Interventional Pain Medicine最新文献

{"title":"Intramuscular schwannoma presenting as treatment-resistant lumbar radiculopathy: Case report","authors":"Moshe Spatz ,&nbsp;Madison O'Donnell ,&nbsp;Amir Gamil ,&nbsp;Brett Gerstman","doi":"10.1016/j.inpm.2025.100560","DOIUrl":"10.1016/j.inpm.2025.100560","url":null,"abstract":"<div><div>Intramuscular schwannomas are rare tumors originating from Schwann cells in the peripheral nervous system. These tumors typically occur along small motor nerves deep within the muscle, presenting diagnostic challenges for clinicians due to their rarity and nonspecific symptoms. They can induce pain that is resistant to interventions, and surgical removal is often the only method that provides relief of symptoms. We present a case of a 65-year-old male with low back pain and concurrent right anterior thigh pain and paresthesia. Despite extensive evaluation by numerous specialists and thorough diagnostic testing, including spinal MRIs and electrodiagnostic studies, no clear diagnosis was initially established. His symptoms remained resistant to medical and interventional treatments. Ultimately, MRI imaging of the right thigh revealed a mass measuring approximately 2 cm in the vastus medialis. Following excision of the mass, the patient experienced immediate symptom relief. This case highlights the importance of maintaining a broad differential when evaluating low back pain with associated lower extremity symptoms. We aim to highlight the importance of recognizing this possibility of extra-spinal pain generators.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100560"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143547906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A scoping review of spinal cord stimulation for phantom limb pain","authors":"Stephen Jaffee ,&nbsp;Rhea Verma ,&nbsp;Mariam Vaezi ,&nbsp;Trent Kite ,&nbsp;Nestor Tomycz","doi":"10.1016/j.inpm.2025.100571","DOIUrl":"10.1016/j.inpm.2025.100571","url":null,"abstract":"<div><h3>Background</h3><div>Phantom limb pain (PLP) is a debilitating condition that affects individuals following limb amputation. While medical management with anticonvulsants and physical therapy is the first-line treatment, spinal cord stimulation (SCS) has emerged as an option for patients with persistent, refractory pain.</div></div><div><h3>Objectives</h3><div>This study aimed to evaluate the current literature on SCS for PLP, focusing on pain reduction and associated complications.</div></div><div><h3>Methods</h3><div>A systematic review was conducted on reports of adults (≥18 years) with phantom limb pain treated with spinal cord stimulation. Titles and abstracts were screened, followed by a full-text review based on predefined inclusion criteria. Extracted data included sample size, SCS lead placement, pain reduction, visual analog scale (VAS) and brief pain inventory (BPI) scores, and complications. Descriptive statistics were used for analysis.</div></div><div><h3>Results</h3><div>Five reports met inclusion criteria, comprising 33 patients. Of these, 18 % of patients achieved 90–100 % pain reduction, 15 % had ≥80 % reduction, 6 % had ≥60 % reduction, and 15 % experienced ≥50 % reduction. Post-SCS visual analog scores were reported in two studies; one study reported a mean 50 % reduction in visual analog scale scores (VAS), while another found a median brief pain inventory (BPI) reduction of 43.5 %. Complications across all 33 patients included wound infection (6 %), transient weakness (3 %), cerebrospinal fluid leak (3 %), allergic dermatitis (3 %), and electrode site cyst (3 %). Most patients (84.8 %) received epidural lead placement, while 15.2 % had subdural placement.</div></div><div><h3>Conclusions</h3><div>SCS may be effective in reducing pain in some PLP patients.However complications exist, with wound infection being the most common complication. The mechanism of action remains unclear, but PLP likely involves both central and peripheral pathology, which complicates treatment. Historically, SCS has shifted from subdural to epidural lead placement to minimize complications, with recent reports exploring dorsal root ganglion stimulation for more targeted pain relief. Spinal cord stimulation appears to provide meaningful pain reduction for patients with phantom limb pain, with a subset achieving near-complete relief. However, reported outcomes vary and complications remain a concern. Given the limited number of reports and small sample sizes, further research is needed to assess long-term efficacy and to minimize complications.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100571"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143601387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Allergic reaction to temporary percutaneous peripheral stimulation leads: A case report","authors":"Amir Soheil Tolebeyan,&nbsp;Kimberly Youngren","doi":"10.1016/j.inpm.2025.100562","DOIUrl":"10.1016/j.inpm.2025.100562","url":null,"abstract":"","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100562"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of thoracic medial branch radiofrequency neurotomy using a three-tined electrode: A single-arm, retrospective cohort study","authors":"Hasan Sen ,&nbsp;Amanda Cooper ,&nbsp;Andrew Stephens ,&nbsp;Brook Martin ,&nbsp;Robert S. Burnham ,&nbsp;Aaron Conger ,&nbsp;Zachary L. McCormick ,&nbsp;Taylor R. Burnham","doi":"10.1016/j.inpm.2025.100563","DOIUrl":"10.1016/j.inpm.2025.100563","url":null,"abstract":"<div><h3>Background</h3><div>Thoracic medial branch radiofrequency neurotomy (TMBRFN) is used to treat chronic thoracic facet joint pain, but research on its technique and effectiveness is still needed. The current International Pain and Spine Intervention Society Practice Guidelines do not describe a technique for TMBRFN.</div></div><div><h3>Objectives</h3><div>Evaluate the effectiveness of TMBRFN in patients with thoracic facet joint pain.</div></div><div><h3>Methods</h3><div>Single-arm, retrospective cohort study of consecutive patients from two Canadian musculoskeletal pain management clinics who underwent first-time TMBRFN between 2016 and 2022. The primary outcome was the proportion of patients with ≥50 % reduction in numerical rating scale (NRS) pain score at 3-months post-procedure. Secondary outcomes included the proportion of patients who achieved a ≥17-point reduction on the Pain Disability Quality-Of-Life Questionnaire-Spine (PDQQ-S) at 3-months, as well as mean patient-reported percentage pain relief and duration of relief after a successful index TMBRFN in individuals who reported a return of their index symptoms.</div></div><div><h3>Results</h3><div>18 consecutive patients (50.0 % male; mean age 60.9 ± 15.3 years; mean BMI 30.3 ± 6.9 kg/m²) were analyzed. At 3 months post-procedure, 10 patients (55.6 % [95%CI 33.7–75.4]) reported ≥50 % NRS pain reduction and 9 (50.0 % [95%CI 29.0–71.0]) reported ≥17-point PDQQ-S reduction. Of the 10 patients with successful treatment responses, 4 had a return of symptoms after an average of 9.3 ± 2.2 months with a reported retrospective mean percentage pain relief of 70.0 ± 34.6 %.</div></div><div><h3>Conclusion</h3><div>Within this cohort, approximately 60 % of patients experienced improvement in pain and disability at 3 months following TMBRFN. Among patients whose index symptoms returned after successful treatment, the average reported pain relief was 70 % for close to 9 months. Larger, prospective studies with long-term outcomes are needed to better elucidate the safety and effectiveness of TMBRFN.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100563"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial review of qualitative and quantitative characteristics of the lumbar multifidus muscles: Comparison of the magnetic resonance imaging and musculoskeletal ultrasound","authors":"Lynn Kohan","doi":"10.1016/j.inpm.2025.100555","DOIUrl":"10.1016/j.inpm.2025.100555","url":null,"abstract":"","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100555"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143577778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety practices for interventional pain procedures: Facet interventions","authors":"Stephan Klessinger ,&nbsp;Nathaniel Schuster ,&nbsp;John MacVicar ,&nbsp;David C. Miller ,&nbsp;Michael McKenna ,&nbsp;Yakov Vorobeychik ,&nbsp;Adrian Popescu ,&nbsp;Zachary L. McCormick ,&nbsp;Lisa Doan ,&nbsp;Johan Hambraues ,&nbsp;Patrick H. Waring ,&nbsp;Zirong Zhao ,&nbsp;Brian Boies ,&nbsp;Ameet Nagpal ,&nbsp;International Pain and Spine Intervention Society","doi":"10.1016/j.inpm.2025.100549","DOIUrl":"10.1016/j.inpm.2025.100549","url":null,"abstract":"","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100549"},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The phases of transition from fluoroscopy to ultrasound-guided pain medicine interventions","authors":"Swapnil Kumar Barasker ,&nbsp;Nisha Modi ,&nbsp;Anshul Agrawal","doi":"10.1016/j.inpm.2025.100554","DOIUrl":"10.1016/j.inpm.2025.100554","url":null,"abstract":"<div><div>Ultrasonography (USG)-guided interventions have transformed pain medicine by enhancing precision, efficacy, and safety through real-time anatomical visualization. Despite these advantages, mastering USG techniques presents a steep learning curve, especially for practitioners transitioning from fluoroscopy-guided methods. Adapting the Transtheoretical Model of Behavior Change, this commentary outlines a five-phase framework for transitioning to USG-guided pain medicine interventions: overcoming initial reluctance, addressing sonoanatomy challenges, improving probe stabilization, needle visualization, and achieving expertise. Each stage reflects progressive skill acquisition, highlighting structured training and mentorship as critical facilitators. This phased approach may accelerate learning and fosters proficiency, improving clinical outcomes in pain medicine interventionsinterventions.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100554"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing patient understanding of spine MRI reports using AI: A prospective single center study","authors":"Sebastian Encalada ,&nbsp;Sahil Gupta ,&nbsp;Christine Hunt ,&nbsp;Jason Eldrige ,&nbsp;John Evans II ,&nbsp;Johanna Mosquera-Moscoso ,&nbsp;Laura Furtado Pessoa de Mendonca ,&nbsp;Sharima Kanahan-Osman ,&nbsp;Sohail Bade ,&nbsp;Sahil Bade ,&nbsp;Lisbet Ivicic ,&nbsp;Stephanie Foskey ,&nbsp;Jason Lyles ,&nbsp;Juan Suarez ,&nbsp;Aaron Fisher ,&nbsp;Hamaad Khan ,&nbsp;Jeffrey A. Stone ,&nbsp;Mark Hurdle","doi":"10.1016/j.inpm.2025.100550","DOIUrl":"10.1016/j.inpm.2025.100550","url":null,"abstract":"<div><h3>Background</h3><div>Patient comprehension of spine MRI reports remains a significant challenge, potentially affecting healthcare engagement and outcomes. Artificial Intelligence (AI) may offer a solution for interpreting complex medical terminology into layman's terms language.</div></div><div><h3>Objective</h3><div>To evaluate the effectiveness of AI-based interpretation of spine MRI reports in improving patient comprehension and satisfaction.</div></div><div><h3>Methods</h3><div>A prospective, single-center survey study was conducted at a single institution's multidisciplinary pain and spine clinics from May 2024 to November 2024, enrolling 102 adult patients scheduled for spine MRI. Imaging reports were interpreted using a single AI-based Large Language Model (LLM) that is securely operated within the hospital's network, with interpretations independently reviewed by healthcare providers and research coordinators. A board-certified neuroradiologist evaluated the accuracy of AI interpretations using a standardized 5-point scale. We analyzed survey responses from participants who received both their original MRI reports and AI-interpreted versions, comparing comprehension, clarity, engagement, and satisfaction.</div></div><div><h3>Results</h3><div>Participants reported higher comprehension with AI-interpreted MRI reports versus original radiology reports (8.50 ± 1.91 vs 6.56 ± 2.42; P &lt; .001). AI interpretations received superior scores for clarity (8.57 ± 1.79 vs 6.96 ± 2.12; P &lt; .001), understanding of medical conditions (7.75 ± 2.18 vs 6.27 ± 2.28; P &lt; .001), and healthcare engagement (8.35 ± 2.00 vs 6.78 ± 2.48; P &lt; .001). Accuracy assessment showed that 82.4 % of AI interpretations achieved high-quality ratings (≥4) [95 % CI: 69.7%–90.4 %], while 92.2 % were rated acceptable (≥3). Most participants (54.0 %) assigned the highest possible recommendation scores to AI interpretation. No significant differences were found between age groups and gender.</div></div><div><h3>Conclusions</h3><div>AI-based interpretation of spine MRI reports significantly improved patient comprehension and satisfaction. Despite the promise of rapidly evolving AI-based technologies, a considerable percentage of AI interpretations were deemed to be inaccurate, warranting the need for further research.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100550"},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strategies for combining interventional and behavioral therapies in management of chronic low back pain: A scoping review","authors":"Jasmina Solankee ,&nbsp;Royce Sumayo ,&nbsp;Thiru M. Annaswamy","doi":"10.1016/j.inpm.2025.100551","DOIUrl":"10.1016/j.inpm.2025.100551","url":null,"abstract":"<div><h3>Background</h3><div>Common non-surgical treatment approaches for chronic low back pain (CLBP) include pharmacologic, interventional and behavioral therapies, but there is no consensus treatment approach. Despite studies that show the effectiveness of interventional and behavioral approaches individually and evidence-based recommendations for multimodal treatment approach, specific stacking and sequencing strategies used to combine both approaches haven't been studied.</div></div><div><h3>Objectives</h3><div>The objectives of this scoping review were to: 1) explore how interventional and behavioral approaches to CLBP treatment are stacked or sequenced; 2) evaluate the feasibility of utilizing interventional and behavioral treatments in an integrative manner, and 3) assess whether optimal combinations of interventional and behavioral approaches to CLBP treatment exist.</div></div><div><h3>Methods</h3><div>A literature search of indexed and gray literature was conducted for studies involving the combination of interventional and behavioral therapies for treatment of CLBP. 374 abstracts and 72 records of gray literature were independently screened followed by 60 that underwent full-text review.</div></div><div><h3>Results</h3><div>A total of three studies were included in this review, all of which found the integration of modalities to be feasible. Two studies that utilized non-conventional interventions found no significant treatment effect by combining modalities. One study demonstrated a non-significant additive effect of combining radiofrequency ablation with cognitive behavioral therapy.</div></div><div><h3>Conclusions</h3><div>Despite known individual benefits, there are limited studies exploring combined interventional and behavioral approaches to CLBP. Given the feasibility and the additive effects of combining interventions with behavioral therapy seen in the studies included this review, further exploration of this subject is needed to guide clinical practice.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100551"},"PeriodicalIF":0.0,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143421259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rare presentation of Pseudomonas aeruginosa meningitis following intrathecal pump replacement","authors":"Cyrus Ghaffari,&nbsp;Rajiv Reddy,&nbsp;Tim Furnish","doi":"10.1016/j.inpm.2025.100548","DOIUrl":"10.1016/j.inpm.2025.100548","url":null,"abstract":"","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100548"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143395453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}