abstract：BACKGROUND:Opioids are used extensively for chronic pain management in the United States. The frequency of opioid use prior to presenting to interventional pain management settings and in interventional pain management settings has been shown to be above 90%. Opioid abuse has been demonstrated in 9% to 41% of patients ...

journal_title：Pain physician

authors： Manchikanti L,Cash KA,Damron KS,Manchukonda R,Pampati V,McManus CD

更新日期：2006-07-01 00:00:00

abstract：BACKGROUND:Over the last decade various guidelines for quality assurance in pain medicine have been published for cancer pain, acute postoperative pain and other pain conditions. However, quality assurance for interventional pain management procedures has yet to be addressed. An interventional pain program should at le...

journal_title：Pain physician

authors： Zhou Y,Furgang FA,Zhang Y

更新日期：2006-04-01 00:00:00

abstract：BACKGROUND:Zygapophysial or facet joint pain in patients suffering with chronic spinal pain without disc herniation or radiculopathy may be diagnosed with certainty by the use of controlled diagnostic blocks. But, in patients suffering with either lumbar or cervical facet joint pain, even this diagnostic approach may b...

journal_title：Pain physician

authors： Manchikanti L,Pampati V,Damron KS,McManus CD,Jackson SD,Barnhill RC,Martin JC

更新日期：2006-01-01 00:00:00

abstract：BACKGROUND:Interventional pain physicians commonly encounter patients with a treatment refractory "chronic pain syndrome". Such patients have a chronically painful medical disorder that is complicated by a number of psychosocial factors, including psychiatric and substance use disorders, physical deconditioning, depend...

journal_title：Pain physician

authors： McAllister MJ,McKenzie KE,Schultz DM,Epshteyn MG

更新日期：2005-10-01 00:00:00

abstract：BACKGROUND:One of the most important issues that interventional physicians address during treatment is informing patients of their treatment options. Prior to beginning treatment, patients are given this information and allowed the opportunity to ask questions. Minimal qualitative information exists as to how much of t...

journal_title：Pain physician

authors： Everett CR,Novoseletsky D,Cole S,Frank J,Remillard C,Patel RK

更新日期：2005-07-01 00:00:00

abstract：BACKGROUND:This case report identifies a patient with complex regional pain syndrome Type 2 (causalgia) with sympathetically maintained pain in a distal extremity associated with an anterior sacroiliac fusion with local bone graft. CASE DESCRIPTION:A sacroiliac fusion was undertaken due to chronic back pain that was t...

journal_title：Pain physician

authors： Fish DE

更新日期：2005-07-01 00:00:00

abstract：BACKGROUND:Discography has been widely used in the lumbar and cervical spine as a diagnostic tool to identify sources of discogenic pain that may be amenable to surgical treatment. Discography in the cervical spine is currently performed without the benefit of pressure monitoring, and corresponding pressure parameters ...

journal_title：Pain physician

authors： Menkowitz M,Stieber JR,Wenokor C,Cohen JD,Donald GD,Cresanti-Dakinis C

更新日期：2005-04-01 00:00:00

abstract：BACKGROUND:Epidural steroid injections are commonly used for chronic spinal pain. However, there is no conclusive evidence regarding their effectiveness, and debate continues as to their value in managing chronic spinal pain. OBJECTIVE:To evaluate various types of epidural injections (interlaminar, transforaminal, and...

journal_title：Pain physician

authors： Abdi S,Datta S,Lucas LF

更新日期：2005-01-01 00:00:00

abstract：OBJECTIVE:To describe management challenges and follow-up data for three years in a case with spontaneous carotid artery dissection (SCAD). CASE REPORT:We present a case of SCAD that presented with Horner's syndrome and headache. The patient developed the SCAD, Horner's syndrome and headache one month after a lumbar e...

journal_title：Pain physician

authors： Datta S,Candido KD

更新日期：2004-10-01 00:00:00

abstract：UNLABELLED:The stellate ganglion block has been utilized in a variety of painful conditions ranging from sympathetically mediated pain in the upper extremity to the pain associated with intractable angina. A number of techniques are used to block the stellate ganglion. OBJECTIVE:To describe a new and easy approach to ...

journal_title：Pain physician

authors： Abdi S,Zhou Y,Patel N,Saini B,Nelson J

更新日期：2004-07-01 00:00:00

abstract：BACKGROUND:Chronic, refractory low back pain is a common problem. Percutaneous adhesiolysis with hypertonic saline neurolysis was described in the management of chronic refractory low back pain, non-responsive to conservative modalities of management. OBJECTIVE:To determine the ability of percutaneous adhesiolysis and...

journal_title：Pain physician

authors： Manchikanti L,Rivera JJ,Pampati V,Damron KS,McManus CD,Brandon DE,Wilson SR

更新日期：2004-04-01 00:00:00

abstract：:Spondylodiscitis is an unusual but important cause of back pain. Patients with spinal infections typically present with severe sharp aching pain, malaise, fever, and percussion tenderness over the affected area. Early identification of the responsible organism is essential for adequate and prompt treatment. Fungal spo...

journal_title：Pain physician

authors： Torres-Ramos FM,Botwin K,Shah CP

更新日期：2004-04-01 00:00:00

abstract：:The rarity of published bleeding complications with respect to the practice of interventional pain medicine suggests two possibilities: techniques are being performed in a manner to minimize bleeding or the process of hemostasis is very forgiving. Hence, bleeding complications may increase if techniques are not perfor...

journal_title：Pain physician

authors： Raj PP,Shah RV,Kaye AD,Denaro S,Hoover JM

更新日期：2004-01-01 00:00:00

abstract：:This report describes a 39 year-old woman who underwent attempted discography and intradiscal electrothermal therapy (IDET) of the L5/S1 intervertebral disc. The procedure was abandoned after multiple unsuccessful attempts to cannulate the disc. The case was complicated by at least two lumbar dural punctures, confirme...

journal_title：Pain physician

authors： Boswell MV,Wolfe JR

更新日期：2004-01-01 00:00:00

abstract：:A malpractice claim or suit can have a devastating effect on a physician's practice and personal life. What is often overlooked is that an employment-related suit or EEOC charge also can extract a heavy toll, personally, professionally, and financially. The number of employment-related suits and claims has risen drama...

journal_title：Pain physician

authors： Holmes JH

更新日期：2004-01-01 00:00:00

abstract：STUDY DESIGN:Electrical stimulation of the right cervical medial branches with or without the third occipital nerves was performed in nine subjects for a total of forty-eight medial branches and eight third occipital nerves. The referral patterns of each nerve or nerve branch was mapped on a human line diagram. These d...

journal_title：Pain physician

authors： Windsor RE,Nagula D,Storm S,Overton A,Jahnke S

更新日期：2003-10-01 00:00:00

abstract：:When spinal injections are performed, a needle is placed in or around the spine making the risk of complications unavoidable. Spinal structures or adjacent organs are at risk for direct needle trauma, infection, hematoma, hemorrhage, nerve damage, stroke, allergic reaction, or spinal anesthesia with cardiorespiratory ...

journal_title：Pain physician

authors： Windsor RE,Storm S,Sugar R

更新日期：2003-10-01 00:00:00

abstract：:The lifetime prevalence of spinal pain has been reported as 65% to 80% in the neck and low back. In the US each year, 500,000 - 1,000,000 spine surgeries and 2 to 5 million interventional procedures are estimated to be performed. The burden created by chronic pain is enormous on the patient and society. Thus, the soma...

journal_title：Pain physician

authors： Rogers MT

更新日期：2003-10-01 00:00:00

abstract：:In this brief study we provide evidence that earlier and more recent findings pertaining to the anatomy and physiology of the sacroiliac joint suggest that dysfunction in this joint could, similar to a herniated lumbar disc, produce pain along the sciatic nerve. These observations might explain some of the cases of sc...

journal_title：Pain physician

authors： Fortin JD,Vilensky JA,Merkel GJ

更新日期：2003-07-01 00:00:00

abstract：:Vertebroplasty and kyphoplasty are relatively new techniques used to treat painful vertebral compression fractures (VCFs). Vertebroplasty is the injection of a vertebral body with bone cement, generally polymethylmethacrylate (PMMA). Kyphoplasty is the placement of balloons (called "tamps") into the vertebral body wit...

journal_title：Pain physician

authors： Burton AW,Mendel E

更新日期：2003-07-01 00:00:00

abstract：:Spinal fusion for degenerative disc disease has been associated with a variety of side effects, including increased morbidity, infection, failed back syndrome, pseudoarthrosis, and acceleration of degenerative changes in adjacent intervertebral discs and facet joints. Based on the experience of arthroplasty of hip and...

journal_title：Pain physician

authors： Sakalkale DP,Bhagia SA,Slipman CW

更新日期：2003-04-01 00:00:00

abstract：:Zygapophysial or facet joints have been implicated as cause of low back, mid back, upper back and neck pain with referred pain. Cervical, thoracic and lumbar facet joints are innervated by the medial branches of the dorsal rami. Zygapophysial (facet) joints have been implicated as the source of chronic pain in 15% to ...

journal_title：Pain physician

authors： Manchikanti L,Singh V,Vilims BD,Hansen HC,Schultz DM,Kloth DS

更新日期：2002-10-01 00:00:00

abstract：:Clinical outcome data was analyzed for 67 patients with contained disc herniation who underwent percutaneous disc decompression procedure using Coblation(R) technology, also referred to as Nucleoplasty after failing to respond to conservative management. Patients presented with clinical symptoms of discogenic low back...

journal_title：Pain physician

authors： Singh V,Piryani C,Liao K,Nieschulz S

更新日期：2002-07-01 00:00:00

abstract：:This study was designed to evaluate psychological status of 150 individuals; 50 without chronic pain and without psychotherapeutic drug therapy, Group I or control group; 50 patients with chronic pain, Group II, chronic pain group with involvement of one region; and 50 chronic pain patients with involvement of two or ...

journal_title：Pain physician

authors： Manchikanti L,Pampati V,Beyer C,Damron K

更新日期：2002-04-01 00:00:00

abstract：:Chronic low back pain secondary to involvement of the facet joints is a common problem. Facet joints have been recognized as potential sources of back pain since 1911. Multiple authors have described distributions of pain patterns of facet joint pain. The facet joints are paired diarthrodial articulations between the ...

journal_title：Pain physician

authors： Manchikanti L,Singh V

更新日期：2002-01-01 00:00:00

abstract：:This study was designed to investigate radiation exposure to a physician performing fluoroscopically guided caudal epidural steroid injections. The prospective study design included 100 consecutive fluoroscopically guided caudal epidural steroid injections performed on patients with radiculitis from either herniated n...

journal_title：Pain physician

authors： Botwin KP,Freeman ED,Gruber RD,Torres-Rames FM,Bouchtas CG,Sanelli JT,Hanna AF

更新日期：2001-10-01 00:00:00

abstract：:Biochemical mechanisms to explain pain generation began relatively recently. Evaluating pain originating from the spine can be challenging because no historical or physical examination findings are sufficiently sensitive or specific for identifying each of the myriad of potential pain generators. These discrete anatom...

journal_title：Pain physician

authors： Slipman CW,Issac Z

更新日期：2001-07-01 00:00:00

abstract：:Postlumbar laminectomy syndrome, or pain following operative procedures of the lumbar spine, is increasingly a common entity in modern medicine. Multiple causes proposed for recurrence of pain after lumbar laminectomy are: epidural fibrosis, recurrent disc herniation, instability, and facet joints. Even though the pre...

journal_title：Pain physician

authors： Manchikanti L,Pampati V,Baha AG,Fellows B,Damron KS,Barnhill RC

更新日期：2001-04-01 00:00:00

abstract：:Practice guidelines are not only an ancient tradition, but they are a fact of life. The first guidelines were developed in the 1840s, shortly after the use of anesthesia was first demonstrated. Even though practice guideline development has spawned an impressive and over-aggressive literature of its own, many unanswer...

journal_title：Pain physician

authors： Manchikanti L,Kloth D,Singh V

更新日期：2001-01-01 00:00:00

abstract：:The Department for Health and Human Services (HHS) has issued the final rule that will govern electronic exchanges of financial and administrative information in the health care industry. About 400 different formats currently exist for electronic health care claims. Once compliance with this rule is required (October ...

journal_title：Pain physician

authors： McMahon EB

更新日期：2000-10-01 00:00:00

abstract：:Proper coding and documentation for evaluation and management services continuously and progressively are becoming not only complicated, but also confusing. Although medical evaluation of patients has been a fact of life since the beginnings of medical history, medicine has been substantially influenced by federal reg...

journal_title：Pain physician

authors： Manchikanti L

更新日期：2000-07-01 00:00:00

abstract：:Appropriate documentation, billing and coding in interventional pain practice is a crucial issue with a wide arena of regulatory reforms. There have been reports of billions of dollars in losses in health care fraud. Office of Inspector General reports a massive war on health fraud. Substantial savings from prepayment...

journal_title：Pain physician

authors： Manchikanti L

更新日期：2000-04-01 00:00:00

abstract：:Strategy formation involves understanding the environment and strengths and weaknesses of a practice to develop a game plan to achieve goals. It starts with the creation of a mission statement that defines a long-term vision of what the practice seeks to be and the markets it seeks to serve. Once the mission of the pr...

journal_title：Pain physician

authors： Van Horn LM

更新日期：2000-01-01 00:00:00