Integrating Pain Treatment into Your Spine Practice

 

Description:

This book fills the gap in knowledge and patient care by showing spine surgeons how to integrate pain management techniques into their practice. The first of its kind, Integrating Pain Treatment into Your Spine Practice is in tune with current efforts by major neurosurgical and neuromodulation societies and leading manufacturers of neuromodulation equipment to educate spine surgeons on the management of their patients’ post-surgical pain.    Designed as an all-in-one volume, this book explains how to identify candidates for pain treatment and when to refer them to specialists. It also presents “how-to” clinical information on approaches to managing pain, from the medical to the interventional  and provides practical business guidance on coding and reinforcement.   

 

 

 

Table of Contents:

 

Part I: Identification and Management of Pain Patients

Chapter 1: Identification of the Pain Patient

Key Points

Introduction

Initial Evaluation

Use of Outcome Measures

Multidisciplinary Care

Clinical Practice Guidelines

Psychosocial Stratification

Procedure-Specific Identification

Summary

References

Chapter 2: Role of Spinal Surgery in Pain Management

Key Points

Introduction

Identification

Nonoperative Measures

Facet Blocks

Discogenic Pain

Evidence

Failed Back Surgery Syndrome

Epidural Injections

Summary

References

Chapter 3: Failed Back Surgery Syndrome

Key Points

Introduction, Risk Factors, and Patient Selection

Introduction

Etiology and Risk Factors

Patient Selection and Preoperative Factors

Intraoperative Factors

Postoperative Factors

Diagnosis and Treatment

History and Physical Examination

Advanced Imaging

Treatment of FBSS

Summary

References

Chapter 4: Cervical Pain Syndromes

Key Points

Introduction

Cervical Radiculopathy

Incidence and Mechanism

History and Physical Exam

Imaging and Advanced Diagnostics

Cervical Facets

Incidence and Mechanism

History and Physical Exam

Imaging and Advanced Diagnostics

Cervical Disks

Incidence and Mechanism

History and Physical Exam

Imaging and Advanced Diagnostics

Cervical Myalgias

Incidence and Mechanism

History and Physical Exam

Imaging and Advanced Diagnostics

Cervical Spondyloarthopathies

Incidence and Mechanism

History and Physical Exam

Imaging and Advanced Diagnostics

Treatments

Summary

References

Chapter 5: Revision Surgery and Alternative Treatment Options for Recurrent Pain Following Spinal

Key Points

Introduction

Identification

Revision Spinal Surgery Versus Alternative Treatment Options for Postoperative Pain

Failed Back Surgery Syndrome

Evidence

Conservative Treatment Options

Neuromodulation

Spinal Cord Stimulation (SCS)

SCS Versus Revision Therapy for FBSS

Intrathecal Pain Pumps

Summary

References

Chapter 6: Considerations for Neuromodulation

Key Points

Introduction

Biologic Considerations

Anticoagulation

Diabetes Mellitus

Tobacco Use

Malnutrition and Obesity

Bacterial Colonization

Prior Incision Sites

Pregnancy

Device-Related Considerations

MRI Compatibility

Allergy

Pacemaker Status

Summary

References

Part II: Integrating Pain Management into Practice

Chapter 7: Practice Setup

Key Points

Introduction

Referral Network

Relationships

Pain Physicians’ and Surgeons’ Roles

Patient Identification Is Crucial

Early Intervention

Benefits to Surgeons

Summary

References

Chapter 8: Referral Networks

Key Points

Introduction

Patient Pathway

Provider Referral Model

Referral Networks

Essential Networks for Surgeons Providing Pain Care

Defining the Ideal Partnership

Stark and Anti-kickback

Marketing

Summary

References

Chapter 9: Integration of Specialties

Key Points

Introduction

Multidisciplinary Approach

Summary

References

Chapter 10: Coding and Reimbursement for Spinal Cord Stimulation

Key Points

Introduction

Coding and Billing

Predetermination

Preauthorization

Indications and Patient Selection for Spinal Cord Stimulation

CPT Codes for Spinal Cord Stimulation

Coding Examples [8, 9]

Summary

References

Part III: Pain Management Therapies

Chapter 11: Medications Used for the Treatment of Back Pain

Key Points

Introduction

NSAIDs and Acetaminophen for Pain Management of Back Pain

Opioids for Pain Management

Tailoring Opioid Doses for Patient-Specific Needs

Proper Rotation and Conversion of Opioids for Ongoing Pain Management

Muscle Relaxants

Neuropathic Pain and Low Back Pain

Antiepileptics Used in Treatment of Radicular and Non-­radicular Back Pain

Summary

References

Chapter 12: Interventional Procedures

Key Points

Introduction

Trigger Point Injections

Indications and Rationale

Technique

Paravertebral Facet Joint Block and Facet Joint Denervation

Indications and Rationale

Techniques

Paravertebral Facet Blocks and Radiofrequency Ablations (Facet Rhizotomy)

Facet Joint Intra-Articular Injection

Epidural Injections

Indications and Rationale

Technique

Caudal Epidural Injection

Interlaminar Epidural Injection

Transforaminal Epidural Injection

Complications

Sacroiliac Joint Injections

Indications

Evidence-Based Rationale

Technique

Discography

Indications

Evidence-Based Rationale

Technique

Complications

Minimally Invasive Interventional Procedures

The Future of Interventional Procedures

References

Chapter 13: Neuromodulation

Key Points

Introduction

Evidence

Spinal Cord Stimulation

Tonic or Traditional Stimulation

Adaptive Stimulation

High-Frequency Stimulation

Burst Stimulation

Dorsal Root Ganglion Stimulation (Fig. 13.4)

Intrathecal Drug Delivery System

Implementation

Spinal Cord Stimulation

Intrathecal Drug Delivery System (Fig. 13.7)

Summary

References

Chapter 14: Intrathecal Therapy for Chronic Spine Pain

Key Points

Patient Selection

Indications

Cerebrospinal Fluid Dynamics

Intrathecal Medications

Opioids (Fentanyl, Hydromorphone, Morphine)

Ziconotide

Local Anesthetics (Bupivacaine)

Clonidine

Trialing

Clinical Application of an IDDS for Spine-Related Pain

Complications Associated with IDDS Implantation

Summary

References

Part IV: Surgical Pain Therapies

Chapter 15: Epidural Paddle Placement for Spinal Cord Stimulation

Key Points

Introduction

Paddle Electrodes

Preoperative Planning

Open Thoracic Epidural Electrode Array Placement

Open Cervical Epidural Electrode Array Placement

Summary

References

Chapter 16: Percutaneous Placement

Key Points

Introduction

Temporary vs. Permanent Placement

Preparation for the Procedure

Procedural Detail

Summary

References

Chapter 17: Peripheral Nerve Stimulation—Cervical Syndromes

Key Points

Introduction

Evidence

Implementation

Summary

References

Chapter 18: Peripheral Nerve Stimulation for Axial Pain Syndromes

Key Points

Introduction

Practice and Technique of PNfS and Hybrid Stimulation (HS) in the Axial Space

Evidence

Implementation and Patient Selection

Summary

References

Chapter 19: Intrathecal Drug Delivery: Surgical Technique

Key Points

Introduction

Patient Selection

Technique

Preoperative Planning

Patient Positioning

Catheter Placement

Pump Pocket and Tunneling

Infection Prevention

Revision Strategies

Documentation

Special Circumstances

Tunneled Externalized Catheter for Palliation

Open Catheter Placement via Laminotomy

C1/2 Puncture for Catheter Placement

Troubleshooting and Complication Management

Neurological Deterioration

CSF Leak

Infection

Pump Malfunction

Catheter Complications

Pump Pocket Complications

Summary

References

Chapter 20: Vertebroplasty and Kyphoplasty

Key Points

Introduction

Osteoporotic Vertebral Fractures

Neoplasm-Related Vertebral Fractures

Evidence

Implementation

Patient Selection

Technique

Post-procedure Care and Clinical Outcomes

Summary

References

Chapter 21: Emerging Technology in Neuromodulation: Waveforms and New Targets in Spinal Cord Stim

Key Points

Introduction

Evidence

Implementation

Summary

References

Index

 

An aparitie	2016
Autor	Falowski
Dimensiuni	15.49 x 1.63 x 23.5 cm
Editura	Springer
Format	Softcover
ISBN	9783319277943
Limba	Engleza
Nr pag	269