Medications Used for the Treatment of Back Pain
1. Calculate total mg dose taken in past 24-h. 2. Determine equi-analgesic dose (table). 3. If pain is controlled on current opioid, reduce the new opioid daily dose by 30–50…
Role of Spinal Surgery in Pain Management
© Springer International Publishing Switzerland 2016Steven M. Falowski and Jason E. Pope (eds.)Integrating Pain Treatment into Your Spine Practice10.1007/978-3-319-27796-7_2 2. Role of Spinal Surgery in Pain Management George M. Ghobrial1 , Alexander Vaccaro2 and James S. Harrop3 (1) Department of Neurological…
Epidural Paddle Placement for Spinal Cord Stimulation
Fig. 15.1 Intraoperative fluoroscopic image showing a thoracic multi column paddle electrode covering the entire vertebral body of T9 with some coverage over the T8/T9 disc space Lead migration and…
Intrathecal Therapy for Chronic Spine Pain
Starting dose Maximum daily dose Maximum concentration () Morphine 0.1–0.5 mg/day 15 mg 20 mg/mL Hydromorphone 0.02–0.5 mg/day 10 mg 15 mg/mL Fentanyl 25–75 mcg/day No known upper limit…
Coding and Reimbursement for Spinal Cord Stimulation
Fig. 10.1 Site of service fee schedule [1] Once a service is rendered, diagnosis codes (ICD-9 or ICD-10) and procedure codes (CPT) are assigned, and the claim is sent to…
Integration of Specialties
© Springer International Publishing Switzerland 2016Steven M. Falowski and Jason E. Pope (eds.)Integrating Pain Treatment into Your Spine Practice10.1007/978-3-319-27796-7_9 9. Integration of Specialties Steven M. Falowski1 (1) Neurosurgery, St. Luke’s University Health Network, 701 Ostrum St, Suite…
Failed Back Surgery Syndrome
Fig. 3.1 Major contributing factors of failed back surgery syndrome Patient Selection and Preoperative Factors Patient selection for the original spine surgery is of the utmost importance in preventing FBSS….
Practice Setup
© Springer International Publishing Switzerland 2016Steven M. Falowski and Jason E. Pope (eds.)Integrating Pain Treatment into Your Spine Practice10.1007/978-3-319-27796-7_7 7. Practice Setup Steven M. Falowski1 (1) Neurosurgery, St. Luke’s University Health Network, 701 Ostrum St, Suite 302,…
Identification of the Pain Patient
Pain Numeric Pain Rating Scale (NPRS) Brief Pain Inventory (BPI) Pain Disability Index (PDI) McGill Pain Questionnaire Visual Analogue Scale (VAS) Physical function Owestry Disability Index (ODI) Roland Morris Disability…
Considerations for Neuromodulation
Medication Recommendation Non-aspirin NSAIDs (excluding celecoxib) Discontinue 5 half-lives prior to procedure. Restart 2 h after procedure ASA, ASA combinations for primary prophylaxis Discontinue 6 days prior to procedure. Restart…
