Essentials of Interventional Techniques in Managing Chronic Pain

Laxmaiah Manchikanti, MDChairman of the Board and Chief Executive Officer, ASIPP and SIPMSMedical DirectorPain Management Center of PaducahPaducah, KentuckyClinical ProfessorAnesthesiology and Perioperative MedicineUniversity of LouisvilleLouisville, Kentucky USAVijay Singh, MDNiagara Health CenterNiagara, WI  USAFrank J.E. Falco, MDDr. Falco is retired from active practice; however, was formerly the Medical Director of Mid Atlantic Spine & Pain Physicians, Newark, DE; Director, Pain Medicine Fellowship Program, Temple University Hospital, Philadelphia, PA; and Adjunct Associate Professor, Department of PM&R, Temple University Medical School, Philadelphia, PA. Alan D. Kaye, MD, PhDDr. Kaye is Professor, Pain Fellowship Director, Provost, Chief AcademicOfficer, Vice Chancellor of Academic Affairs, Departments of Anesthesiology and Pharmacology, Toxicology, and Neurosciences, LSU Health Sciences Center, Shreveport, Ochsner Shreveport Hospital and Pain Clinic Feist-Wieller Cancer Center, Shreveport, LA, USA Amol Soin, MDDr. Soin is Medical Director, Ohio Pain Clinic, and Clinical Assistant Professor of Surgery at Wright State University, Dayton, OH, USA.  Joshua A. Hirsch, MDDr. Hirsch is Vice Chair and Service Line Chief of Neurointerventional Radiology, Chief of Neurointerventional Spine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA

• PART I – BASIC CONSIDERATIONS:.- Evolution of Interventional Pain Management.- Chronic Pain: Pathophysiology and Mechanism.- Pharmacology and Clinical Relevance of Commonly Used Drugs.- Compliance and Documentation for Evaluation and Management Services in Interventional Pain Management Practice.- Facility Documentation Requirements for Interventional Techniques.- Sedation for Interventional Techniques.- Antiplatelet and Anticoagulant Therapy in Interventional Pain Management.- Principles of Evidence-Based Medicine.- PART II – SPINAL INTERVENTIONAL TECHNIQUES.- Anatomy of Spine for the Interventionalist.- Radiology of the Spine for the Interventionalist.- Fluoroscopy in Interventional Pain Management.- Needle Manipulation Techniques.- Lumbar Epidural Injections.- Thoracic Epidural Injections.-  Cervical Epidural Injections.- Lumbar Percutaneous Adhesiolysis.- Discography.- Lumbar Endoscopic Spinal Decompression.- Sacroiliac Joint Injections and Radiofrequency Neurotomy.- LumbarFacet Joint Interventions.- Thoracic Facet Joint Interventions.- Cervical Facet Joint Interventions.- Atlanto-Occipital and Atlanto-Axial Interventions.- Percutaneous Image-Guided Lumbar Decompression (PILD).- Vertebroplasty, Kyphoplasty, and Sacroplasty.- Intraosseous Basivertebral Nerve Ablation for Vertebrogenic Pain.- Interspinous Distraction Devices.- PART III – NON-SPINAL AND PERIPHERAL NERVE BLOCKS.- Ultrasound Basics.- Trigeminal Nerve Blocks and Neurolysis.- Occipital Nerve Blocks and Neurolysis.- Suprascapular, Axillary, Lateral Pectoral and Subscapular Nerve Blocks and Neurolysis.- Paravertebral and Chest Wall Intercostal Nerve Blocks and Neurolysis.- Abdominal Wall Blocks and Neurolysis.- Nerve Blocks for Pelvic Pain.- Neurolytic and Stimulation Procedures for Pelvic Pain.- Upper Extremity Injections, Neurolysis, and Stimulation.- Lower Extremity Injections, Neurolysis, and Stimulation.- PART IV – SYMPATHETIC INTERVENTIONAL TECHNIQUES.- Sphenopalatine Ganglion Blocks.- Cervical and Thoracic Sympathetic Chain and Related Interventions.- Lumbar Sympathetic Blocks and Sympatholysis.- Hypogastric Plexus Blocks.- Ganglion Impar Blocks.- Celiac Plexus Blocks and Splanchnic Nerve Blocks.- PART V – SOFT TISSUE AND JOINT INJECTIONS.- Trigger Point Injections.- Tendon Insertion, Tendon Sheath, and Bursa Injections.- Botulinum Toxin Injections for Chronic Pain.- Upper Extremity Joint Injections.- Lower Extremity Joint Injections.- PART VI – IMPLANTABLES.- Spinal Cord Stimulation.- Intrathecal Drug Delivery for Chronic Pain.- Peripheral Nerve Stimulation.- Disease Modifying Therapies - Restorative Neurostimulation for Chronic Low Back Pain.-