Neuromodulation, Pain Medicine & Spine Medicine - Pain and Spine Community Session-Session Presentation

Video Transcription

Video Summary

The first video is a combined community session on chronic pain management. Dr. Isaac discusses the integration of mindfulness and pain psychology into chronic pain management, emphasizing the need to address cognitive and psychological factors alongside interventions and procedures. Dr. Kurz expands on the demand for integrative care and explains the basics of cognitive-behavioral therapy (CBT) and acceptance and commitment therapy (ACT) in pain management. She also discusses the role of yoga and meditation in pain management and the cost-effectiveness of mind-body interventions. The video concludes with the introduction of the FINDOR program, aimed at improving access to interdisciplinary care for chronic pain patients.<br /><br />The second video discusses the safety concerns surrounding the use of gadolin-based contrast agents (GBCAs) in the intrathecal space. While no complications were reported in outpatient procedures, case reports have documented adverse events after unintentional intrathecal injection of GBCAs. The video recommends using the lowest possible volume of GBCAs and aborting the procedure if intrathecal uptake is suspected. Alternatives to GBCAs are also mentioned. Further research is needed to fully understand the risks and benefits of using GBCAs in the intrathecal space.<br /><br />The third video examines the use of peripheral nerve stimulation (PNS) and spinal cord stimulation (SCS) for the treatment of axial low back pain. Dr. Garin presents cases where PNS was selected as the initial treatment option, focusing on its ability to target specific areas of pain. Dr. Adankar argues for SCS as the first choice, highlighting its extensive research and evidence supporting its safety and efficacy. The discussion emphasizes that both PNS and SCS have their place in treating axial low back pain, with the choice dependent on factors such as patient preference and underlying pathology. A personalized approach is encouraged to determine the most appropriate treatment for each patient.

Keywords

chronic pain management

mindfulness

cognitive factors

psychological factors

integrative care

cognitive-behavioral therapy

acceptance and commitment therapy

yoga

meditation

mind-body interventions

gadolin-based contrast agents

intrathecal space

safety concerns

peripheral nerve stimulation

spinal cord stimulation