Pain originating in the sacroiliac joint (SIJ) is one of potential causes axial low back pain. A quarter pain cases can be associated with SIJ damage. The review presents and current clinical data dysfunction, describes specific (provocation) tests used to detect syndrome. Diagnostic their effectiveness for differential diagnosis are described. methods instrumental diagnostics, conservative tre...

The Medicare Physician fee Schedule does not reflect accurately the costs of providing interventional pain management services to Medicare beneficiaries. The practice expense for pain management services are not based on the resources used by interventional pain physicians, but rather, are determined on the practice expenses incurred by the specialities from which the subspecialty derived princ...

Chronic pelvic pain can present in various pain syndromes. In particular, interventional procedure plays an important diagnostic and therapeutic role in 3 types of pelvic pain syndromes: pudendal neuralgia, piriformis syndrome, and "border nerve" syndrome (ilioinguinal, iliohypogastric, and genitofemoral nerve neuropathy). The objective of this review is to discuss the ultrasound-guided approac...

BACKGROUND The role of antithrombotic therapy is well known for its primary and secondary prevention of cardiovascular disease by decreasing the incidence of acute cerebral, cardiovascular, peripheral vascular, and other thrombotic events. The overwhelming data show that the risk of thrombotic events is significantly higher than that of bleeding during surgery after antiplatelet drug discontinu...

BACKGROUND Reports from the United States Government Accountability Office (GAO), the Institute of Medicine (IOM), the Medicare Payment Advisory Commission (MedPAC), and the Office of Inspector General (OIG) continue to express significant concern with the overall fiscal sustainability of Medicare and the exponential increase in costs for chronic pain management. STUDY DESIGN The study is an ...

Most patients with cancer experience pain at some point in the disease course due to itself or its treatment, both. Pain management can involve pharmacologic (nonopioid medications, adjuvants, and opioids) nonpharmacologic (radiation therapy, interventional procedures) therapies. This article provides a treatment approach reduce for improve their quality of life.

The unfunded mandate for the implementation of International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) is scheduled October 1, 2015. The development of ICD-10-CM has been a complicated process. We have endeavored to keep Interventional Pain Management doctors apprised via a variety of related topical manuscripts. The major issues relate to the lack of formal p...

I enjoyed reading the guidelines provided by the American Society of Interventional Pain Physicians (Pain Physician 2007; 10:7-111). The guidelines are extensive, informative, and practical. These continue to be an asset for practices in interventional pain management since 2005. However, I would like to point out an error. In the evidence section for transforaminal epidural steroid injections ...