Sunday, March 10 (9)

11 am–Noon

Neuropathic Pain Pharmacologic Management: Maximizing Success with Available Agents and Emerging Therapies (411) Featured

Efficacy is often limited with currently available neuropathic pain adjuvants. This session will focus on mitigating the failure of currently available pharmacologic agents, recognizing the limitation of current neuropathic pain algorithms, understanding the role of pharmacogenomics in neuropathic pain treatment choice, and the status of novel agents in development.

Mitigating Neuropathic Pain Pharmacologic Failures

James C. Watson, MD

Emerging Therapies in the Treatment of Neuropathic Pain

Charles E. Argoff, MD

Learning Objectives:

  • Understand common reasons patients fail first line neuropathic pain adjuvants and practical approaches to maximize the chance of success with currently available agents.
  • Understand the limitations of evidence based neuropathic pharmacologic treatment algorithms.
  • Understand where novel or re-emerging treatments fit within current evidence based treatment algorithms.
  • Understand how advances in pharmacogenomics may influence neuropathic pain pharmacologic treatment choices currently and in the future.
11 am–Noon

Lumbar Medial Branch Radiofrequency Neurotomy: How Understanding Anatomy, Patient Selection, and Technique Affect Outcomes (410)

A successful outcome of lumbar medial branch radiofrequency neurotomy (LMBRFN) is dependent on careful attention to principles of facet join pain diagnosis and elements LMBRFN procedure technique. This session will present in depth discussion of these multiple, intricate factors. The relevant anatomy, diagnostic standards, and physics of radiofrequency lesions as applied to LMBRFN will be detailed, as supported by the current medical literature.

Lumbar Medial Branch Blocks to Accurately Diagnose Lumbar Zygaphophyseal Joint Pain: False Positives, Disease Prevalence, and Diagnostic Confidence

Byron Schneider, MD

Anatomy of the Lumbar Medial Branch Block and How This Relates To Ideal Procedural Technique

Zachary McCormick, MD

Evidence-Based Review of Lumbar Medial Branch Radiofrequency Neurotomy Outcomes

David J. Kennedy, MD

Learning Objectives:

  • Recognize the exact anatomy of the lumbar medial branch nerves and how they can be best accessed.
  • Define the diagnostic principles of medial branch nerve blocks and how they can be interpreted to define a 'positive' for patient selection, based on the best medical evidence.
  • Summarize the physics the lesioning the medial branch nerves via radiofrequency technology, in a manner that is most likely to achieve effective coagulation of the nerve, based on the medical literature.
9:45 am–10:45

Neuropathic Pain: Beyond Adjuvants and Opioids—A Look at New and Reemerging Treatments (407)

The Role of Low-Dose Naltrexone for the Treatment of Neuropathic Pain Syndromes

Neel D. Mehta, MD

Buprenorphine in Neuropathic Pain Treatment

James C. Watson, MD

Cancer Neuropathic Pain: What's New?

Amitabh Gulati, MD

Learning Objectives:

  • Understand the role of low dosed naltrexone in the treatment of neuropathic pain.
  • Recognize novel treatments in development and emerging evidence for role of currently available or repurposed treatments in the treatment of neuropathic pain.
  • Understand where these novel or re-emerging treatments fit within current evidence based treatment algorithms.
9:45–10:45 am

New Safety Considerations for Interventional Pain: Anticoagulation Management, Early Adverse Events, Long-Term Complications (406)

New evidence has come to light regarding best safety practices during interventional pain procedures. This session highlights the most current high quality literature that investigates safety considerations related to anticoagulation management during interventional pain procedures, adverse event risk mitigation during epidural steroid injections, and preventing long-term disc degeneration following lumbar provocation discography.

The Risks and Benefits of Ceasing Versus Maintaining Anticoagulation Medications During Interventional Pain Procedures

Byron Schneider, MD

Immediate and Early Adverse Events of Epidural Steroid Injections: What Does the Most Rigorous Evidence Teach Us?

David J. Kennedy, MD

What Are the Long-Term Risks of Lumbar Provocation Discography? Emergence of New Data

Zachary McCormick, MD

Learning Objectives:

  • Analyze the body of literature and best evidence regarding anticoagulation management during interventional pain procedures.
  • Define the adverse event rates in the immediate and early post-procedure time period following epidural steroid injection according to clinical practice guidelines and how to mitigate these risks.
  • Interpret new data that addresses the longterm effects of lumbar provocation discography performed according to modern techniques not used in prior studies.
Subscribe to this RSS feed