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Neuromodulation Techniques for the Spine

Neuromodulation Techniques for the Spine
Author: Alaa Abd-Elsayed
Publisher: Elsevier Health Sciences
Total Pages: 251
Release: 2023-02-02
Genre: Medical
ISBN: 0323875858

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Neuromodulation Techniques for the Spine, a volume in the Atlas of Interventional Pain Management series, is a concise, practical guide that provides clinicians with detailed, step-by-step guidance on how to perform spinal nerve stimulation procedures for patients with chronic pain. This comprehensive, easy-to-follow guide offers expert coverage of how to deliver safe, accurate, and cost-effective pain relief to patients using all clinically useful imaging modalities, including ultrasound-guided techniques and fluoroscopy. With high-quality images and clear, authoritative guidance throughout, it shows exactly how to evaluate the causes of pain, identify the most promising stimulation technique, locate the site with precision, and deliver effective relief. Offers a comprehensive overview of the latest techniques used in spinal neuromodulation. Features clinically relevant anatomic drawings and radiologic images that provide step-by-step instruction on techniques. Provides clear guidance on the risks and benefits, as well as indications and contraindications, for each procedure. Covers key topics such as Spinal Cord Stimulation (percutaneous and paddle lead placements); Dorsal Root Ganglion; Dorsal Root Ganglion Implants; and Intrathecal Pump (implants, refills). Includes easy-to-follow, templated content on patient selection, preoperative prep, and post-operative care. Contains full-color line drawings, photographs, and ultrasound images that provide you with a firm grasp of the anatomy and equipment involved with each procedure. Highlights potential pitfalls for each technique and offers clinical pearls on how to avoid them.


Neuromodulation Techniques for Pain Treatment

Neuromodulation Techniques for Pain Treatment
Author: Tiago da Silva Freitas
Publisher: Springer Nature
Total Pages: 320
Release: 2021-11-22
Genre: Medical
ISBN: 3030847780

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Neuromodulation implants are currently one of the most successful techniques in the treatment of chronic pain, a condition that affects more and more patients each year, leading to reduced quality of life as well as economic losses. Neuromodulation implants for pain are a relatively new technique and are being increasingly used around the globe. However, technical training is not available for every implanter as there are relatively few centers in the world. Further, refresher courses for low-rate implanters are not available. This book fills that gap by offering an update on the best techniques currently used, providing a step-by-step guide on how to perform these procedures correctly. Based on the experiences of leading physicians in the field, it also discusses how to manage both major and minor complications. Lastly, it covers the neuromodulatory intervention techniques used to treat chronic pain in various clinical areas. As such it is a valuable resource for pain physicians as well as neurosurgeons, orthopedists and anesthetists.


Interventional and Neuromodulatory Techniques for Pain Management: Spinal injections and peripheral nerve blocks

Interventional and Neuromodulatory Techniques for Pain Management: Spinal injections and peripheral nerve blocks
Author:
Publisher:
Total Pages: 0
Release: 2012
Genre: Analgesia
ISBN:

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Neurostimulation for the Treatment of Chronic Pain - volume 1, in the new Interventional and Neuromodulatory Techniques for Pain Management series - presents state-of-the-art guidance on the full range of neuromodulation techniques performed today. Salim Hayek, MD, PhD and Robert Levy, MD, PhD offer expert advice on a variety of spinal cord, peripheral nerve, and peripheral nerve field stimulation procedures to treat chronic pain. Comprehensive, evidence-based coverage on selecting and performing these techniques - as well as weighing relative risks and complications - helps you ensure optimum outcomes. Improve patient safety and minimize risks with evidence-based, step-by-step guidance for interventional and neuromodulatory techniques. Intrathecal Drug Delivery for Pain and Spasticity - volume 2, in the new Interventional and Neuromodulatory Techniques for Pain Management series - presents state-of-the-art guidance on the full range of intrathecal drug delivery techniques performed today. Asokumar Buvanendran, MD and Sudhir Diwan, MD, offer expert advice on a variety of procedures to treat chronic non-malignant pain, cancer pain, and spasticity. Comprehensive, evidence-based coverage on selecting and performing these techniques - as well as weighing relative risks and complications - helps you ensure optimum outcomes. Series USP: Improve patient safety and minimize risks with evidence-based, step-by-step guidance for interventional and neuromodulatory techniques. Diagnosis, Management, and Treatment of Discogenic Pain - volume 3, in the new Interventional and Neuromodulatory Techniques for Pain Management series - presents state-of-the-art guidance on the full range of discogenic pain relief techniques performed today. Leonardo Kapural, MD and Philip Kim, MD offer expert advice on a variety of procedures to manage and treat discogenic pain. Comprehensive, evidence-based coverage on selecting and performing these techniques -as well as weighing relative risks and complications - helps you ensure optimum outcomes. Improve patient safety and minimize risks with evidence-based, step-by-step guidance for interventional and neuromodulatory techniques. Spinal Injections & Peripheral Nerve Blocks - volume 4, in the new Interventional and Neuromodulatory Techniques for Pain Management series - presents state-of-the-art guidance on when and why these procedures should be performed, the mechanisms of action on pain, and current guidelines for practice. Honorio Benzon, MD; Marc Huntoon, MD; and Samer Nauroze, MD offer expert advice and scientific evidence supporting the use of spinal injections and sympathetic nerve blocks. Comprehensive, evidence-based coverage on selecting and performing these techniques - as well as weighing relative risks and complications - helps you ensure optimum outcomes. Improve patient safety and minimize risks with evidence-based, step-by-step guidance for interventional and neuromodulatory techniques. Reducing Risks and Complications of Interventional Pain Procedures - volume 5, in the new Interventional and Neuromodulatory Techniques for Pain Management series - presents state-of-the-art guidance on avoiding pitfalls and optimizing outcomes. Matthew Ranson, MD, Jason Pope, MD, and Timothy Deer, MD offer comprehensive, evidence-based advice on selecting and performing these techniques - as well as weighing relative risks and complications. Understand the rationale and scientific evidence for choosing the most effective drugs and techniques. Optimize outcomes, reduce complications, and minimize risks by adhering to current, evidence-based practice guidelines. Apply the newest techniques and latest knowledge in neuromodulation. Quickly find the information you need in a user-friendly format with strictly templated chapters supplemented with illustrative line drawings, images, and treatment algorithms


Novel Techniques for Neuromodulation and Neural Signal Analysis

Novel Techniques for Neuromodulation and Neural Signal Analysis
Author: Yushan Wang
Publisher:
Total Pages: 198
Release: 2022
Genre:
ISBN:

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Neuromodulation, targeting either the central nervous system or peripheral nervous system, is a viable therapy for many diseases, particularly for patients who are refractory to traditional treatments. The first part of this thesis aims to develop the non-invasive neuromodulation technique targeting the central nervous system, specifically the brain with transcranial direct current stimulation (tDCS). Compared to the conventional tDCS which uses two large pad electrodes, high-density tDCS has recently received more attention. With the high-density electrode system, it is able to achieve better stimulation performance in terms of stimulation intensity and focality. To further improve the performance of this promising technique, we characterize the performance with respect to the electrode factor for the high-density tDCS system. In addition, we have developed an optimization algorithm, Stimulation with Balanced Focality and Intensity (SBFI), to guide the high-density system, which provides effective and focal stimulation. The robustness of the computational model with standard tissue conductivity is also evaluated. The proposed technique can be applied to transcutaneous spinal cord stimulation (tSCS). The second part aims to develop the electrical modulation technique targeting the peripheral nervous system, specifically one of the second brain organs - colon. Electrical stimulation has been demonstrated as an alternative approach to alleviate intractable colonic motor disorders. However, knowledge of optimal electrical stimulation modalities and regional specific functional effects of colonic neuromodulation is lacking. We have investigated the regional colonic motility in response to different electrical stimulation modalities. In addition, we have developed a novel and efficient technique employing bio-impedance characterization to monitor colonic motor activity.


Brain and Human Body Modeling 2020

Brain and Human Body Modeling 2020
Author: Sergey N. Makarov
Publisher: Springer Nature
Total Pages: 395
Release: 2021
Genre: Biomedical engineering
ISBN: 3030456234

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The 41st Annual International Conference of the IEEE EMBS, took place between July 23 and 27, 2019, in Berlin, Germany. The focus was on "Biomedical engineering ranging from wellness to intensive care." This conference provided an opportunity for researchers from academia and industry to discuss a variety of topics relevant to EMBS and hosted the 4th Annual Invited Session on Computational Human Models. At this session, a bevy of research related to the development of human phantoms was presented, together with a substantial variety of practical applications explored through simulation.


Neuromodulation

Neuromodulation
Author: Elliot Krames
Publisher: Academic Press
Total Pages: 1828
Release: 2018-01-05
Genre: Science
ISBN: 0128093021

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Neuromodulation: Comprehensive Textbook of Principles, Technologies, and Therapies, Second Edition, serves as a comprehensive and in-depth reference textbook covering all aspects of the rapidly growing field of neuromodulation. Since the publication of the first edition seven years ago, there has been an explosion of knowledge in neuromodulation, optogenetics, bioelectronics medicine and brain computer interfacing. Users will find unique discussions of the fundamental principles of neuromodulation and therapies, and how they are applied to the brain, spinal cord, peripheral nerves, autonomic nerves and various organs. The book focuses on comprehensive coverage of spinal cord stimulation, non-interventional and interventional brain stimulation, peripheral nerve stimulation, and the emerging fields of neuromodulation, including optogenetics and bioelectronics medicine. Provides a comprehensive reference that covers all aspects of the growing field of neuromodulation Written by international, leading authorities in their respective fields of neuromodulation, pain management, functional neurosurgery and biomedical engineering Includes new chapters on optogenetics, bioelectronics medicine and brain computer interfacing


Functional Neurosurgery and Neuromodulation

Functional Neurosurgery and Neuromodulation
Author: Kim J Burchiel
Publisher: Elsevier Health Sciences
Total Pages: 400
Release: 2018-05-30
Genre: Medical
ISBN: 0323496105

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Offers expert guidance on functional neurosurgery and neuromodulation, lists of requirements, and the instruments needed to perform these procedures. Answers practical questions such as "What do I need when performing a thermal procedure?", "What do I need to bear in mind when assembling a device?", and "What do I need to remember with regards to voltages, electrodes, percutaneous leads, RF generators, imaging, and micro instruments?" Consolidates today’s available information and guidance in this timely area into one convenient resource. Functional Neurosurgery and Neuromodulation provides comprehensive coverage of this emerging, minimally invasive area of health care. Recent advances in these areas have proven effective for pain relief, memory loss, addiction, and much more. This practical resource by Drs. Kim J. Burchiel and Ahmed Raslan brings you up to date with what’s new in the field and how it can benefit your patients.


Investigation of Transcutaneous Neuromodulation Techniques and Development of a Wearable Device for Control of the Bladder Following Spinal Cord Injury

Investigation of Transcutaneous Neuromodulation Techniques and Development of a Wearable Device for Control of the Bladder Following Spinal Cord Injury
Author: Sean Patrick Doherty
Publisher:
Total Pages: 0
Release: 2019
Genre:
ISBN:

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Spinal Cord Injury (SCI) causes unwanted and uncontrolled bladder contractions (NDO). Urological management goals are to protect the upper urinary tract and eliminate incontinence. Neuromodulation is a potential treatment that may accomplish this using transcutaneous electrical stimulation. Surface stimulation of the Dorsal Genital Nerve (DGNS), Tibial Nerve (TNS), Sacral Nerves (SNS) and Spinal Cord (SS) was studied in two experiments. Five participants with no SCI received stimulation at each site and anal sphincter EMG was recorded. In 4/5 DGNS evoked a reflex response, in 2/5 SNS evoked a short latency response and in 2/5 a reflex response to TNS was recorded at 1.5 x and 1.8 x the latency of participants DGNS responses. Seven participants with SCI and NDO trialled stimulation of the four sites during cystometry. Only DGNS significantly (p=0.016) increased bladder capacity by 153±146 ml and suppressed 2 ±2 detrusor contractions. Maximum Detrusor Pressure was significantly increased by TNS only, by 10±13 cmH₂O. DGNS, TNS and SNS all significantly increased to volume from first detrusor contraction to the maximum capacity. To assess existing bladder sensation, 313 urodynamic records were analysed. 77% were found to have preserved sensation, including 45% of those with complete injuries. Of those with supra-sacral SCI, 75% reported sensation, of whom approximately 86% could replicate this during urodynamic investigation. Five participants trialled DGNS during Ambulatory Urodynamic Monitoring (AUM) and over a week at home. During AUM, self-triggered simulation was used in 4/5 and both intermittent and continuous stimulation was trialled in 1/5. DGNS significantly increased bladder capacity (p=0.008), decreased MDP (p=0.016) and decreased average peak detrusor pressure (p=0.016) from baseline. Void volumes recorded in a bladder diary did not change significantly (p=0.250), nor did ICIQ scores. All participants continued existing antimuscarinic regimes, therefore improvements were in addition to existing medication.


Neuromodulation

Neuromodulation
Author:
Publisher: Academic Press
Total Pages: 1089
Release: 2009-05-05
Genre: Science
ISBN: 0080921396

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Neuromodulation will be the first comprehensive and in-depth reference textbook covering all aspects of the rapidly growing field of neuromodulation. This book provides a complete discussion of the fundamental principles of neuromodulation and therapies applied to the brain, spinal cord, peripheral nerves, autonomic nerves and various organs. The textbook is highly structured and organized into overarching sections that cover chronic pain, movement disorders, psychiatric disorders, epilepsy, functional electrical stimulation, cardiac, gastrointestinal, genitourinary and organ neuromodulation. The fundamental principles of electricity and infusion, neural tissue interface, biomedical engineering, neuromodulation devices, basic science, neuroanatomy, neurophysiology, imaging and mechanisms are emphasized. In addition to providing details pertaining to the state-of-the-art current practice, innovative and emerging applications are discussed in specific chapters. Finally, the textbook provides specific chapters focusing on the technical aspects of the various neuromodulation procedures as well as technical specifications of various implantable devices. All of the contributors to Neuromodulation represent leading experts in the field. The editors are internationally renowned in their respective fields of neuromodulation, pain management, functional neurosurgery and biomedical engineering. Neuromodulation will be the first and foremost authoritative text on neuromodulation therapies and will establish the gold standard that defines the field for years to come. Key Features The first comprehensive reference on the emerging field of Neuromodulation Editors and authors include all leading figures in the field, and the leaders of the International Neuromodulation Society Over 90 chapters on topics ranging from a layout of the fundamentals (e.g. neuroanatomy, plasticity, bioelectrical effects, infusion therapies), solutions for the biomedical engineering challenges (e.g. materials, how to preserve normal function etc.), to a rundown of the existing applications and their future promise Over 1200 pages in splendid full color, richly illustrated Important areas of application include: control of chronic pain delivery of drugs to the nervous system via implanted devices control of epilepsy, Parkinson, etc. functional restoration, e.g. visual, auditory, restoration after stroke, restoration of motor function after traumatic events stimulation of body organs via neural devices (incl. the heart, abdominal organs, genitourinary organs) overview over newly emerging fields - control of obesity, blood pressure, tinnitus, brain injury, neurodegenerative diseases, brain-machine interfaces


Neuropathic Pain

Neuropathic Pain
Author: Cory Toth
Publisher: Cambridge University Press
Total Pages: 385
Release: 2013-11-07
Genre: Medical
ISBN: 1107470439

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Central or peripheral neuropathic pain can be caused by a wide range of injuries, infections and diseases such as: spinal cord injury, multiple sclerosis, stroke, herpes zoster, diabetes and cancer. Many of these pain syndromes are difficult to treat, representing a challenge for many neurologists not routinely trained in pain management. Written by an international team of experts in the field, Neuropathic Pain: Causes, Management and Understanding gives readers an in-depth understanding of the multitude of conditions causing neuropathic pain. Epidemiology, clinical diagnosis, pathophysiology, outcome measurement and the best evidence-based management of individual and general neuropathic pain conditions are also described in depth. A unique chapter, written from a patient's viewpoint, gives new insight into how chronic neuropathic pain affects the lives of those patients with the condition. This book is essential reading for all pain specialists, neurologists, psychiatrists and anesthesiologists who wish to better understand their patients' neuropathic pain.