Atlas of Implantable Therapies for Pain Management (eBook)

TIMOTHY DEER, MD, is President and Chief Executive Officer of the Center for Pain Relief in Charleston, West Virginia and Clinical Professor of Anesthesiology, West Virginia University School of Medicine, Morgantown. Dr. Deer is the immediate past Chair of the Committee on Pain Medicine for the American Society of Anesthesiologists; a member of the Boards of Directors of the American Academy of Pain Medicine and the American Society of Interventional Pain Physicians; and a member of the Board of Directors and The Executive Board of the International Neuromodulation Society. He is also Chairman of the Scientific Review Committee of the American Academy of Pain Medicine, Chairman of the Scientific Oversight Committee for Pain Medicine of the American Society of Anesthesiologists, and the current President of The West Virginia Society of Interventional Pain Physicians. He lectures widely on the topic of implantable therapies in pain management and is one of the most respected proponents of these therapies worldwide.

Foreword 6
Dedications and Acknowledgements 8
Contents 10
Contributors 18
Neurostimulation: Spinal Cord Stimulation 20
History of Neurostimulation 21
Spinal Cord Stimulation: Indications and Selection 26
Needle Placement for Percutaneous Spinal Cord Stimulation of the Back and Legs 30
Physician Guided Lead Placement: Making the Lead go to the Target 35
Anchoring Percutaneous Leads During Permanent Device Placement 41
Tunneling Spinal Cord Stimulation Systems 47
Pocketing Techniques 52
Complications of Spinal Cord Stimulation 58
Programming Spinal Cord Stimulation Systems 69
Stimulation of the Spinal Cord by the Placement of Surgical Based Paddle Leads 77
Neurostimulation: Peripheral Nerve and Peripheral Nerve Field Stimulation 83
Stimulation of the Peripheral Nervous System 84
Stimulation of the Nervous System to Treat Neuropathic Pain of the Foot 94
EMG/SSEP Monitoring During Thoracolumbar Spinal Cord Stimulation 101
Sacral Nerve Root Stimulation for the Treatment of Pelvic and Rectal Pain 107
EMG/SSEP Monitoring During Sacral Neuromodulation 112
Selective Nerve Root Stimulation: Facilitating the Cephalocaudal “ Retrograde” Method of Electrode Insertion 117
Neurostimulation: Stimulation of the Cranium and Head 125
Stimulation of the Deep Brain for the Treatment of Chronic Pain 126
Stimulation of the Motor Cortex to Treat Chronic Pain 130
Stimulation of the Peripheral Nervous System: Occipital Techniques for the Treatment of Occipital Neuritis and Transformed Migraine 135
Drug Delivery 144
History of Intrathecal Drug Delivery 145
Selection and Indications for Intrathecal Pump Placement 148
Placement of Intrathecal Needle and Catheter for Chronic Infusion 151
Securing and Anchoring Permanent Intrathecal Catheters 158
Tunneling Permanent Intrathecal Catheters 166
Pocketing for Intrathecal Drug Delivery Systems 172
Drug Selection for Intrathecal Drug Delivery 177
Intrathecal Pump Refills 183
Complications of Intrathecal Drug Delivery 189
Index 199