Integrating Pain Treatment into Your Spine Practice by Steven M. Falowski, Jason E. Pope

By Steven M. Falowski, Jason E. Pope

This publication fills the distance in wisdom and sufferer care by way of exhibiting backbone surgeons the way to combine ache administration thoughts into their perform. the 1st of its style, Integrating discomfort therapy into Your backbone perform is in track with present efforts by way of significant neurosurgical and neuromodulation societies and best brands of neuromodulation apparatus to coach backbone surgeons at the administration in their sufferers’ post-surgical ache.
Designed as an all-in-one quantity, this booklet explains easy methods to determine applicants for ache therapy and while to refer them to experts. It additionally offers “how-to” medical info on ways to dealing with discomfort, from the scientific to the interventional and offers sensible company advice on coding and reinforcement.

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Integrating Pain Treatment into Your Spine Practice

This booklet fills the distance in wisdom and sufferer care via displaying backbone surgeons the way to combine ache administration suggestions into their perform. the 1st of its style, Integrating ache therapy into Your backbone perform is in music with present efforts by way of significant neurosurgical and neuromodulation societies and major brands of neuromodulation gear to teach backbone surgeons at the administration in their sufferers’ post-surgical soreness.

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G. 45. Kumar MN, Baklanov A, Chopin D. Correlation between sagittal plan changes and adjacent level degeneration following lumbar spine fusion. Eur Spin J. 2001;10:314–9. Hikata T, Kamata M, Furukawa M. Risk factors for adjacent segment disease after posterior lumbar interbody fusion and efficacy of simultaneous decompression surgery for symptomatic adjacent segment disease. J Spinal Disord Tech. 2014;27(2):70–5. Walker BF. Failed back surgery syndrome. COSMIG Rev. 1992;1(1):3–6. Slipman CW, Shin CH, Patel RK, et al.

However, none of these findings, including abnormal curvature, are predictive of more severe underlying diseases [7, 24]. Magnetic resonance images (MRI) is clearly superior to any other imaging modality when assessing changes in the intervertebral disk, nerve root, dorsal root ganglion, spinal cord, the neuro foramen and surrounding soft tissues all of which could account for radicular symptoms (Fig. 2), however, there is no direct link between abnormalities seen in these structures and pain. In fact studies have shown abnormal MRI results in 10 to 60 % of asymptomatic patients depending on age [16, 17, 25, 26].

J Bone Joint Surg Am. 1990;72(8):1178–84. 26. Teresi LM, Lufkin RB, Reicher MA, Moffit BJ, Vinuela FV, Wilson GM, et al. Asymptomatic degenerative disk disease and spondylosis of the cervical spine: MR imaging. Radiology. 1987;164(1):83–8. 27. Carette S, Fehlings MG. Clinical practice. Cervical radiculopathy. N Engl J Med. 2005;353(4):392–9 [Review]. 28. Nardin RA, Patel MR, Gudas TF, Rutkove SB, Raynor EM. Electromyography and magnetic resonance imaging in the evaluation of radiculopathy. Muscle Nerve.

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