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ADVANCED COURSE: CLINICAL & BASIC SCIENCE FOR THE MANAGEMENT OF THE CHRONIC PAIN PATIENT: NEUROSTIMULATION-COURSE XIV November 30th- December 1st, 2018 Barcelona, Spain

TARGET AUDIENCE

This advanced course is designed for pain practicioners (pain specialists, anesthesiologists, neurosurgeons) utilizing invasive techniques for pain management.
Physicians attending the course should have at least 2 years of practice with ongoing use of neuromodulation techniques in the treatment of chronic pain patients.

OBJECTIVES

After participation in this educational meeting, participants should have an understanding of:

  1. Basic neuroanatomy related with the performance of pain therapies.
  2. Clinical evidence regarding new and evolving treatments for the treatment of pain.
  3. Current imaging and electrophysiological technologies relevant for performing diagnosis and performing the invasive tecniques for pain treatment.
  4. Common clinical problems in chronic pain and current recommendations for the evaluation and management of these pain conditions.
  5. Evidence-Based treatments in pain medicine.
  6. Identify questions that need to be addressed to increase knowledge of neuromodulation techniques use in pain treatment.
  7. How to design the Pain studies for obtaining better the evidence.

TOPICS OF THE COURSE

BASIC SCIENCE

ANATOMY FOR PAIN CLINICIANS

  • Anatomy for Craneal and cervical procedures.
  • Applied Anatomy for spinal cord neuromodulation.

IMAGING TECHNIQUES FOR PAIN CLINICIANS

SAFETY AND SETTINGS FOR BETTER X-RAY IMAGES

  1. What do you need to know ABOUT your machine?
  2. How to use correctly-safety procedures
  3. Which Carm must I buy for doing my practice
MRI and CT-Scan (modalities).How to make the best selection for the intended diagnosis

NEUROPHYSIOLOGY FOR CHRONIC PAIN CLINICIANS

How to make the best selection for the intended diagnosis.
  1. Conventional nerve conduction and electromyography.
  2. Brainstem and spinal cord reflex studies.
  3. Autonomic nervous system functions.

Neurophysiological mechanisms of Spinal Cord Stimulation.
Quantitative sensory testing as evaluation tool of patient with neuropathic pain candidate for Neurostimulation therapy. Is the QST an alternative for long term follow up?
Cortical stimulation for pain control. From anecdote to evidence via functional imaging How to make the best selection for the intended diagnosis.

CADAVER. HANDS-ON DEMOSTRATION

  • Neuromodulation PNS Cadaver Station
  • Cadaver 1 supine supratroclear and supraorbital
    Cadaver 2 Prone Occipital
  • Percutaneous MRI compatible lead and anchoring systems
  • CADAVER (1) Prone Trunk-Neck
  • Retrograde stimulation transforaminal, sacral perineal stimulation
  • CADAVER (1) PRONE Trunk with Pelvis
    Techniques retrograde –trans Foraminal
  • Neuromodulation Abdominal pain
  • Cadaver StationCADAVER (1) Prone Trunk-Neck
  • Ultrasonography Station
  • MODEL (2)
  • Technical Station
  • Devices and programming

CLINICAL SCIENCE
TECHNICAL SECTION

  • Ways to improve effectiveness of Spinal Cord Stimulation: new SCS algorithms; modulation of stimulation parameters; different leads; adjunt pharmacotherapy
  • Guidelines for reducing complications in neurostimulation practice

DISEASE SPECIFIC PAIN ASSESSMENT AND MANAGEMENT:

  • Head and cervical neuromodulation, current indications and modalities
  • Failed back surgery syndrome. Current neuromodulation management
  • Spinal cord stimulation on peripheral blood flow and ischemia-reperfusion animal model
  • Neuromodulation of thoracic visceroreceptive transmission. The heart as a target
  • Abdominal Pain using neuromodulation techniques
  • Retrograde aproach for treating radicular and Perineal Pain
  • Chronic Regional Pain Syndromes

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