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conferenceseries
.com
Volume 6, Issue 5 (Suppl)
J Pain Relief, an open access journal
ISSN: 2167-0846
Pain Management 2017
October 05-06, 2017
5
th
International Conference and Exhibition on
October 05-06, 2017 London, UK
Pain Research And Management
Spine Center - An evolving paradigm in comprehensive treatment of spinally mediated pain
Hazmer Cassim
1,2
1
Eisenhower Medical Center, USA
2
Desert Orthopedic Center, USA
Introduction:
The treatment of chronic pain has changed from opioids alone, to a multidisciplinary comprehensive treatment
program. Isolated physicians and surgeons treating spinal pain without communicating with each other led to suboptimal
outcomes for patients. Eisenhower Medical Center in RanchoMirage California, has created a Spine Center with surgeons, pain
physicians, physical therapists and pain psychologists working together to create a customized plan for individuals suffering
in pain. The communication between the spine surgeon and the interventional pain physician, has provided the missing link
in improving both surgical as well as interventional procedure outcomes. Fluoroscopic guided interventions performed at the
direction of a spine surgeon, provides diagnostic value leading to better outcomes from surgery.
Methods:
Retrospective analysis was conducted on 30 patient charts. Fifteen patients had surgery without interventional
therapy. Interventional therapy defined as epidural steroid injection or facet based injections performed under fluoroscopic
guidance. The other 15 patients had surgical treatment with interventional therapy directed by the surgeon for diagnostic
purposes.
Discussion:
Treating spinal pain continues to be a challenge due to the multiple potential pain generators that can create
similar symptoms in an individual. If surgical treatment is considered, advanced imaging, MRI or CT and clinical exam are
no longer sufficient to isolate the primary pain generator. Fluoroscopically guided interventional procedures can differentiate
between individual neuroforamen that can be responsible for the patient's symptoms.
Conclusion:
Spine Center is an optimal model to treat patients with spinally mediated pain. By creating an environment of
discussion between many different specialties - a Spine Center facilitates a better understanding of patients symptoms, disease
etiology and outcome.
Biography
Hazmer Cassim is currently a Chair at the Eisenhower Medical Center, USA. He is also the Director of Desert Orthopedic Center of California in USA.
hazmercassim@gmail.comHazmer Cassim, J Pain Relief 2017, 6:5(Suppl)
DOI: 10.4172/2167-0846-C1-014