Interventional Pain Medicine最新文献

{"title":"Qualitative and quantitative characteristics of the lumbar multifidi muscles: Comparison of the magnetic resonance imaging and musculoskeletal ultrasound","authors":"Michael Gofeld ,&nbsp;Aditya Bharatha","doi":"10.1016/j.inpm.2025.100547","DOIUrl":"10.1016/j.inpm.2025.100547","url":null,"abstract":"<div><h3>Background</h3><div>Paraspinal muscle pathology is often accompanied by skeletal abnormalities and is frequently associated with low back pain. While magnetic resonance imaging (MRI) can accurately assess muscle atrophy, the utility of musculoskeletal ultrasound remains under evaluation. A direct comparison between these imaging modalities has not been conducted.</div></div><div><h3>Objective</h3><div>To compare musculoskeletal ultrasound and MRI in evaluating fatty atrophy and cross-sectional area in patients with chronic low back pain and to assess their correlations with clinical symptoms.</div></div><div><h3>Methods</h3><div>The degree of fatty atrophy and cross-sectional area were measured using ultrasound at symptomatic and control levels in patients with chronic low back pain. A prone instability test was also performed. Ultrasound findings were compared with recent lumbar MRI results. Fatty atrophy was graded using the Kjaer system, and cross-sectional area was measured. Interobserver agreement and correlation with the available imaging were calculated.</div></div><div><h3>Results</h3><div>Strong agreement was observed with MRI for the degree of atrophy at the symptomatic level (weighted Kappa = 0.83), but only fair agreement at the control level. Cross-sectional measurements showed poor correlation between the imaging studies at both levels (Rho = 0.03–0.07). The prone instability test was negative for all participants.</div></div><div><h3>Conclusion</h3><div>Ultrasound reliably assesses fatty atrophy at symptomatic levels but is less accurate for circumferential measurements.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100547"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387831","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":"Peripheral superior cluneal nerve stimulation for intractable low back pain: Combined fluoroscopy and ultrasound technique, A case series","authors":"Nicolas M. Mas D Alessandro ,&nbsp;Faria Nisar ,&nbsp;Hesham Elsharkawy","doi":"10.1016/j.inpm.2025.100542","DOIUrl":"10.1016/j.inpm.2025.100542","url":null,"abstract":"<div><h3>Background</h3><div>Chronic low back pain (CLBP) is a common and debilitating condition often difficult to diagnose, with entrapment of the superior cluneal nerves (SCN) being a overlooked cause. Cluneal neuralgia (CN) arises from injury to the SCN and can significantly impact patients' quality of life.</div></div><div><h3>Objectives</h3><div>This case series aims to evaluate the effectiveness of the Micro Lead - SPRINT Peripheral Nerve Stimulation (PNS) System, (Cleveland, Ohio, USA) for treating cluneal neuralgia, utilizing both fluoroscopic and ultrasound guidance for accurate nerve localization.</div></div><div><h3>Methods</h3><div>A retrospective review was conducted on six nonconsecutive patients who underwent Micro Lead - SPRINT Peripheral Nerve Stimulation (PNS) System, (Cleveland, Ohio, USA) implantation for cluneal nerve entrapment at MetroHealth System between August 2021 and January 2024. Patient selection focused on individuals with cluneal neuralgia refractory to conservative treatments. Data collection included demographics, pain characteristics, opioid usage, and follow-up evaluations at 30, 60, 90 days, and 2 years post-procedure. Outcomes were assessed using the Numerical Rating Scale (NRS) for pain. Dividing the NRS score by the maximum score (10) and multiplying by 100 expresses pain intensity as a percentage.</div></div><div><h3>Results</h3><div>Among the six nonconsecutive patients (83 % female, mean age 60 years), the mean pain score prior to implantation was 7.1. At follow-up, five patients reported over 50 % improvement in pain and functional status. Three patients with prior opioid use had varying outcomes regarding opioid consumption post-procedure.</div></div><div><h3>Conclusion</h3><div>The Micro Lead - SPRINT Peripheral Nerve Stimulation (PNS) System, (Cleveland, Ohio, USA) demonstrates promise as an effective treatment for cluneal neuralgia, leading to reductions in pain and improvements in daily living activities. Further studies are warranted to validate these findings.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100542"},"PeriodicalIF":0.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143220265","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 novel single-lead percutaneous approach for multi-nerve peripheral stimulation in upper extremity pain: A case report","authors":"Ryan S. D'Souza ,&nbsp;Nasir Hussain","doi":"10.1016/j.inpm.2025.100546","DOIUrl":"10.1016/j.inpm.2025.100546","url":null,"abstract":"<div><div>Peripheral nerve stimulation (PNS) is an emerging modality for managing painful peripheral neuropathy, offering potential long-term relief when conservative treatments fall short. Conventionally, each PNS lead targets a single nerve, necessitating multiple leads in cases involving pain across multiple nerve distributions. This case report presents a novel approach using a single PNS lead to target multiple peripheral nerves in the upper extremity via an axillary brachial plexus approach. We describe a 47-year-old female with a three-year history of intractable neuropathic pain localized to the ulnar and median nerve distributions, who underwent a temporary PNS trial after failing conventional therapies, including physical therapy, medications, and corticosteroid injections. Under ultrasound guidance, a single PNS lead was placed at the brachial plexus, targeting both ulnar and median nerves. Optimal stimulation thresholds were achieved, and the patient reported 80–100% pain relief throughout the 60-day trial period, with sustained relief for six months post-lead removal. This approach leverages the anatomical proximity of the ulnar, median, and radial nerves at the axilla, enabling multi-nerve targeting with a single lead. The technique offers potential advantages, including reduced procedural complexity, fewer risks, and cost savings, especially in the current landscape of increasing insurance denials for neuromodulation procedures.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100546"},"PeriodicalIF":0.0,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133275","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":"While prediction of treatment outcome is possible on day 4, the technical epidural approach and steroid selection may make a difference","authors":"Bensu Tavelli,&nbsp;Merve Sekizkardes Tutuncu,&nbsp;Savas Sencan,&nbsp;Serdar Kokar,&nbsp;Osman Hakan Gunduz","doi":"10.1016/j.inpm.2025.100544","DOIUrl":"10.1016/j.inpm.2025.100544","url":null,"abstract":"","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100544"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133177","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 staged approach to treating chronic low back and radicular pain: Basivertebral nerve ablation in conjunction with surgical decompression: A case report","authors":"Joanna Faughender,&nbsp;Phillip Koehler,&nbsp;Paul Kitei,&nbsp;Victor Hsu,&nbsp;David Stolzenberg","doi":"10.1016/j.inpm.2025.100545","DOIUrl":"10.1016/j.inpm.2025.100545","url":null,"abstract":"<div><div>Low back pain is the leading cause of disability worldwide and the course of treatment patients and clinicians pursue to help alleviate it can be difficult at times. When conservative approaches fail, patients may ultimately require surgical intervention. In the presence of predominant axial back pain of discogenic and/or vertebrogenic origin without deformity or spinal instability, fusion surgery is less likely to reliably result in an optimal outcome for the patient. Literature is growing in support of vertebrogenic pain as a primary etiology of axial low back pain, with the degenerated vertebral endplates and their associated basivertebral nerve as a therapeutic target. Intraosseous basivertebral nerve ablation is a minimally invasive treatment for treating chronic, axial low back pain that is attributed to pathologically degenerated vertebral endplates that has been shown to significantly improve pain and overall function in patients. Furthermore, patients with predominantly axial low back pain with associated neuropathic lower extremity pain can benefit from a staged approach utilizing intraosseous basivertebral nerve ablation in conjunction with traditional decompressive surgery.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100545"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133274","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":"Practical tips for delivering high impact live virtual lectures in interventional pain medicine","authors":"David Hao M.D.,&nbsp;Ryan Dodge M.D.,&nbsp;Alexander Kuo M.D.,&nbsp;Keith Baker M.D, Ph.D,&nbsp;Daniel Saddawi-Konefka M.D., M.B.A","doi":"10.1016/j.inpm.2025.100543","DOIUrl":"10.1016/j.inpm.2025.100543","url":null,"abstract":"","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100543"},"PeriodicalIF":0.0,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133276","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":"Percutaneous pulsed radiofrequency treatment of the splanchnic nerves for chronic flank pain secondary to non-obstructive nephrolithiasis","authors":"Edward Kim,&nbsp;Ratan K. Banik","doi":"10.1016/j.inpm.2025.100541","DOIUrl":"10.1016/j.inpm.2025.100541","url":null,"abstract":"<div><div>Chronic benign flank pain of unknown etiology presents a significant challenge for pain physicians, especially when interventional treatment options are limited. We report the case of a 26-year-old male with a history of chronic left flank pain, recurrent non-obstructing nephrolithiasis, and a complex urologic background, who was referred to pain management after failing to find relief through previous urologic interventions. Despite the absence of new obstructing stones, the patient's pain persisted. Initial splanchnic nerve blocks using 0.25 % bupivacaine and dexamethasone provided temporary relief, leading to the decision to proceed with pulsed radiofrequency (RF) treatment of the left splanchnic nerves. Under fluoroscopic guidance, the pulsed RF procedure resulted in significant pain reduction, which lasted for four to six months. Over the course of four years, the procedure was repeated six times, providing sustained relief and allowing the patient to resume normal activities, including school and work. This case highlights the potential effectiveness of pulsed RF as a viable option for managing refractory chronic flank pain when other treatments have failed.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100541"},"PeriodicalIF":0.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082996","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":"Can chemical-induced aseptic meningitis cause intractable headache following intrathecal pump placement?","authors":"Baris Alten ,&nbsp;Frederic Reuther ,&nbsp;Courtney Gilbert ,&nbsp;David Hao","doi":"10.1016/j.inpm.2025.100540","DOIUrl":"10.1016/j.inpm.2025.100540","url":null,"abstract":"","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100540"},"PeriodicalIF":0.0,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070359","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":"Evaluating the effectiveness of genicular radiofrequency ablation for chronic knee pain using the patient-reported outcomes measurement information system (PROMIS) global health-physical health domain: Results of a cross-sectional cohort study","authors":"Todd K. Brown ,&nbsp;Marc A. Caragea ,&nbsp;Margaret Beckwith ,&nbsp;Amelia Ni ,&nbsp;Ling Chen ,&nbsp;Tyler Woodworth ,&nbsp;Michael Blatt ,&nbsp;Cole Cheney ,&nbsp;Daniel Carson ,&nbsp;Keith Kuo ,&nbsp;Dustin Randall ,&nbsp;Emily Y. Huang ,&nbsp;Andrea Carefoot ,&nbsp;Megan Mills ,&nbsp;Amanda N. Cooper ,&nbsp;Allison Glinka Przybysz ,&nbsp;Taylor Burnham ,&nbsp;Aaron M. Conger ,&nbsp;Zachary L. McCormick","doi":"10.1016/j.inpm.2024.100539","DOIUrl":"10.1016/j.inpm.2024.100539","url":null,"abstract":"<div><h3>Objective</h3><div>Evaluate the effectiveness of genicular nerve radiofrequency ablation (GNRFA) for chronic knee pain using the Patient-Reported Outcomes Measurement Information System Global Health, Physical Health score (PROMIS-GH-PH).</div></div><div><h3>Methods</h3><div>Patients who underwent GNRFA at a tertiary academic center were identified by CPT code query and contacted for consent. Demographic, clinical, and procedural characteristics were collected from the electronic medical record of participants with baseline PROMIS-GH-PH scores. Outcome data were collected by standardized telephone survey. Treatment success was defined as a ≥2.3-point improvement in PROMIS-GH-PH score (the minimal clinically important difference [MCID]). Predictor variables of PROMIS score change were evaluated using univariate and multivariate linear regression analyses.</div></div><div><h3>Results</h3><div>32 patients (65.6 % female; 63.7 ± 10.7 years of age) met eligibility criteria and consented to be included in the study. In this cohort, 56.3 % (18/32; 95 % CI: 37.7–73.6) of patients reported improvement ≥ MCID on PROMIS-GH-PH at a mean follow-up time of 21.5 ± 10.6 months. Linear regression analysis demonstrated that patients who never smoked and those with a Kellgren-Lawrence (KL) osteoarthritis grade of 4 had significantly greater PROMIS-GH-PH score improvements at follow-up compared to current or former smokers and patients with KL grades of 0–3, respectively.</div></div><div><h3>Conclusion</h3><div>In this real-world cross-sectional cohort study, over 56 % of participants experienced improvment ≥ MCID on PROMIS-GH-PH after undergoing GFRNA for chronic knee pain. Non-smoking status and radiographically severe osteoarthritis were associated with greater PROMIS-GH-PH score improvements from baseline.</div></div>","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100539"},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070377","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":"Artificial intelligence assisted virtual reality training module for Gasserian ganglion block","authors":"Oranicha Jumreornvong ,&nbsp;David Chang ,&nbsp;Gonzalo Povea Galdo ,&nbsp;Jason Yong ,&nbsp;Rohan Jotwani","doi":"10.1016/j.inpm.2024.100536","DOIUrl":"10.1016/j.inpm.2024.100536","url":null,"abstract":"","PeriodicalId":100727,"journal":{"name":"Interventional Pain Medicine","volume":"4 1","pages":"Article 100536"},"PeriodicalIF":0.0,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143049297","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}