Treatment of Dystonic Pain with Botulinum Neurotoxins
(1) Botulinum Toxin Treatment Program, Yale School of Medicine, New Haven, CT, USA Abstract Focal dystonia is a common neurological disorder which is often painful. This chapter reviews clinical…
Botulinum Neurotoxin Treatment of Unusual and Rare Painful Disorders
(1) Botulinum Toxin Treatment Program, Yale School of Medicine, New Haven, CT, USA Abstract Botulinum neurotoxins (BoNTs) can relieve painful muscle spasms through inhibition of acetylcholine release and alleviate…
Future Prospects of Pain Treatment with Botulinum Neurotoxins
(1) Botulinum Toxin Treatment Program, Yale School of Medicine, New Haven, CT, USA Abstract Treatment of pain with botulinum neurotoxins is now entering a new era due to the…
Stimulation of the Extraspinal Peripheral Nervous System
Characteristic Establishing the characteristic Pain is localized to a specific nerve distribution History and physical examination Pain is burning or shooting in nature History Pain is relieved by injection of…
Placement of Intrathecal Needle and Catheter for Chronic Infusion
Issue to address Method of investigation Spinal anatomy for needle placement Visual inspection of the spine Spinal anatomy for needle placement Plain films of the lumbar spine Ability to thread…
Intrathecal Pump Refills
Fig. 42.1 Computer telemetry to access the status of the pump before pump refill Fig. 42.2 After carefully prepping the abdomen on multiple occasions, sterile drapes are placed Fig. 42.3…
Selective Nerve Root Stimulation: Facilitating the Cephalocaudal “Retrograde” Method of Electrode Insertion
Fig. 18.1 S2–3 Retrograde: L2–3 epidural “lateral” approach (anteroposterior [AP] view) Fig. 18.2 S2–3 Retrograde: L2–3 needle tip in steep caudal view to limit hand exposure Fig. 18.3 S2–3 Retrograde:…
Stimulation of the Motor Cortex to Treat Chronic Pain
Fig. 33.1 SSEP waveforms show P20 and N20 components with phase reversal indicating an electrode overlying the central sulcus signifying the motor and sensory cortex Fig. 33.2 Draping and planning…
Peripheral Nerve Stimulation Miniaturization
Fig. 31.1 The Bion implantable neurostimulator device. For investigational use only. Not approved for sale in the United States Fig. 31.2 (a) The implant location of the Bion in the…
Stimulation of the Peripheral Nervous System: Occipital Techniques for the Treatment of Occipital Neuritis and Transformed Migraine
Fig. 34.1 (a, b) Neuroanatomy of the branches of the occipital nerve The diagnostic workup for peripheral cranial neuralgia includes a history of pain originating or ending in the nerve…
