Advancing the Chronic Low Back Pain (CLBP) Interventional Pain Treatment Algorithm: A Panel Discussion-Advancing the Chronic Low Back Pain (CLBP) Interventional Pain Treatment Algorithm: A Panel Discussion

Video Transcription

Video Summary

In the video, several therapies for chronic low back pain are discussed, including peripheral nerve stimulation, basal vertebral nerve ablation, percutaneous sacroiliac joint fusion, and radiofrequency ablation. Peripheral nerve stimulation provides long-term relief for low back pain by placing leads on peripheral nerves to deliver electrical stimulation. Basal vertebral nerve ablation targets the nerves in the vertebrae for relief of discogenic and vertebrogenic back pain. Percutaneous sacroiliac joint fusion stabilizes the SI joint to address dysfunction and provide lasting relief. Radiofrequency ablation is mentioned as a treatment option, but its effectiveness may not be as long-lasting. The overall goal of these therapies is to offer more effective and durable relief for chronic low back pain.<br /><br />In the panel discussion, various techniques, procedures, and devices for treating chronic low back pain are discussed. The use of radiofrequency ablation for facet joint pain is mentioned, along with the importance of proper patient selection. Sacroiliac joint fusion is also discussed, along with the limitations and challenges associated with the procedure. The panelists agree on the need for more trials and data to evaluate the effectiveness and outcomes of these procedures. Interlaminar fusions are also touched upon, with different techniques and devices being mentioned, as well as considerations for patient selection. Spinal cord stimulation is highlighted as a treatment for low back pain, with newer waveforms being effective and the importance of individualized patient selection emphasized. The panel stresses the significance of choosing the right therapy for each patient and the importance of collaboration between interventional pain physicians and spine surgeons. Managing patients with complex pain, psychological evaluation, and lifestyle modification are also briefly discussed.<br /><br />Unfortunately, no credits for the video are mentioned in the provided summary.

Keywords

chronic low back pain

therapies

peripheral nerve stimulation

basal vertebral nerve ablation

percutaneous sacroiliac joint fusion

radiofrequency ablation

long-term relief

discogenic back pain

SI joint dysfunction

facet joint pain

interlaminar fusions

spinal cord stimulation