- Pain Management and Treatment
- Anesthesia and Pain Management
- Musculoskeletal pain and rehabilitation
- Spine and Intervertebral Disc Pathology
- Pain Mechanisms and Treatments
- Pain Management and Opioid Use
- Myofascial pain diagnosis and treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Pain Management and Placebo Effect
- Anesthesia and Sedative Agents
- Nausea and vomiting management
- Veterinary Pharmacology and Anesthesia
- Nerve Injury and Rehabilitation
- Cancer Treatment and Pharmacology
- Botulinum Toxin and Related Neurological Disorders
- Treatment of Major Depression
- Spinal Fractures and Fixation Techniques
- Male Reproductive Health Studies
- Spinal Hematomas and Complications
- Sympathectomy and Hyperhidrosis Treatments
- Laser Applications in Dentistry and Medicine
- Transcranial Magnetic Stimulation Studies
- Innovations in Medical Education
- Migraine and Headache Studies
- Reproductive Health and Technologies
Rush University Medical Center
2012-2025
University of Colorado Denver
2022
Pain Relief Foundation
2012
West Virginia University
2012
Mayo Clinic in Florida
2012
McGill University
2012
Harvard University
2012
Vanderbilt University Medical Center
2012
University of Washington
2012
Rush University
1988-2010
Current IASP diagnostic criteria for CRPS have low specificity, potentially leading to overdiagnosis. This validation study compared current proposed new (the "Budapest Criteria") regarding accuracy. Structured evaluations of CRPS-related signs and symptoms were conducted in 113 CRPS-I 47 non-CRPS neuropathic pain patients. Discriminating between groups based on presence or meeting showed high sensitivity (1.00), but poor specificity (0.41), replicating prior work. In comparison, the...
Controlling postoperative pain after knee replacement while reducing opioid-induced adverse effects and improving outcomes remains an important challenge.To assess the effect of combined preoperative administration a selective inhibitor cyclooxygenase 2 on opioid consumption total arthroplasty (TKA).Randomized, placebo-controlled, double-blind trial conducted June 2001 through September 2002, enrolling 70 patients aged 40 to 77 years undergoing TKA at university hospital in United...
Abstract: The goal of treatment in patients with complex regional pain syndrome (CRPS) is to improve function, relieve pain, and achieve remission. Current guidelines recommend interdisciplinary management, emphasizing 3 core elements: rehabilitation, psychological therapy. Although the best therapeutic regimen or ideal progression through these modalities has not yet been established, increasing evidence suggests that some cases are refractory conservative measures require flexible...
Abstract Complex regional pain syndrome (CRPS), formerly known as reflex sympathetic dystrophy is a with an unclear pathophysiology and unpredictable clinical course. The disease often therapy resistant, the natural course not always favorable. diagnosis of CRPS based on signs symptoms derived from medical history physical examination. Pharmacological management rehabilitation limb function are main pillars should be started early possible. If, however, there no improvement persistent severe...
The clinical diagnosis of Complex Regional Pain Syndrome (CRPS) is a dichotomous (yes/no) categorization necessary for decision-making. However, such diagnostic categories do not convey an individual's subtle and temporal gradations in severity the condition, have poor statistical power when used as outcome measure research. This study evaluated validity potential utility continuous type score to index CRPS. Psychometric medical evaluations were conducted 114 CRPS patients 41 non-CRPS...
Introduction: Research suggests that sacroiliac joint (SIJ) dysfunction is responsible for 15% to 30% of reported low back pain cases. Recently, there has been an increasing interest in SIJ fusion using minimally invasive surgery (MIS) due safety. Initially, devices designed MIS were intended lateral approaches. A implant use with a posterior approach developed and regulated clinical under the regulatory framework required human cells, tissues, or cellular tissue-based products (HCT/Ps)....
Twenty-one hundred eighty two consecutive lumbar epidural injections were studied to determine the incidence of inadvertent subdural block retrospectively. A is defined as an extensive neural in absence subarachnoid puncture, that out proportion theamount local anesthetic injected. Subdural injection a complicationof probably occurs more frequently than previously recognized. An earlier report has estimated blockto be 0.1%. This study, however, reports 0.82% from sample size 2182 patients....
Abstract Background Lumbar spinal stenosis ( LSS ) can lead to compression of neural elements and manifest as low back leg pain. has traditionally been treated with a variety conservative (pain medications, physical therapy, epidural injections) invasive (surgical decompression) options. Recently, several minimally procedures have expanded the treatment Methods The Spinal Stenosis Consensus Group convened evaluate peer‐reviewed literature basis for making spine MIST recommendations. Eleven...
Objectives: To examine the validity of several thermogram-derived indices autonomic functioning in diagnosis reflex sympathetic dystrophy (RSD). Design: A series chronic pain patients were classified diagnostically based on thermogram results using discriminant function analysis, and measures (e.g., sensitivity, specificity) used to determine accuracy computerized thermographic pixel analysis discriminating RSD from other pathology. Setting: The study was conducted at Rush Pain Center, a...
This study examined possible psychological differences between Reflex Sympathetic Dystrophy (RSD) and non-RSD chronic pain patients. Unlike the few previous studies in this area, controlled statistically for age duration across diagnostic groups, included a limb control group. Subjects were consecutive series of 34 RSD, 50 (Limb), 165 low back (LBP) patients presenting treatment at Rush Pain Center. Analyses revealed that RSD reported more somatization phobic anxiety on Brief Symptom...
No AccessJournal of UrologyClinical Urology: Urologists At Work1 Mar 1996Microsurgical Denervation the Spermatic Cord: A Surgical Alternative in Treatment Chronic Orchialgia Laurence A. Levine, Thomas G. Matkov, and Timothy R. Lubenow LevineLaurence Levine More articles by this author , MatkovThomas Matkov LubenowTimothy View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66369-9AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints...
Abstract Introduction Dorsal root ganglion stimulation (DRG‐S) is a neuromodulation technique introduced in the last decade with evolving implant methods. Initial prospective research found low incidences of lead migration and fracture DRG‐S. However, several recent studies have highlighted high rates We investigated influence anchoring on migrations fractures. Methods performed retrospective review between 2016 2020 individuals implanted DRG‐S leads by 4 experienced implanters. The...
Abstract Introduction The Accreditation Council for Graduate Medical Education (ACGME) approved the first pain medicine fellowship programs over three decades ago, designed around a pharmacological philosophy. Following that, there has been rise in transition of education toward multidisciplinary interventional model based on tremendous surge contemporaneous literature these areas. This trend created variability clinical experience and amongst accredited with minimal evaluating differences...
Current guidelines from the American Society of Regional Anesthesia state that an international normalized ratio (INR) 1.4 is upper limit warfarin anticoagulation for safe removal epidural catheter. However, these are based primarily on expert consensus, and there controversy regarding this recommendation as being "too conservative."Prospective (3211) retrospective (1154) patients undergoing total joint replacement followed by daily thromboprophylaxis were enrolled in observational study....
Sacroiliac joint disease is a prominent diagnosis across the world. A novel fixation technique employing posterior approach, single point, bone allograft transfixation has proven to be helpful anecdotally. The purpose of this study investigate prospectively safety and efficacy approach.A multicenter, prospective, arm was performed after patient identification treatment with fusion, single-point system followed for 24 months. Target enrollment 100 patients. Interim results on first 69...
Abstract: The need to be competent in neuromodulation is and should a prerequisite prior completing fellowship interventional pain medicine. Unfortunately, many programs lack acceptable candidates for these advanced therapies, fellows may not receive adequate exposure procedures. American Society of Pain Neuroscience (ASPN) desires create consensus experts set minimum standard competence neurostimulation procedures, including spinal cord stimulation (SCS), dorsal root ganglion (DRG-S),...