8:00 AM–3:30 PM Thursday, February 27

Advanced Ultrasound-Guided Pain Medicine Interventions (002)

The field of pain medicine ultrasonography is rapidly evolving with new applications for acute and chronic pain that can be rapidly applied to clinical practice. Ultrasound guidance offers the potential benefits of accuracy, portability, direct visualization of vasculature, absence of radiation exposure and potentially lower cost. With improving technology, emerging applications continue to evolve for pain medicine sonography.

This program provides an overview of the advantages and limitations of ultrasound guidance in the practice of pain medicine and provides hands-on applications for the ultrasound novice. The advantages and disadvantages of ultrasound and fluoroscopy also will be discussed. Attendees will practice real-time techniques for common ultrasound procedures and will review the available literature regarding new indications, safety and outcomes.

Attendees will rotate through live model hands-on stations with a low faculty-to-learner ratios covering treatments listed below. A limited number of reduced-price registrations will be offered for trainees currently enrolled in fellowship programs.

Stations

Head and Neck

Including third occipital nerve, cervical medial branch, cervical facet joint, TMJ, cervical selective nerve root block, stellate ganglion, occipital nerve, V2/V3, and US guidance for nerve ablation

Meredith Barad, MD
David A. Edwards, MD PhD

Lumbar Spine, Sacrum, Pelvis

Including lumbar facet joint injection, lumbar medial branch, SI joint, SI joint denervation (posterior sacral network), caudal epidural, piriformis, iliopsoas bursa, IL/IH nerve, genitofemoral nerve, pudendal nerve, lateral femoral cutaneous nerve, US guidance for nerve ablation

Ming-Chi Kao, MD PhD
Vafi Salmasi, MD

Upper Extremity Musculoskeletal and Nerve

Including AC joint, glenohumeral joint, subacromial/subdeltoid bursa, biceps tendon, suprascapular nerve, cubital tunnel, carpal tunnel, US guidance for nerve ablation and brachial plexus blocks

James Khan, MD MSc
Jee Youn Moon, MD PhD FIPP CIPS

Lower Extremity

Including hip joint, knee joint, trochanteric bursa, saphenous nerve, common peroneal nerve at the fibular head, superficial peroneal nerve, deep peroneal nerve, tibial nerve, sural nerve, US guidance for nerve ablation

Tina Doshi, MD MHS
Christine Hunt, DO

Ultrasound Guidance for Peripheral Nerve Stimulation

Amitabh Gulati, MD
Eellan Sivanesan, MD

Ultrasound Guidance for Regenerative Medicine

Einar Ottestad, MD FIPP CIPS
Eugene Roh, MD

Learning Objectives:

  • Describe pain sonography spanning the head, neck, spine, pelvis, and upper and lower extremities.
  • Describe the utility of ultrasound guidance in ablation, peripheral nerve stimulation, and regenerative medicine interventions.
  • Recognize the limitations of spine sonography and the process of ultrasound-assisted vs. ultrasound-guided neuraxial injections.

Agenda

8-8:55 am
Rotation 1

8:55-9:50 am
Rotation 2

9:50-10 am
Break

0-10:55 am
Rotation 3

10:55-11:50 am
Rotation 4

11:50 am-Noon
Q&A

Noon-1:30 pm
Lunch

1:30-2:25 pm
Rotation 5

2:25-3:10 pm
Rotation 6

3:10-3:15 pm
Q&A and closing remarks

Read more...
9:45–10:45 AM Sunday, March 1

Neuropathic Pain and Spine Diagnostic Modalities: Demystifying Appropriate Utilization and Limitations (408)

This session will focus on understanding the role, timing, and limitations of electrodiagnostics, tests for small fiber dysfunction, and tests for immune mediated neuropathic pain; when nonroutine spine imaging may be preferable or complementary to routine spine MRI; and an approach to uncertain spine MRI findings.

Neuropathic Pain and Myalgia Diagnostic Modalities

James Watson

Spine Imaging in Pain Medicine: A Practical Approach to Uncertain Spine MRI Findings and When to Consider Non-Routine Imaging Modalities

Felix Diehn

Learning Objectives:

  • Interpret the role and limitations of electrodiagnostic testing in the evaluation of neuropathic pain conditions.
  • Review the unique, but now widely available, studies available to evaluate small fiber nerve dysfunction (sudomotor testing and epidermal nerve fiber density testing through skin biopsy) and immune-mediated neuropathic pain syndromes (voltage gated potassium channel, LGI1 and CASPR2 antibodies).
  • Identify when nonroutine imaging may be preferable or complementary to a routine spine MRI.
Read more...
Moderator:

James Watson

Co-Presenters:

Felix Diehn

Subscribe to this RSS feed