Failed Back Syndrome Therapy Jalal Jalal Shokouhi –MD Iranian Society of Radiology Secretary Shahid Beheshti & Azad university Ali Akbar Ameri –MD* Hamid.

Slides:

Advertisements

Similar presentations

CONSERVATIVE CARE Douglas Koontz, M.D. Neurosurgery Specialists.

Advertisements

Lumbar Spine Surgery: Indications & Outcomes Nelson Saldua, LCDR, MC, USN Eric Harris, CDR, MC, USN Department of Orthopaedic Surgery.

Trigeminal Neuralgia Interventional Treatment in M.S. or Balo`s disease Jalal Jalal Shokouhi-MD ISR, Tehran, Iran M.H.Herischi-MD Orthopedic surgeon,Baku,Republic.

At the West Valley Medical Center 5363 Balboa Blvd., Suite 430 Encino, CA Cost Savings Potential for Workers’ Compensation.

AUTHORS: Y Kumar, K Hooda, D Hayashi, N Parikh, S Sharma, M Meszaros Yale New Haven Health System at Bridgeport Hospital Bridgeport, CT USA ASNR 2015 Abstract.

Lumbago or low back pain and radiologist Jalal Jalal ShokouhiRadiologist: ISR,Tehran, Iran M.H.Herischi Orthopedic surgeon: Baku,Republic Azarbayjan A.Norousi.

Endoscopic Spinal Surgery Aprajay Golash Consultant Neurosurgeon Royal Preston Hospital, UK.

Minimally Invasive Spine Surgery and Posterolateral Endoscopic Discectomy Gabriele Jasper, M.D. Anesthesiologist Interventional Pain Physician Center for.

Cervical Spine Pathologies and Treatments Physician Name Physician Institution Date.

SPINAL STENOSIS Jung U. Yoo, M.D. Professor and Chairman Department of Orthopedics and Rehabiliatation Oregon Health and Science University.

Spinal Cord Stimulators in Neuropathic Pain. Introduction Chronic pain is very common Immense physical, psychological, societal impact Financial burden.

脊骨健康護理專家 The Experts in Spinal Health Care.

CT Guided Ozonotherapy with Foraminal Approach for Cervical Herniated Discs:6 Months Follow- Up of 50 Patients Vyletelka J., Labaj V.: Department of Neurology,

Back Pain Christopher D. Sturm, M.D., F.A.C.S Medical Director Mercy Institute of Neuroscience & Mercy Regional Neurosurgery Center.

The evaluation and management of low back pain  Asgar Ali Kalla  Professor and Head  Division of Rheumatology  University of Cape Town.

Spondylosis Dr.Shamekh M. El-Shamy. Spondylosis.

Trigeminal neuralgia (tic douloureux) painful twitch

Gold Medalists of Iranian Society of Radiology

SPINAL NERVE ROOT COMPRESSION AND PERIPHERAL NERVE DISORDERS Group A – AHD Dr. Gary Greenberg.

Vertebral Fracture Classification By Advanced Imaging Jalal Jalal Shokouhi-M.D. General secretary of ISR (Iranian society of radiology)

Jacobi Ambulatory Care Service Low Back Pain Intern Ambulatory Block Susan Dresdner, M.D.

Dr.Moallemy Lumbar Facet Pain (pain Originating from the Lumbar Facet Joints)

IN THE NAME OF GOD. IMPACT OF OBESITY ON THE ARTHROSCOPIC TREATMENT OF ANTEROLATERAL IMPINGEMENT SYNDROME OF THE ANKLE (ALISA) Mohsen Mardani-Kivi, M.D.

Lower Back Pain Management. Diagnoses  Low back pain  DDD  Facet joint syndrome  Sciatica  Piriformis syndrome  Disc herniation  Sprain / Strain.

Please have a seat towards the front.

Musculoskeletal X-Ray CT, Spiral & Multislice computed, Tomography Jalal jalal shokouhi- M.D.

University Medical Center Emergency and Urgent Care Medical Services.

 Jalal Jalal Shokouhi-MD Radiologist, Jam e jam and koorosh medical imaging center General secretary of Iranian society of radiology - President of Iranian.

First Announcement-Call for paper………………………… Tehran, 5-7 May 2005 Minimally Interventional Spinal Treatment The First International Congress on the Basic.

Endovascular treatment on tandem lesions of cranial arteries Xiao-Long Zhang, MD, PhD Department of Radiology Huashan Hospital,Fudan University Shanghai.

{ Back pain imaging MS3 radiology August X-ray.

Skills Practicum. You – Are working in the Poly- Clinic.

Examination and Treatment of the Lumbar Spine William L. Tontz, Jr., MD.

Ali Akbar Ameri – M.D. Jalal Jalal Shokouhi – M.D.

Facet Denervation Jalal Jalal Shokouhi-MD Interventional radiologist, ISR, Tehran,Iran M.H. Herischi-MD Orthopedic surgeon, Baku,Republic Azerbayjan.

What is interventional Radiology? By: Amber Smith.

Interventional Causalgia Treatment ( Image guided ) Jalal Jalal Shokouhi-M.D. Jalal Jalal Shokouhi-M.D. Radiologist General secretary of Iranian society.

Jalal jalal shokouhi – MD General secretary of Iranian society of radiology President of Iranian radiologists cooperative 17th -18th December 2010, Shahid.

Metallic Devices in MR-Magnet “Imaging Hazards, Artifacts and Interventional Points” Ali Akbar Ameri-M.D. Jalal Jalal Shokouhi-M.D. Shahid Beheshti Med.

Neurology and Neurosurgery: Is there a difference? Daniel Boedeker, M.D. Neurosurgery Specialists.

YOGA & STRUCTURAL LOW BACK PAIN Robin Monro Yoga Biomedical Trust Registered Charity

DISCOGEL the first 6months of experience Stefano Marcia, MD Radiology University of Cagliari, Italy San Giovanni di Dio Hospital Chairman: Prof. Giorgio.

Leaders in minimally-invasive spine surgery….!. Introduction Dr Abhijit Pawar the chief surgeon at Endo-Spine clinic is affiliated as Spine Surgeon in.

RADIOLOGY OF SPINAL CORD September 2014 Presented by: MONERAH ALMOHIDEB.

Low Back Pain Mohammad A. Saeed, M.D. M.S.

Dr Asafu-Adjaye Frimpong Consultant Interventional Radiologist

Red flags for serious back pain

Neurosurgical Updates 2016 Brain & Spine Symposium:

Interventional Pain Management

Lumbar Disc Herniation

Follow up CT scan on 20 year old male with back pain

Are you getting the best treatment for your low back pain?

PATIENT’S ROAD TO DISK HERNIATION SURGERY

Imaging studies in a patient with cervical spondylosis and chronic neck pain. (A) Radiograph showing collapsed disk space between C5 and C6 and a large.

(A) Axial CT (same patient as in Figure 13-10) just below the L4-5 disk space shows compression of the right anterolateral aspect of the thecal sac by.

CERVICAL SPONDYLOMYELOPATHY

Resistant Hypertension: Initial Combinations of Medications

Whose Patient is it Anyways?

Sjoerd A. de Beer, MD, Martin Gritter, BS, Justin R

19,628 operations in NSW for LSS between 2003 and 2013

Supported in part by Arkansas Blue Cross and Blue Shield

Sam Chitsaz, MD, Nicolas Jaussaud, MD, Edward Chau, MD, Kimberly S

Imaging of Traumatic Diaphragmatic Rupture: Evaluation of Diagnostic Accuracy at a Level 1 Trauma Centre Vincent A. Leung, MD, Michael N. Patlas, MD,

Frederik H. W. Jonker, MD, Hence J. M

A Quick Survey of the Scourge of Low Back Pain

Lumbar stenosis case (MT-ULBD)

A, Sagittal T2-weighted MR image reveals a large left L4–5 synovial cyst causing moderate central canal stenosis and compression of the exiting left L4.

Presentation transcript:

Failed Back Syndrome Therapy Jalal Jalal Shokouhi –MD Iranian Society of Radiology Secretary Shahid Beheshti & Azad university Ali Akbar Ameri –MD* Hamid Mohammad pour –MD* Hamidreza Edraki –MD* *Shahid Beheshti Med. Univ. Iran

CT GUIDANCE PRT : Periradicular therapy FT : Facet therapy I.S : Intra spinal (intratechal) Sympatectomy : Causalgia * All patients with back school Benefits: Pain reduction Back to work Back to work

2800 patients 1993 to 2007 Failed back syndrome in 1947 Requested by: Neurosurgeons, Orthopedic surgeons, Neurologists, Few other spe. Like internists, cariopractices Male 2496 Female 304

Pain control 3,6,12 and 24 months Pain free or low pain 85% Repeat treatment after 1 year therapy 8 patients Repeat treatment more than 4 years 3 patints Spondylolystesis 50% pain free

Drugs: 1.Corticosteroid Mg. 2.Bupivicain 0.5% 3.Ethanol 65% for FT & Sympatectomy cc Iodine contrast or air for localization

Complications: Minor * Leg Acnea (triamecinolon acetonid, Depomedrol) Major * 3 cases during IS, respiratory distress and collaps due to canal stenosis and local anesthesia migration upward. **one case of staph. septicemia in a hospitallized case ***No mortality

Interventional Computed Tomography Rainer M.M. Seibel,M.D., PhD. & Dietrich H.W. Gronemeyer, M.D, PhD. Directors Institute of Diagnostic & Interventional Radiology Medical computer science Private University of Witten/Herdecke MRI – Mulheim Radiologic institute,Germany

ADVANTAGES OF CT GUIDANCE PUNCTURE ACCURACY 1mm 3PUNCTURE ACCURACY 1mm 3 NO INJURIES OF NERVE ROOT, AORTA, A.ILIACA OR OTHER NEAR STRUCTURESNO INJURIES OF NERVE ROOT, AORTA, A.ILIACA OR OTHER NEAR STRUCTURES CONTROL OF NUCLEOTOMYCONTROL OF NUCLEOTOMY

MICROTHERAPY PERIRADICULAR THERAPY

Periradicular Theraphy (PRT)

MICROTHERAPY FACETTE DENERVATION

INDICATIONS OF PRT FAILED BACK SURGERYFAILED BACK SURGERY HERNIATION OF DISKHERNIATION OF DISK PROTRUSIONPROTRUSION NERVE ROOT COMPRESSION WITH WEAKNESS OR SENSIBLE LOSSNERVE ROOT COMPRESSION WITH WEAKNESS OR SENSIBLE LOSS SPINAL CANAL STENOSISSPINAL CANAL STENOSIS FORAMINAL STENOSISFORAMINAL STENOSIS LATERAL RECESSUS STENOSISLATERAL RECESSUS STENOSIS

Thank you for your attention