The Future of Pain Medicine-where Are We Headed?-The Future of Pain Medicine-Where Are We Headed?

Video Transcription

Video Summary

The video discussed the future of pain medicine, including the shift towards percutaneous surgical procedures and the need for research on their efficacy. The speaker also talked about the 10X device, used for percutaneous tenotomies, and its positive results in studies on adhesive capsulitis and trochanteric pain syndrome. The advancements in neuromodulation for chronic pain conditions were also highlighted, particularly the benefits of burst stimulation in activating different pathways and providing higher levels of pain relief. The importance of customized care and exploring novel waveforms in neuromodulation was emphasized. <br /><br />Another section of the video focused on spinal cord stimulation techniques, specifically spatial targeting and the use of low frequency sub-perception waveforms. The speaker mentioned ultra-high frequency at 10 kilohertz as a waveform that targets specific neural pathways and reduces pain. Glial cell activation was discussed as a potential target for neuromodulation in chronic pain conditions. Different waveforms and technologies, such as burst waveform and differential target multiplex programming, were mentioned, with studies showing their superiority over traditional spinal cord stimulation in providing pain relief. The importance of closed loop systems that adjust stimulation based on changes in electrical field strength was also noted. <br /><br />Treatment options for spinal stenosis and sacroiliitis, including percutaneous image-guided lumbar decompression and inter-spinous spacers, were briefly mentioned but with caution regarding the lack of robust evidence. The various dimensions of pain, including cognitive, motivational, and affective components, were discussed, and the potential for tailored waveforms to address these aspects was highlighted. Evidence-based practice and long-term outcomes were emphasized throughout the video. <br /><br />Overall, the video covered the future of pain medicine, percutaneous surgical procedures, the 10X device, neuromodulation advancements, spinal cord stimulation techniques, treatment options, dimensions of pain, tailored waveforms, and the importance of evidence-based practice.

Keywords

future of pain medicine

percutaneous surgical procedures

10X device

neuromodulation advancements

burst stimulation

spinal cord stimulation techniques

low frequency sub-perception waveforms

ultra-high frequency

glial cell activation

tailored waveforms

evidence-based practice