To appraise the available evidence on advanced practice physiotherapy (APP) models of care (MoC) in specialized secondary care such as orthopaedic, rheumatology or neurosurgery outpatients’ clinics for adults with spinal pain. Read more.
Complex regional pain syndrome (CRPS), formerly known as reflex sympathetic dystrophy (RSD), is a difficult to treat condition characterized by debilitating pain and limitations in functional ability. Neuromodulation, in the form of spinal cord stimulation (SCS) and peripheral nerve stimulation (PNS), have been traditionally used as a treatment for CRPS with variable success. Read more.
Spinal malignancy‐related pain results from tumor, fracture, instability, inflammation, and/or nerve root/spinal cord compression. Systemic corticosteroids are commonly used but have many undesirable adverse effects that impact quality of life and continuation of cancer treatments. Epidural steroid injections (ESI) may be a viable alternative pain treatment. Read more.
A new high-tech corset could relieve pressure on the spine to ease lower back pain. This high-tech device is called Atlas, which contains tiny sensors and motors that move to stretch the back areas that are painful to ease and help the patient move freely. The device is now being trialed in France by 32 patients. Read more.
A new study from the University of Pittsburgh’s Rehab Neural Engineering Labs finds spinal cord stimulators commonly used to relieve chronic pain could provide a straightforward and universal method for adding sensory feedback to a prosthetic arm. Full story.
AAPM members Timothy Deer, MD and Corey Hunter, MD both comment in the Practical Pain Management article about burst spinal cord stimulation. Full story.
AAPM member John Markman, MD is the lead author of a new study that has found tanezumab, a monoclonal antibody that inhibits nerve activity, provides relief in patients with chronic low back pain, one of the leading reasons why people seek medical care and the number one cause of disability worldwide. Full story.
AAPM participates in the Multisociety Pain Workgroup (MPW), a coalition of medical specialty societies, comprising physicians dedicated to pain management. This group convened to review and comment on the Colorado Board of Health’s Department of Public Health and Environment proposed regulations that would expand opportunities for advanced practice providers to perform procedures under fluoroscopic guidance. The MPW responded with a Position Statement on Prerequisite Training for the Performance of Spine Interventions as well as the American Medical Association’s Pain Management Practice Parameter (H-410.950) Invasive Pain Management Procedures for the Treatment of Chronic Pain, Including Procedures Using Fluoroscopy.
Brief Summary:The purpose of this research study is to examine the effects of physical therapy on the spinal discs. Back pain is the number one cause of disability in the US, and the spine is the most common location of chronic pain in Veterans. Physical therapy is often very effective at improving patients’ back pain, but it does not work for everyone, and it is not understood how physical therapy alters the tissues within the spine. With this research the investigators hope to learn if the investigative team can measure changes to the spinal discs on MRI scans that might predict if a patient’s back pain will improve with physical therapy or not.
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