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Interventional Pain Management

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Vaibhav Kamath
Vaibhav Kamath
Health & Medicine
1 of 46
IPM Dr. Vaibhav Kamath Pain Specialist
Pain Management ,[object Object],[object Object]
Pain management: What is new? ,[object Object],[object Object],[object Object],[object Object]
Interventional Pain Management ,[object Object]
Case history-1 ,[object Object],[object Object]
Case history-2 ,[object Object],[object Object]
Case history-3 ,[object Object],[object Object]
Case history-4 ,[object Object],[object Object]
Non-pharmacological methods Non-opioids Weak opioids +/- non-opioids +/- adjuvant Strong opioids Recovery Operation Treatment of Pain
Non-opioids Weak opioids +/- non-opioids Strong opioids Recovery Operation Treatment of Pain World of Misery Non-pharmacological methods
Non-opioids Weak opioids +/- non-opioids Strong opioids Recovery Operation Treatment of Pain IPM Non-pharmacological methods
IPM ,[object Object],[object Object]
[object Object],National Uniform Claims Committee Interventional Pain Management
Interventional Pain Management ,[object Object],Medicare Payment Advisory Commission
IPM How it acts?
IPM IPM are group of procedures with different mechanism of actions ,[object Object],[object Object],[object Object]
Diagnostic Interventional Pain Management Procedures pain
[object Object],[object Object],Etiology of low back pain
104 patients low back pain without any identifiable cause ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Ref: Pang WW et al . Application of spinal pain mapping in the diagnosis of low back pain—analysis of 104 cases. Acta Anaesthesiol Sin 1998; 36:71-74.
120 patients low back pain without any identifiable cause ,[object Object],[object Object],[object Object],[object Object],[object Object],Ref: Manchikanti L et al. Evaluation of the relative contributions of various structures in chronic low back pain. Pain Physician 2001; 4:308-316.
Diagnostic IPM procedures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Therapeutic Interventional Pain Management Procedures pain
Therapeutic IPM procedures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Therapeutic IPM procedures for Spinal pain
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Therapeutic IPM procedures for Spinal pain
Trigger point injection ,[object Object],[object Object],[object Object]
Epidural steroid injection ,[object Object],[object Object],[object Object],[object Object]
Selective nerve root/ Transforaminal epidural block ,[object Object],[object Object],[object Object],[object Object],[object Object]
Epidurogram ,[object Object],[object Object]
Epidurolysis ,[object Object],[object Object]
Provocative discography ,[object Object],[object Object],[object Object],[object Object],[object Object]
Percutaneous Disc Decompression/Discectomy ,[object Object],[object Object],[object Object],[object Object]
PDD: advantages ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ozone Nucleolysis ,[object Object],[object Object],[object Object],[object Object]
Facet joint block/ RF neurotomy of medial branch ,[object Object],[object Object],[object Object]
SI joint Block/ Radio-Frequency Rhizotomy ,[object Object],[object Object]
Percutaneous Vertebroplasty ,[object Object],[object Object],[object Object],[object Object]
Lumber sympathetic block ,[object Object],[object Object]
Case history-1 ( Failed Back Surgery Syndrome) ,[object Object],Epidurolysis & transforaminal epidural block gave him significant improvement
Case history-2 (L4-L5 disc herniation) ,[object Object],Percutaneous Discectomy cured him.
Case history-3 (compression fracture of L2) ,[object Object],Percutaneous Vertebroplasty relieved her.
Case history-4 (Facet Joint Arthropathy) ,[object Object],Radio-Frequency Rhizotomy of Medial Br. of dorsal rami relieved the pain.
Summary ,[object Object],[object Object]
[object Object],[object Object],[object Object],Summary
What do we need? awareness Pain
[object Object]

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