Interventional Pain Management

Part 1 The anatomy and physiology of pain-clinical correlates: toward a new concept of pain; anatomy of the pain processing system; pharmacology of the pain processing system; receptors at the spinal cord level - the clinical target; functional anatomy of the spine; pharmacologic management and its limitations; programming for success. Part 2 Evaluation of the patient in pain: targeted history and physical examination; radiologic testing in patient evaluation; neurophysiologic testing in the evaluation of the patient in pain; psychological testing in the evaluation of the patient in pain; differential neural blockade for the diagnosis of pain mechanisms; spinal endoscopy - current concepts. Part 3 Neural blockade and neurolytic blocks: local anaesthetics in clinical practice; neurolytic agents in clinical practice; cryoneurolysis in clinical practice; radiofrequency techniques in clinical practice; atlanto-occipital and atlantoaxial injections in the treatment of headache and neck pain; sphenopalatine ganglion block; occipital nerve block; blockade of the gasserian ganglion and the distal trigeminal nerve; glossopharyngeal nerve block; cervical plexus blockade; stellate ganglion block; cervical epidural nerve block; facet block and neurolysis; thoracic epidural nerve block; intercostal nerve block; interpleural catheters - indications and techniques; lumbar epidural nerve block; continuous epidural infusion and patient-combined epidural analgaesia in the management of pain; lysis of epidural adhesions utilizing the epidural approach; lumbar sympathetic nerve block and neurolysis; celiac plexus and splanchnic nerve block; caudal epidural nerve block; superior hypogastric plexus block - a new therapeutic approach for pelvic pain; peripheral neurolysis in the management of pain; subarachnoid neurolytic blocks. Part 4 Neuroaugmentation: mechanisms of action of spinal cord stimulation; spinal cord stimulation and intractable pain - patient selection; implantation techniques for spinal cord stimulation; peripheral nerve stimulation - current concepts; avoiding difficulties in spinal cord stimulation. Part 5 Spinal opioids: current status of epidural and spinal opioids; spinal administration of opioids for nonmalignant pain syndromes - a US experience; long-term intrathecal drug administration in the treatment of persistent noncancer pain - a 3-year experience; tunnelled epidural catheters - practical considerations and implantation techniques; implantation techniques for totally implantable drug administration systems; implantable technology for totally implantable drug administration systems; implantable technology for pain control - identification and management of problems and complications; the role of implantable pain management technologies - an algorithm for decision-making. Part 6 Neurosurgical techniques: the role of neurosurgery in the management of intractable pain; neuroadenolysis of the pituitary - (Part contents)