abstract：BACKGROUND:Therapeutic lumbar facet joint interventions are implemented to provide long-term pain relief after the facet joint has been identified as the basis for low back pain. The therapeutic lumbar facet joint interventions generally used for the treatment of low back pain of facet joint origin are intraarticular f...

journal_title：Pain physician

authors： Falco FJ,Manchikanti L,Datta S,Sehgal N,Geffert S,Onyewu O,Zhu J,Coubarous S,Hameed M,Ward SP,Sharma M,Hameed H,Singh V,Boswell MV

更新日期：2012-11-01 00:00:00

abstract：BACKGROUND:Understanding the mechanisms of long-standing musculoskeletal pain and adaptations in response to physical rehabilitation is important for developing optimal treatment strategies. The influence of central adaptations of pain perception in response to rehabilitation of musculoskeletal pain remains unclear. O...

journal_title：Pain physician

authors： Andersen LL,Andersen CH,Sundstrup E,Jakobsen MD,Mortensen OS,Zebis MK

更新日期：2012-09-01 00:00:00

abstract：BACKGROUND:Millions of interventional pain procedures are performed each year in the United States. Interventional pain physicians commonly administer radiocontrast media (RCM) under fluoroscopy for these procedures. However, RCM can cause various types of hypersensitivity or allergic type reactions, in an acute or de...

journal_title：Pain physician

authors： Newmark JL,Mehra A,Singla AK

更新日期：2012-09-01 00:00:00

abstract：BACKGROUND:Gonadal hormones are critical factors in modulating the experience of pain, as suggested by the several sex differences observed: women have a greater risk of many clinical pain conditions, and postoperative and procedural pain may be more severe in them than in men. A growing body of literature demonstrates...

journal_title：Pain physician

authors： De Maddalena C,Bellini M,Berra M,Meriggiola MC,Aloisi AM

更新日期：2012-07-01 00:00:00

abstract：BACKGROUND:Opioid misuse and abuse occurring in association with the treatment of chronic non-cancer pain are not new phenomena, but their increasing prevalence in recent years is unprecedented. Advancements in pharmaceutical technologies have provided opioid-related drugs, which lack the pure mu agonist activity chara...

journal_title：Pain physician

authors： Colson J,Helm S,Silverman SM

更新日期：2012-07-01 00:00:00

abstract：BACKGROUND:Accumulating experimental and clinical evidence supports the hypothesis that complex regional pain syndrome type I (CRPS-I) may be a small fiber neuropathy. OBJECTIVES:To evaluate the use of commercially available standard biopsy methods to detect intradermal axon pathology in CRPS-I, and to ascertain if th...

journal_title：Pain physician

authors： Kharkar S,Venkatesh YS,Grothusen JR,Rojas L,Schwartzman RJ

更新日期：2012-05-01 00:00:00

abstract：BACKGROUND:Among the multiple modalities of treatments available in managing chronic spinal pain, including surgery and multiple interventional techniques, epidural injections by various routes, such as interlaminar epidural injections, caudal epidural injections, transforaminal epidural injections, and percutaneous ad...

journal_title：Pain physician

authors： Manchikanti L,Malla Y,Wargo BW,Cash KA,Pampati V,Fellows B

更新日期：2012-03-01 00:00:00

abstract：BACKGROUND:Chronic spinal pain is common along with numerous modalities of diagnostic and therapeutic interventions utilized, creating a health care crisis. Facet joint injections and epidural injections are the 2 most commonly utilized interventions in managing chronic spinal pain. While the literature addressing the ...

journal_title：Pain physician

authors： Manchikanti L,Malla Y,Wargo BW,Cash KA,Pampati V,Fellows B

更新日期：2012-03-01 00:00:00

abstract：BACKGROUND:Osteonecrosis, also known as avascular necrosis, of the femoral head is a debilitating disorder that commonly affects 30- to 50-year-old individuals. Currently, definitive treatment is limited to total hip replacement. However, recent studies have demonstrated bone regeneration in the femoral head after the ...

journal_title：Pain physician

authors： Pak J

更新日期：2012-01-01 00:00:00

abstract：BACKGROUND:Degenerative spondylolisthesis is one of the major causes for low back pain. Morphological abnormalities of the zygapophysial joints are a predisposing factor in the development of degenerative spondylolisthesis. Therefore, radiofrequency neurotomy seems to be a rational therapy. OBJECTIVES:To determine if ...

journal_title：Pain physician

authors： Klessinger S

更新日期：2012-01-01 00:00:00

abstract：BACKGROUND:Interventional pain management is an evolving specialty. Multiple issues including preoperative fasting, sedation, and infection control have not been well investigated and addressed. Based on the necessity for sedation and also the adverse events related to interventional techniques, preoperative fasting is...

journal_title：Pain physician

authors： Manchikanti L,Malla Y,Wargo BW,Fellows B

更新日期：2011-09-01 00:00:00

abstract：BACKGROUND:Chronic lumbosacral radicular pain is a common source of radiating leg pain seen in pain management patients. These patients are frequently managed conservatively with multiple modalities including medications, physical therapy, and epidural steroid injections. Radiofrequency has been used to treat chronic r...

journal_title：Pain physician

authors： Nagda JV,Davis CW,Bajwa ZH,Simopoulos TT

更新日期：2011-07-01 00:00:00

abstract：BACKGROUND:Post-dural puncture headache (PDPH) is the most common complication of procedures in which the dura mater is penetrated. OBJECTIVES:To evaluate the effectiveness of caudal saline injections as a therapeutic approach for handling post-dural puncture headache. STUDY DESIGN:Prospective observational study bet...

journal_title：Pain physician

authors： Abdulla S,Abdulla W,Eckhardt R

更新日期：2011-05-01 00:00:00

abstract：:With health care expenditures skyrocketing, coupled with pervasive quality deficits, pressures to provide better and more proficient care continue to shape the landscape of the U.S. health care system. Payers, both federal and private, have laid out several initiatives designed to curtail costs, including value-based ...

journal_title：Pain physician

authors： Manchikanti L,Parr AT,Singh V,Fellows B

更新日期：2011-03-01 00:00:00

abstract：BACKGROUND:Evidence of a paradigm shift towards epicranial neurostimulation treatment techniques aimed at the site of headache pain is beginning to populate the literature. This is most apparent by 2 recently published reports describing alternative approaches to peripheral nerve stimulation techniques for refractory m...

journal_title：Pain physician

authors： Deshpande KK,Wininger KL

更新日期：2011-01-01 00:00:00

abstract：INTRODUCTION:Postdural puncture headache (PDPH) is a known complication of diagnostic lumbar puncture. Multiple factors including needle size, type, and needle bevel orientation, have been postulated to contribute to the development of PDPH. The presentation of PDPH tends to have classic symptoms that include a postura...

journal_title：Pain physician

authors： Desai MJ,Dave AP,Martin MB

更新日期：2010-05-01 00:00:00

abstract：:Interventional pain management is an evolving field, with a primary focus on the safety of the patient. One major source of risk to patients is intraarterial or intraneural injections. Interventional pain physicians have considerable interest in identifying techniques which avoid these complications. A recent article ...

journal_title：Pain physician

authors： Helm S,Glaser S,Falco F,Henry B

更新日期：2010-03-01 00:00:00

abstract：BACKGROUND:Before long-term intrathecal analgesic therapy is initiated, patients often undergo a spinal analgesia trial. Ziconotide is a nonopioid intrathecal analgesic used to manage severe chronic pain, and a variety of methods have been used to trial ziconotide. OBJECTIVES:The purpose of this review is to compare a...

journal_title：Pain physician

authors： Burton AW,Deer TR,Wallace MS,Rauck RL,Grigsby E

更新日期：2010-01-01 00:00:00

abstract：:Appropriate diagnosis is essential in providing proper and effective therapy. The field of diagnostic accuracy tests is dynamic with new tests being developed at a fast pace along with improvement in technology of existing tests on a continuous basis. Well-designed diagnostic test accuracy studies can help in making a...

journal_title：Pain physician

authors： Manchikanti L,Derby R,Wolfer L,Singh V,Datta S,Hirsch JA

更新日期：2009-11-01 00:00:00

abstract：BACKGROUND:Varicella-zoster virus, a member of the herpes virus family, is a neurotrophic virus that primarily affects afferent sensory neurons. Reactivation of latent virus within the dorsal root ganglion and axoplasmic transport to epithelial nerve terminals causes the segmental cutaneous rash and neuralgic pain char...

journal_title：Pain physician

authors： Conliffe TD,Dholakia M,Broyer Z

更新日期：2009-09-01 00:00:00

abstract：:Practice guidelines are systematically developed statements to assist practitioners and patients in making decisions about appropriate health care for specific clinical circumstances. Clinical practice guidelines present statements of best practice based on a thorough evaluation of the evidence from published studies ...

journal_title：Pain physician

authors： Manchikanti L,Singh V,Helm S 2nd,Schultz DM,Datta S,Hirsch JA,American Society of Interventional Pain Physicians.

更新日期：2009-07-01 00:00:00

abstract：:Calcineurin may be involved in affecting nociceptive processes in multiple circumstances. It is conceivable that interfering with calcineurin's normal role in contributing to glial resting membrane potential, via its effects on the ion channel (TRESK) [tandem-pore-domain weakly inward rectifying potassium channels (TW...

journal_title：Pain physician

authors： Smith HS

更新日期：2009-07-01 00:00:00

abstract：BACKGROUND:Abuse of prescribed controlled substance has become a serious social as well as health care issue over the past decade. A particularly alarming trend exists among patients aged 12 to 17. Common abuse behaviors include doctor shopping, drug theft, feigned pain symptoms to gain health care access, drug sharing...

journal_title：Pain physician

authors： Wang J,Christo PJ

更新日期：2009-05-01 00:00:00

abstract：:In most cases of post-dural puncture headache, the positional symptoms will resolve spontaneously within 2 weeks. Conservative therapies include oral analgesics and hydration, bed rest, and abdominal binders. For refractory cases, an autologous epidural blood patch remains the treatment of choice. However, in certain ...

journal_title：Pain physician

authors： Trentman TL,Hoxworth JM,Kusne S,Torloni AS,Patel NP,Rosenfeld DM

更新日期：2009-05-01 00:00:00

abstract：BACKGROUND:Diversity of treatments used for headache, and varied quality of research conduct and reporting make it difficult to accurately assess the literature and to determine the best treatment(s) for patients. OBJECTIVES:To compare the quality of available research evidence describing the effects and outcomes of c...

journal_title：Pain physician

authors： Crawford CC,Huynh MT,Kepple A,Jonas WB

更新日期：2009-03-01 00:00:00

abstract：BACKGROUND:Chronic neck pain is a common problem in the adult population with a typical 12-month prevalence of 30% to 50%, and 14% of the patients reporting grade II to IV neck pain with high pain intensity and disability that has a substantial impact on health care and society. Cervical epidural injections for managin...

journal_title：Pain physician

authors： Benyamin RM,Singh V,Parr AT,Conn A,Diwan S,Abdi S

更新日期：2009-01-01 00:00:00

abstract：BACKGROUND:Cervicogenic headache descriptors include its unilateral nature, "signs and symptoms linking it to the neck," and trauma of the neck. Since the pain often occurs over the C2 or C3 nerve root, we used a modification of the deep cervical block technique for treatment of this refractory type headache. OBJECTIV...

journal_title：Pain physician

authors： Goldberg ME,Schwartzman RJ,Domsky R,Sabia M,Torjman MC

更新日期：2008-11-01 00:00:00

abstract：:Discogenic low back pain resulting from internal disc disruption can be severely disabling, clinically challenging, and expensive to treat. Previously, when conservative care had been exhausted, open surgical intervention such as spinal fusion or artificial disc replacement was the only treatment option for these pati...

journal_title：Pain physician

authors： Kloth DS,Fenton DS,Andersson GB,Block JE

更新日期：2008-09-01 00:00:00

abstract：BACKGROUND:Lumbar provocation discography is a controversial diagnostic test. Currently, there is a concern that the test has an unacceptably high false-positive rate. STUDY DESIGN:Systematic review and meta-analysis. OBJECTIVE:To perform a systematic review of lumbar discography studies in asymptomatic subjects and ...

journal_title：Pain physician

authors： Wolfer LR,Derby R,Lee JE,Lee SH

更新日期：2008-07-01 00:00:00

abstract：:In the modern day environment, workers' compensation costs continue to be a challenge, with a need to balance costs, benefits, and quality of medical care. The cost of workers' compensation care affects all stakeholders including workers, employers, providers, regulators, legislators, and insurers. Consequently, a con...

journal_title：Pain physician

authors： Manchikanti L,Singh V,Derby R,Helm S 2nd,Trescot AM,Staats PS,Prager JP,Hirsch JA

更新日期：2008-05-01 00:00:00

abstract：:Evidence-based medicine, systematic reviews, and guidelines are part of modern interventional pain management. As in other specialties in the United States, evidence-based medicine appears to motivate the search for answers to numerous questions related to costs and quality of health care as well as access to care. Sc...

journal_title：Pain physician

authors： Manchikanti L

更新日期：2008-03-01 00:00:00

abstract：BACKGROUND:Opioid abuse has continued to increase at an alarming rate since our last opioid guidelines were published in 2005. Available evidence suggests a continued wide variance in the use of opioids, as documented by different medical specialties, medical boards, advocacy groups, and the Drug Enforcement Administra...

journal_title：Pain physician

authors： Trescot AM,Helm S,Hansen H,Benyamin R,Glaser SE,Adlaka R,Patel S,Manchikanti L

更新日期：2008-03-01 00:00:00

abstract：:Sacral insufficiency fractures are a more commonly recognized cause of spine pain among osteoporotic patients, and are now treatable by sacroplasty using percutaneous instillation of PMMA cement. Sacroplasty may be performed using only fluoroscopic landmarks; however, the bony anatomy of the sacrum is complex and the ...

journal_title：Pain physician

authors： Betts A

更新日期：2008-01-01 00:00:00

abstract：:Spinal Cord Stimulation (SCS) is a treatment option for chronic pain patients. Spinal cord stimulation has been employed in the treatment of chronic pain for more than 30 years. The most common indication for SCS is the failed back syndrome with leg pain. Its indications have expanded beyond back and lower extremities...

journal_title：Pain physician

authors： Atallah J,Wainscott J,Sloan D,Moore K,Fahy BG

更新日期：2007-11-01 00:00:00

abstract：:There has been an explosive increase in procedures performed in surgery centers, with approximately 4,700 Medicare-certified surgery centers in the United States. Total ambulatory surgical center (ASC) payments have increased substantially: $1 billion in 1996, and $2.9 billion in 2006. In June 1998, the Healthcare Fin...

journal_title：Pain physician

authors： Manchikanti L,Boswell MV

更新日期：2007-09-01 00:00:00

abstract：:Over the past 2 decades, the issue of fetal pain and stress has attracted considerable attention and has become the focus of ongoing debate in light of advances in medical diagnostics and technology that allow invasive prenatal medical intervention(s), and an enhanced understanding of fetal neurophysiology, together w...

journal_title：Pain physician

authors： Gupta A,Giordano J

更新日期：2007-07-01 00:00:00

abstract：BACKGROUND:Lumbar selective nerve root blocks have been performed to establish the origin of lumbar radiculopathy in clinically difficult cases. The diagnostic ability of selective nerve root blocks remains controversial because of concern over potential spread of an injectate onto adjacent structures. OBJECTIVE:To in...

journal_title：Pain physician

authors： Vassiliev D

更新日期：2007-05-01 00:00:00

abstract：BACKGROUND:Palliative radiation therapy (RT) is an established tool in the management of symptoms caused by malignancies. RT is effective at palliating both locally advanced and metastatic cancer, including related symptoms of pain, bleeding, or obstruction. Most data on palliative RT is in regard to its use in the tre...

journal_title：Pain physician

authors： Yi SK,Yoder M,Zaner K,Hirsch AE

更新日期：2007-03-01 00:00:00

abstract：BACKGROUND:Epidural injection of corticosteroids is one of the most commonly used interventions in managing chronic spinal pain. However, there has been a lack of well-designed randomized, controlled studies to determine the effectiveness of epidural injections. Consequently, debate continues as to the value of epidura...

journal_title：Pain physician

authors： Abdi S,Datta S,Trescot AM,Schultz DM,Adlaka R,Atluri SL,Smith HS,Manchikanti L

更新日期：2007-01-01 00:00:00

abstract：:We introduce a new way to engage the patient with chronic pain, Goal-Directed Health Care (G-DHC). Identifying the patient's major life goals during the medical interview is the key element of this approach along with connecting these life goals to specific health-related goals. The implementation of G-DHC is a shift ...

journal_title：Pain physician

authors： Waters D,Sierpina VS

更新日期：2006-10-01 00:00:00