/v in water for injec­ to 100ml tions to 100 ml Method of preparation: Pass through sintered glass filter, pack in ampoules and sterilize by autoclaving at U5°e for 30 min. Packaging: 2 ml or 5 ml ampoules. Protect from light. Store in a cool place. Precautions: Avoid prolonged contact with rubber or plastics. Stability: 1 year from date of sterilization. INJECTION ABSOLUTE ALCOHOL Method ofpreparation: In order to avoid absorption of moisture, the infiltration procedure is best carried out under positive pressure, using solvent inert membrane filters. The preparation is then packed in 2 ml or 5 ml ampoules. Sterilization: Autoclave at 155°e for 30 min.
    [Show full text]
  • Relative Potency and Duration of Analgesia Following Palmar Digital Intra-Neural Alcohol Injection for Heel Pain in Horses
    Relative potency and duration of analgesia following palmar digital intra-neural alcohol injection for heel pain in horses THESIS Presented in Partial Fulfillment of the Requirements for the Degree Master of Science in the Graduate School of The Ohio State University By Christine Pariseau Schneider Graduate Program in Veterinary Clinical Sciences The Ohio State University 2013 Master's Examination Committee: Alicia Bertone, Advisor Michael Oglesbee Lisa Zekas Copyrighted by Christine Pariseau Schneider 2013 Abstract Objective: To determine the potency (percent analgesia), duration of action (up to four months), and clinical and histological effects of surgical exposure and intra-neural injection of 98% dehydrated medical-grade ethyl alcohol compared to no treatment (negative control), sham operation (surgical control), or formaldehyde injection (positive control) to decrease experimentally-induced palmar heel pain in horses. Animals: Six horses Procedures: The horses were fitted with a custom pressure-inducing shoe and had outcome measurements for each heel performed before and after nerve treatments. Outcomes included induced lameness grade and vertical peak force with pressure applied to each heel, thermal and touch sensation for each heel, and pastern circumference. Outcomes were followed serially for 112 days when nerves were harvested for histology. Results: Alcohol and formaldehyde reduced all measures of heel pain which progressed toward return, but persisted over the 112 days of the study (P<0.05). Pastern circumference was not different for alcohol than sham treatment, but was greater in formaldehyde than alcohol or baseline (P<0.05). Histological evaluation showed preservation of nerve fiber alignment with an intact epineurium, loss of axons (axon drop out), axon degeneration, fibrosis and inflammation in alcohol- and formaldehyde-injected ii nerves compared to control nerves.
    [Show full text]
  • C Afferent Axons/Fibers C and a Fibers Cachexia CACNA1A Calbindin
    C nated, polymodal C-fibers are activated by a variety C Afferent Axons/Fibers of high-intensity mechanical, chemical, hot and cold stimuli. In addition, low threshold fibers (Aβ) that nor- Synonyms mally only transfer innocuous sensations like touch, can CFibers contribute to neuropathic pain following nerve damage. Opioids in the Periphery and Analgesia Definition One kind of fiber in the peripheral nerve; unmyelinated thin fibers. These high-threshold sensory afferents con- duct very slowly (less than 2 m/s), and are thought to be Cachexia responsible for the sensation of deep, burning pain that follows ’first pain’ after injury. Although C fibers ma- Definition β ture earlier than low-threshold A fibers, anatomically General ill health and malnutrition that presents as mus- and neurochemically, other aspects of their function are cle wasting, dehydration and reduced behavioral activ- delayed, for example, the phenomenon of neurogenic ities in untreated diabetic animals. edema, and the development of functional central con- NeuropathicPainModel,DiabeticNeuropathyModel nections within the spinal cord. AFibers(A-Fibers) Alpha(α) 2-Adrenergic Agonists in Pain Treatment Infant Pain Mechanisms CACNA1A Insular Cortex, Neurophysiology and Functional Imaging of Nociceptive Processing Magnetoencephalography in Assessment of Pain in Definition Humans α CACNA1A is a gene encoding the 1A subunit of a Morphology, IntraspinalOrganizationofVisceralAf- voltage sensitive calcium channel abundantly expressed ferents in neuronal tissue. It is activated by high voltage and Nociceptor, Categorization gives rise to P/Q-type calcium currents. Mutations in Nociceptors in the Orofacial Region (Temporo- the human gene are related to diseases like spinocere- mandibular Joint and Masseter Muscle) bellar ataxia type 6, familial hemiplegic migraine and Nociceptor(s) episodic ataxia type 2.
    [Show full text]
  • Neurolytic Block of Ganglion of Walther for the Management of Chronic Pelvic Pain
    Case report Videosurgery Neurolytic block of ganglion of Walther for the management of chronic pelvic pain Małgorzata Malec-Milewska1, Bartosz Horosz1, Iwona Kolęda2, Agnieszka Sękowska2, Hanna Kucia2, Dariusz Kosson1,3, Grzegorz Jakiel4 1Department of Anesthesiology and Intensive Care, Medical Center for Postgraduate Education, Warsaw, Poland 2Pain Clinic, Department of Anesthesiology and Intensive Care, Medical Center for Postgraduate Education, Warsaw, Poland 31st Department of Anesthesiology and Intensive Care, Warsaw Medical University, Warsaw, Poland 41st Department of Obstetrics and Gynecology, Medical Center for Postgraduate Education, Warsaw, Poland Videosurgery Miniinv 2014; 9 (3): 458–462 DOI: 10.5114/wiitm.2014.43079 Abstract Here we report on the use of neurolytic block of ganglion impar (ganglion of Walther) for the management of in- tractable chronic pelvic pain, which is common enough to be recognized as a problem by gynecologists, likely to be difficult to diagnose and even more challenging to manage. Following failure in controlling the symptoms with phar- macological management, nine women underwent neurolysis of the ganglion impar in our Pain Clinic from 2009 to March 2013. The indication for the procedure was chronic pelvic pain (CPP) of either malignancy-related (4) or other origin (5). The Numeric Rating Scale (NRS) and duration of pain relief were employed to assess effectiveness of the procedure. Neurolysis was efficacious in patients with both malignancy-related CPP and CPP of non-malignant origin. Reported relief time varied from 4 weeks to 3 years, while in 4 cases complete and permanent cessation of pain was achieved. No complications were noted. Key words: ganglion impar, ganglion of Walther, neurolytic block, chronic cancer pain, chronic pelvic pain, Numeric Rating Scale.
    [Show full text]
  • Clinical Policy: Nerve Blocks for Pain Management Reference Number: PA.CP.MP.170 Coding Implications Effective Date: 09/18 Revision Log Last Review Date: 09/18
    Clinical Policy: Nerve Blocks for Pain Management Reference Number: PA.CP.MP.170 Coding Implications Effective Date: 09/18 Revision Log Last Review Date: 09/18 Description Nerve blocks are the temporary interruption of conduction of impulses in peripheral nerves or nerve trunks created by the injection of local anesthetic solutions. They can be used to identify the source of pain or to treat pain. Policy/Criteria It is the policy of Pennsylvania Health and Wellness® that invasive pain management procedures performed by a physician are medically necessary when the relevant criteria are met and the patient receives only one procedure per visit, with or without radiographic guidance. Table of Contents I. Occipital Nerve Block................................................................................................... 1 II. Sympathetic Nerve Block. ............................................................................................ 2 III. Celiac Plexus Nerve Block/Neurolysis ......................................................................... 3 IV. Intercostal Nerve Block/Neurolysis .............................................................................. 3 V. Genicular Nerve Blocks and Genicular Nerve Radiofrequency Neurotomy ................ 3 VI. Peripheral/Ganglion Nerve Blocks for the Treatment of Chronic Nonmalignant Pain 3 I. Occipital Nerve Block A. An initial injection of a local anesthetics for the diagnosis of suspected occipital neuralgia is medically necessary when all of the following are met: 1. Patient has unilateral or bilateral pain located in the distribution of the greater, lesser and/or third occipital nerves; 2. Pain has two of the following three characteristics: a. Recurring in paroxysmal attacks lasting from a few seconds to minutes; b. Severe intensity; c. Shooting, stabbing, or sharp in quality; 3. Pain is associated with both of the following: a. Dysesthesia and/or allodynia apparent during innocuous stimulation of the scalp and/or hair; b.
    [Show full text]
  • | Oa Tai Ei to Ka Marratu Wa Kitu
    |OA TAI EI US009855317B2TO KAMARRATU WA KITU (12 ) United States Patent ( 10 ) Patent No. : US 9 , 855 ,317 B2 Bright (45 ) Date of Patent: Jan . 2 , 2018 ( 54 ) SYSTEMS AND METHODS FOR ( 56 ) References Cited SYMPATHETIC CARDIOPULMONARY NEUROMODULATION U . S . PATENT DOCUMENTS 4 ,029 ,793 A 6 / 1977 Adams et al. (71 ) Applicant : Reflex Medical, Inc. , Los Altos Hills , 4 , 582 , 865 A 4 / 1986 Balazs et al. CA (US ) 6 , 545, 067 B1 4 / 2003 Büchner et al. 6 , 746, 464 B1 6 / 2004 Makower 6 , 932, 971 B2 8 / 2005 Bachmann et al. ( 72 ) Inventor: Corinne Bright , Los Altos Hills , CA 6 , 937 , 896 B1 8 / 2005 Kroll (US ) 7 , 928 ,141 B2 4 / 2011 Li 8 , 175 , 711 B2 5 / 2012 Demarais et al . ( 73 ) Assignee : Reflex Medical , Inc ., Los Altos Hills , 8 , 206 , 299 B2 6 / 2012 Foley et al . 8 , 211 , 017 B2 7 / 2012 Foley et al . CA (US ) 8 ,465 , 752 B2 6 / 2013 Seward 8 , 480, 651 B2 7 / 2013 Abuzaina et al . ( * ) Notice : Subject to any disclaimer, the term of this 8 , 708, 995 B2 4 / 2014 Seward et al. patent is extended or adjusted under 35 9 , 011 , 879 B2 4 / 2015 Seward U . S . C . 154 (b ) by 0 days. 9 , 199 ,065 B2 12 /2015 Seward 2002 /0037919 AL 3 / 2002 Hunter 2005 /0228460 A110 / 2005 Levin et al . ( 21 ) Appl. No. : 15 /140 ,254 2005 /0261672 AL 11 /2005 Deem et al . (22 ) Filed : Apr. 27 , 2016 2006 /0280797 Al 12 /2006 Shoichet et al. (Continued ) (65 ) Prior Publication Data US 2016 /0317621 A1 Nov .
    [Show full text]
  • Neurolytic Celiac Plexus Blockade in Patients with Upper Intraabdominal Malignancies: an Evidence-Based Narrative Review
    Graduate Medical Education Research Journal Volume 2 Issue 2 Article 5 December 2020 Neurolytic Celiac Plexus Blockade in Patients with Upper Intraabdominal Malignancies: An Evidence-Based Narrative Review Kevin Wong Desert Orthopedic Center Apollo A. Stack University of Nebraska Medical Center Madhuri Are University of Nebraska Medical Center Follow this and additional works at: https://digitalcommons.unmc.edu/gmerj Part of the Higher Education Commons, and the Medicine and Health Sciences Commons Recommended Citation Wong, K., Stack, A. A., , Are, M. Neurolytic Celiac Plexus Blockade in Patients with Upper Intraabdominal Malignancies: An Evidence-Based Narrative Review. Graduate Medical Education Research Journal. 2020 Dec 09; 2(2). https://digitalcommons.unmc.edu/gmerj/vol2/iss2/5 This Literature Review (Systematic or Meta-Analysis) is brought to you for free and open access by DigitalCommons@UNMC. It has been accepted for inclusion in Graduate Medical Education Research Journal by an authorized editor of DigitalCommons@UNMC. For more information, please contact [email protected]. Neurolytic Celiac Plexus Blockade in Patients with Upper Intraabdominal Malignancies: An Evidence-Based Narrative Review Abstract Background: Cancer-related abdominal pain is a common symptom associated with upper intra- abdominal carcinoma, especially in patients with advanced disease and it has posed a significant therapeutic challenge to medical practitioners. Typically, cancer pain can be managed by following the World Health Organization 3-step analgesic ladder. However, analgesic use of opioids, the mainstay treatment for moderate-to-severe cancer-related pain, may be ineffective in a subset of cancer patients. Escalation of dosage may be limited by opioid-induced side effects. The aim of this study was to review the literature addressing the effect of neurolytic celiac plexus block (NCPB) on the palliation of pain emanating from advanced upper intra-abdominal malignancies.
    [Show full text]
  • Primary Experience with Ct Guided Mandibular Nerve Block in Patients with Trigeminal Neuralgia
    Al-Azhar Med. J. Vol. 46(2), April, 2017, 383-390 DOI: 10.12816/0038261 PRIMARY EXPERIENCE WITH CT GUIDED MANDIBULAR NERVE BLOCK IN PATIENTS WITH TRIGEMINAL NEURALGIA By Samy M Abdelraouf *, Ashraf M Enite and Ola I Saleh Departments of Neurosurgery* and Radiodiagnosis, Al-Azhar Faculty of Medicine (Girls) ABSTRACT Background: Trigeminal neuralgia (TN) is a well-known facial pain syndrome characterized by excruciating paroxysmal shock pain attacks located in somato-sensensory distribution of trigeminal nerve. Mandibular affection is a common presentation of TN. Objectives: Studying the effect of injection of mandibular nerve with neurolytic solutions in trigeminal neuralgia that was unresponsive to pharmacotherapy. Patients and Method: This prospective study included 21 patients treated for mandibular neuralgia by percutaneous injection of absolute alcohol under guidance of CT image. Their ages ranged from 35-60 years and male to female was 3:4. All patients suffered from moderate to severe TN, and did not respond to medical treatment. Entry and trajectory of needle was planned by CT and after local anesthesia. Alcohol was injected at the exit of mandibular nerve from foramen ovale. Results: 85.7% of patients improved (71.4% became pain free and severity of pain decreased in 19%), while 9.6% of patients has no response after injection. The pain free patients became 61.9% after two years of follow up. Conclusion: CT guided mandibular nerve block by neurolytic agent as absolute alcohol and showed its effectiveness as minimal invasive treatment option for intractable trigeminal neuralgia. CT guidance provided a clear view to secure the safety, accuracy and selectivity of nerve block.
    [Show full text]
  • Stanford Chronic Pain Management Resident Rotation Syllabus Version 2009-10 Updated December 1, 2010 Contents
    Stanford Chronic Pain Management Resident Rotation Syllabus Version 2009-10 Updated December 1, 2010 http://paincenter.stanford.edu Contents Pain Management Faculty .................................................................................................................................... 3 Volunteer Clinical Faculty .................................................................................................................................. 3 Goals & Objectives ............................................................................................................................................... 3 Patient Care ...................................................................................................................................................... 3 Medical Knowledge ........................................................................................................................................... 4 Practice-Based Learning & Improvement ......................................................................................................... 4 Interpersonal & Communication Skills .............................................................................................................. 5 Professionalism ................................................................................................................................................. 5 Systems-Based Practice ..................................................................................................................................
    [Show full text]