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Interventional techniques practice guidelines management of chronic spinal pain

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https://www.readbyqxmd.com/read/24572192/clinical-practice-guidelines-for-chronic-non-malignant-pain-syndrome-patients
#1
S H Sanders, K S Rucker, K O Anderson, R N Harden, K W Jackson, P J Vicente, R M Gallagher
The current paper provides specific guidelines for treating chronic non-malignant pain syndrome patients. The guidelines were developed from an extensive review of existing literature on practice guidelines, the research literature, and common clinical practice across major pain treatment facilities in the USA. They are intended for application to all chronic pain syndrome patients (other than cancer pain) regardless of specific site or etiology of pain. They advocate goal directed treatment to reduce medication misuse and invasive medical procedures, maximize and maintain physical activity, return to productive activity, increase the patient's ability to manage pain, reduce subjective pain intensity, reduce or eliminate the use of healthcare services for primary pain complaint, provide useful information for case settlement, and minimize treatment cost without sacrificing quality...
January 1, 1995: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/23615893/assessment-of-bleeding-risk-of-interventional-techniques-a-best-evidence-synthesis-of-practice-patterns-and-perioperative-management-of-anticoagulant-and-antithrombotic-therapy
#2
REVIEW
Laxmaiah Manchikanti, Frank J E Falco, Ramsin M Benyamin, David L Caraway, Alan D Kaye, Standiford Helm, Bradley W Wargo, Hans Hansen, Allan T Parr, Vijay Singh, John R Swicegood, Howard S Smith, David M Schultz, Yogesh Malla, Joshua A Hirsch
BACKGROUND: Interventional pain management is a specialty that utilizes invasive procedures to diagnose and treat chronic pain. Patients undergoing these treatments may be receiving exogenous anticoagulants and antithrombotics. Even though the risk of major bleeding is very small, the consequences can be catastrophic. However, the role of antithrombotic therapy for primary and secondary prevention of cardiovascular disease to decrease the incidence of acute cerebral and cardiovascular events is also crucial...
April 2013: Pain Physician
https://www.readbyqxmd.com/read/23615883/an-update-of-comprehensive-evidence-based-guidelines-for-interventional-techniques-in-chronic-spinal-pain-part-ii-guidance-and-recommendations
#3
Laxmaiah Manchikanti, Salahadin Abdi, Sairam Atluri, Ramsin M Benyamin, Mark V Boswell, Ricardo M Buenaventura, David A Bryce, Patricia A Burks, David L Caraway, Aaron K Calodney, Kimberly A Cash, Paul J Christo, Steven P Cohen, James Colson, Ann Conn, Harold Cordner, Sareta Coubarous, Sukdeb Datta, Timothy R Deer, Sudhir Diwan, Frank J E Falco, Bert Fellows, Stephanie Geffert, Jay S Grider, Sanjeeva Gupta, Haroon Hameed, Mariam Hameed, Hans Hansen, Standiford Helm, Jeffrey W Janata, Rafael Justiz, Alan D Kaye, Marion Lee, Kavita N Manchikanti, Carla D McManus, Obi Onyewu, Allan T Parr, Vikram B Patel, Gabor B Racz, Nalini Sehgal, Manohar Lal Sharma, Thomas T Simopoulos, Vijay Singh, Howard S Smith, Lee T Snook, John R Swicegood, Ricardo Vallejo, Stephen P Ward, Bradley W Wargo, Jie Zhu, Joshua A Hirsch
OBJECTIVE: To develop evidence-based clinical practice guidelines for interventional techniques in the diagnosis and treatment of chronic spinal pain. METHODOLOGY: Systematic assessment of the literature. EVIDENCE: I. Lumbar Spine • The evidence for accuracy of diagnostic selective nerve root blocks is limited; whereas for lumbar provocation discography, it is fair. • The evidence for diagnostic lumbar facet joint nerve blocks and diagnostic sacroiliac intraarticular injections is good with 75% to 100% pain relief as criterion standard with controlled local anesthetic or placebo blocks...
April 2013: Pain Physician
https://www.readbyqxmd.com/read/23615882/an-update-of-comprehensive-evidence-based-guidelines-for-interventional-techniques-in-chronic-spinal-pain-part-i-introduction-and-general-considerations
#4
REVIEW
Laxmaiah Manchikanti, Frank J E Falco, Vijay Singh, Ramsin M Benyamin, Gabor B Racz, Standiford Helm, David L Caraway, Aaron K Calodney, Lee T Snook, Howard S Smith, Sanjeeva Gupta, Stephen P Ward, Jay S Grider, Joshua A Hirsch
In 2011, the Institute of Medicine (IOM) re-engineered its definition of clinical guidelines as follows: "clinical practice guidelines are statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefit and harms of alternative care options." This new definition departs from a 2-decade old definition from a 1990 IOM report that defined guidelines as "systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances...
April 2013: Pain Physician
https://www.readbyqxmd.com/read/19668292/comprehensive-review-of-neurophysiologic-basis-and-diagnostic-interventions-in-managing-chronic-spinal-pain
#5
REVIEW
Laxmaiah Manchikanti, Mark V Boswell, Vijay Singh, Richard Derby, Bert Fellows, Frank J E Falco, Sukdeb Datta, Howard S Smith, Joshua A Hirsch
BACKGROUND: Understanding the neurophysiological basis of chronic spinal pain and diagnostic interventional techniques is crucial in the proper diagnosis and management of chronic spinal pain. Central to the understanding of the structural basis of chronic spinal pain is the provision of physical diagnosis and validation of patient symptomatology. It has been shown that history, physical examination, imaging, and nerve conduction studies in non-radicular or discogenic pain are unable to diagnose the precise cause in 85% of the patients...
July 2009: Pain Physician
https://www.readbyqxmd.com/read/19668283/an-algorithmic-approach-for-clinical-management-of-chronic-spinal-pain
#6
Laxmaiah Manchikanti, Standiford Helm, Vijay Singh, Ramsin M Benyamin, Sukdeb Datta, Salim M Hayek, Bert Fellows, Mark V Boswell
Interventional pain management, and the interventional techniques which are an integral part of that specialty, are subject to widely varying definitions and practices. How interventional techniques are applied by various specialties is highly variable, even for the most common procedures and conditions. At the same time, many payors, publications, and guidelines are showing increasing interest in the performance and costs of interventional techniques. There is a lack of consensus among interventional pain management specialists with regards to how to diagnose and manage spinal pain and the type and frequency of spinal interventional techniques which should be utilized to treat spinal pain...
July 2009: Pain Physician
https://www.readbyqxmd.com/read/19668281/comprehensive-review-of-therapeutic-interventions-in-managing-chronic-spinal-pain
#7
REVIEW
Laxmaiah Manchikanti, Mark V Boswell, Sukdeb Datta, Bert Fellows, Salahadin Abdi, Vijay Singh, Ramsin M Benyamin, Frank J E Falco, Standiford Helm, Salim M Hayek, Howard S Smith
BACKGROUND: Available evidence documents a wide degree of variance in the definition and practice of interventional pain management. OBJECTIVE: To provide evidence-based clinical practice guidelines for interventional techniques in the treatment of chronic spinal pain. DESIGN: Best evidence synthesis. METHODS: Strength of evidence was assessed by the U.S. Preventive Services Task Force (USPSTF) criteria utilizing 5 levels of evidence ranging from Level I to III with 3 subcategories in Level II...
July 2009: Pain Physician
https://www.readbyqxmd.com/read/19668280/an-introduction-to-an-evidence-based-approach-to-interventional-techniques-in-the-management-of-chronic-spinal-pain
#8
Laxmaiah Manchikanti, Vijay Singh, Standiford Helm, David M Schultz, Sukdeb Datta, Joshua A Hirsch
Practice guidelines are systematically developed statements to assist practitioners and patients in making decisions about appropriate health care for specific clinical circumstances. Clinical practice guidelines present statements of best practice based on a thorough evaluation of the evidence from published studies on the outcomes of treatment. In November 1989, Congress mandated the creation of the Agency for Healthcare Policy and Research (AHCPR). AHCPR was given broad responsibility for supporting research, data development, and related activities...
July 2009: Pain Physician
https://www.readbyqxmd.com/read/19644537/comprehensive-evidence-based-guidelines-for-interventional-techniques-in-the-management-of-chronic-spinal-pain
#9
Laxmaiah Manchikanti, Mark V Boswell, Vijay Singh, Ramsin M Benyamin, Bert Fellows, Salahadin Abdi, Ricardo M Buenaventura, Ann Conn, Sukdeb Datta, Richard Derby, Frank J E Falco, Stephanie Erhart, Sudhir Diwan, Salim M Hayek, Standiford Helm, Allan T Parr, David M Schultz, Howard S Smith, Lee R Wolfer, Joshua A Hirsch
BACKGROUND: Comprehensive, evidence-based guidelines for interventional techniques in the management of chronic spinal pain are described here to provide recommendations for clinicians. OBJECTIVE: To develop evidence-based clinical practice guidelines for interventional techniques in the diagnosis and treatment of chronic spinal pain. DESIGN: Systematic assessment of the literature. METHODS: Strength of evidence was assessed by the U...
July 2009: Pain Physician
https://www.readbyqxmd.com/read/18690276/reassessment-of-evidence-synthesis-of-occupational-medicine-practice-guidelines-for-interventional-pain-management
#10
REVIEW
Laxmaiah Manchikanti, Vijay Singh, Richard Derby, David M Schultz, Ramsin M Benyamin, Joshua P Prager, Joshua A Hirsch
BACKGROUND: Appropriately developed practice guidelines present statements of best practice based on a thorough evaluation of the evidence from published studies on the outcomes of treatments, which include the application of multiple methods for collecting and evaluating evidence for a wide range of clinical interventions and disciplines. However, the guidelines are neither infallible, nor a substitute for clinical judgment. While the guideline development process is a complex phenomenon, conflict of interest in guideline development and inappropriate methodologies must be avoided...
July 2008: Pain Physician
https://www.readbyqxmd.com/read/18008014/-controversies-about-instrumented-surgery-and-pain-relief-in-degenerative-lumbar-spine-pain-results-of-scientific-evidence
#11
REVIEW
F J Robaina-Padrón
Investigation and development of new techniques for intrumented surgery of the spine is not free of conflicts of interest. The influence of financial forces in the development of new technologies an its immediately application to spine surgery, shows the relationship between the published results and the industry support. Even authors who have defend eagerly fusion techniques, it have been demonstrated that them are very much involved in the revision of new articles to be published and in the approval process of new spinal technologies...
October 2007: Neurocirugía
https://www.readbyqxmd.com/read/17256025/interventional-techniques-evidence-based-practice-guidelines-in-the-management-of-chronic-spinal-pain
#12
Mark V Boswell, Andrea M Trescot, Sukdeb Datta, David M Schultz, Hans C Hansen, Salahadin Abdi, Nalini Sehgal, Rinoo V Shah, Vijay Singh, Ramsin M Benyamin, Vikram B Patel, Ricardo M Buenaventura, James D Colson, Harold J Cordner, Richard S Epter, Joseph F Jasper, Elmer E Dunbar, Sairam L Atluri, Richard C Bowman, Timothy R Deer, John R Swicegood, Peter S Staats, Howard S Smith, Allen W Burton, David S Kloth, James Giordano, Laxmaiah Manchikanti
BACKGROUND: The evidence-based practice guidelines for the management of chronic spinal pain with interventional techniques were developed to provide recommendations to clinicians in the United States. OBJECTIVE: To develop evidence-based clinical practice guidelines for interventional techniques in the diagnosis and treatment of chronic spinal pain, utilizing all types of evidence and to apply an evidence-based approach, with broad representation by specialists from academic and clinical practices...
January 2007: Pain Physician
https://www.readbyqxmd.com/read/17177763/evidence-based-clinical-practice-guidelines-for-interdisciplinary-rehabilitation-of-chronic-nonmalignant-pain-syndrome-patients
#13
Steven H Sanders, R Norman Harden, Peter J Vicente
This is an update to evidence-based practice guidelines for chronic nonmalignant pain syndrome patients first published in 1995 and revised in 1999. The current guidelines recommend interdisciplinary-focused rehabilitation, which is goal-directed and time-limited. Emphasis is placed on educating patients in active self-management techniques that stress maximizing function. Integrated treatment involving medical, psychological/behavioral, physical/occupational therapy, and disability/vocational interventions are recommended on an outpatient basis whenever clinically possible...
December 2005: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/16902663/effectiveness-of-clinical-guidelines-in-interventional-pain-management
#14
Laxmaiah Manchikanti, Jose J Rivera, Vidyasagar Pampati, Carlar Beyer, Kim Damron, Renee C Barnhill
Many commissions and groups throughout the world have proposed clinical guidelines on the management of low back pain, spinal pain, and chronic pain. Practice guidelines are systematically developed statements to assist the practitioner and patient decisions about appropriate healthcare for specific clinical circumstances. The American Society of Interventional Pain Physicians developed practice guidelines for interventional techniques which are professional practice recommendations for practices for prevention, diagnosis and treatment of acute and chronic painful disorders, and in some cases, disability management...
April 2002: Pain Physician
https://www.readbyqxmd.com/read/16878163/evidence-based-practice-guidelines-for-interventional-techniques-in-the-management-of-chronic-spinal-pain
#15
Laxmaiah Manchikanti, Peter S Staats, Vijay Singh, David M Schultz, Bradley D Vilims, Joseph F Jasper, David S Kloth, Andrea M Trescot, Hans C Hansen, Thomas D Falasca, Gabor B Racz, Timothy R Deer, Allen W Burton, Standiford Helm, Leland Lou, Cyrus E Bakhit, Elmer E Dunbar, Sairam L Atluri, Aaron K Calodney, Samuel J Hassenbusch, Claudio A Feler
Evidence-based practice guidelines for interventional techniques in the management of chronic spinal pain are systematically developed and professionally derived statements and recommendations that assist both physicians and patients in making decisions about appropriate health care in the diagnosis and treatment of chronic or persistent pain. The guidelines were developed utilizing an evidence-based approach to increase patient access to treatment, to improve outcomes and appropriateness of care, and to optimize cost-effectiveness...
January 2003: Pain Physician
https://www.readbyqxmd.com/read/16868597/california-workers-compensation-system-are-occupational-medicine-practice-guidelines-sufficient-for-the-treatment-of-chronic-spinal-pain-or-do-they-require-supplementation-by-guidelines-for-interventional-techniques
#16
Standiford Helm
BACKGROUND: The California Workers' Compensation system mandates the use of occupational medicine practice guidelines developed by the American College of Occupational and Environmental Medicine (ACOEM). These Guidelines cover the treatment of acute (less than three months' duration) injuries. The presence in the ACOEM Guidelines of references to procedures which may be of use after the three-month acute period creates ambiguity as to whether the ACOEM Guidelines are applicable after three months...
April 2004: Pain Physician
https://www.readbyqxmd.com/read/16850073/peri-procedural-protocols-for-interventional-pain-management-techniques-a-survey-of-us-pain-centers
#17
Shihab U Ahmed, William Tonidandel, Jason Trella, Nicole M Martin, Yuchiao Chang
BACKGROUND: Interventional techniques are now an integral part of chronic pain management. As new procedures are arising at a rapid pace, decisions regarding patient safety and comfort are becoming more challenging. No peri-procedural consensus protocol currently addresses issues such as 1. nulla per os (NPO) status, 2. sedation, 3. monitoring, or 4. recovery. In establishing safety guidelines for interventional pain procedures, the knowledge of current peri-procedural protocols is required...
April 2005: Pain Physician
https://www.readbyqxmd.com/read/16850041/interventional-techniques-in-the-management-of-chronic-spinal-pain-evidence-based-practice-guidelines
#18
Mark V Boswell, Rinoo V Shah, Clifford R Everett, Nalini Sehgal, Ann Marie McKenzie Brown, Salahadin Abdi, Richard C Bowman, Timothy R Deer, Sukdeb Datta, James D Colson, William F Spillane, Howard S Smith, Linda F Lucas, Allen W Burton, Pradeep Chopra, Peter S Staats, Ronald A Wasserman, Laxmaiah Manchikanti
BACKGROUND: The lifetime prevalence of spinal pain has been reported as 54% to 80%, with as many as 60% of patients continuing to have chronic pain five years or longer after the initial episode. Spinal pain is associated with significant economic, societal, and health impact. Available evidence documents a wide degree of variance in the definition and the practice of interventional pain management. OBJECTIVE: To develop evidence-based clinical practice guidelines for interventional techniques in the management of chronic spinal pain, with utilization of all types of evidence, applying an evidence-based approach, with broad representation of specialists from academic and clinical practices...
January 2005: Pain Physician
https://www.readbyqxmd.com/read/16647591/complex-regional-pain-syndrome-manifestations-and-the-role-of-neurostimulation-in-its-management
#19
REVIEW
Michael Stanton-Hicks
The hallmark of complex regional pain syndrome (CRPS) is excruciating pain (aching, burning, pricking, or shooting). Diagnosis should be established as soon as possible, as response to treatment is adversely affected by any delay. Treatment of CRPS is aimed at improving function, using an interdisciplinary, time-dependent, patient-dependent approach that encompasses rehabilitation, psychological therapy, and pain management. If no response to conventional treatment (e.g., pharmacotherapy) is noted within 12-16 weeks, a more interventional technique such as spinal cord stimulation (SCS) should be used...
April 2006: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/15182879/chiropractic-and-geriatrics-a-review-of-the-training-role-and-scope-of-chiropractic-in-caring-for-aging-patients
#20
REVIEW
Lisa Zaynab Killinger
Chiropractors may be well-positioned to play an important role in health promotion, injury and disease prevention, and on geriatric care teams, due to their practice style and holistic philosophy. The bottom line in aging care is that someone in the health-care world must provide health promotion and preventive services to older patients before the wave of aged patients profoundly overwhelms our health-care system. Chiropractic services are safe and relatively low-cost, and patient satisfaction with them is very high...
May 2004: Clinics in Geriatric Medicine
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