interventional procedures

2. Interventional Pain Management; Way forward to manage chronic pain Dr Ashok Jadon, MD DNB Aesculap Academy IPM Fellowship Sr Consultant Anaesthesia

5. Non-opioids Weak opioids +/- non-opioids Strong opioids Recovery Operation Treatment of Low Back Pain World of Misery Non-pharmacological methods

6. Non-opioids Weak opioids +/- non-opioids Strong opioids Recovery Operation Treatment of Pain IPM Non-pharmacological methods It fills the gap between pharmacologic management of pain & more invasive operative procedure.

9. Structures responsible for LBP

13. Facet Joint Interventions Lumbar “ Scottie Dog” View

14. C-arm should be rotated such a way so that facet joint is opened up maximally & end plate of two adjacent vertebrae are in line. Disc space between L4-L5 disc Facet joint Inferior end plate of L4 Vertebra Superior end plate of L5 Vertebra

15. Facet Joint Interventions Lumbar - RF L5 L4 S1

16. Radiofrequency Ablation (RF)

17. LBP ; Disc (Disc Cause LBP 25% to 45%)

20. Transforaminal Approach

22. Transforaminal Approach

25. I-DET

26. Percutaneous Disc Decompression/Discectomy www. pain india.net 17G needle introduced, motorized probe is introduced It breaks the nucleus pulposus into fine particles and sucks it out.

27. Vertebroplasty

30. Epidural Adhesinolysis Normal Filling defect in FBSS www. pain india.net

46. Thanks Thank you