Regenerative medicine is an emerging and integral part of interventional pain management and meets definitions of interventional pain management and interventional techniques. Interventional techniques are defined as minimally invasive procedures including, percutaneous precision needle placement, with placement of drugs in targeted areas or ablation of targeted nerves; and some surgical techniques such as laser or endoscopic diskectomy, intrathecal infusion pumps, and spinal cord stimulators, for the diagnosis and management of chronic, persistent, or intractable pain. On the same token, interventional pain management is defined as the discipline of medicine devoted to the diagnosis and treatment of pain related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
This new edition brings a wide array of information for interventional pain physicians and other physicians practicing regenerative medicine with its applications in managing chronic pain and other disorders. The structure of the book begins with an introduction of the subject, followed by sections on historical context, pathophysiology, applicability of regenerative medicine with its evidence base, anatomy, technical aspects, complications, and precautions for each topic when available and applicable. From across the globe, leading experts in their respective fields contributed chapters on specific topics to present a cogent and integrative understanding of the field of regenerative medicine as applicable for interventional pain physicians. This comprehensive text achieves its goal of providing an evidence-based approach to application of principles of regenerative medicine in managing chronic pain of spinal, neurological, and musculoskeletal origins.
Autor :Laxmaiah Manchikanti, MDChairman of the Board and Chief Executive Officer, ASIPP and SIPMSCo-Founder and Director, Pain Management Centers of AmericaMedical Director,Ambulatory Surgery Center and Pain Care Surgery Center Paducah, KY and Marion, IL
Clinical ProfessorAnesthesiology and Perioperative MedicineUniversity of Louisville, KentuckyProfessor of Anesthesiology-ResearchDepartment of Anesthesiology, School of MedicineLSU Health Sciences CenterShreveport, LA, USA
INDICE :
Parte I: Generalidades y Fundamentos Basales
Evolución de la medicina regenerativa e historia en el manejo del dolor.
Principios de la medicina basada en la evidencia aplicados a la medicina regenerativa.
Composición, preparación y uso del Plasma Rico en Plaquetas (PRP).
Células Madre Mesenquimales (MSC) y concentrado de aspirado de médula ósea (BMAC).
Células derivadas del tejido adiposo, biológicos no autólogos y exosomas.
Proloterapia, principios de fluoroscopia, ecografía/ultrasonido e imagenología aplicada.
Manejo y rol de la terapia antitrombótica en procedimientos regenerativos.
Parte II: Aplicaciones Musculoesqueléticas
Medicina regenerativa en articulación del hombro.
Aplicaciones en codo.
Indicaciones y técnicas en cadera.
Osteoartritis de rodilla y patologías ligamentosas.
Lesiones del cartílago articular de la rodilla y trastornos del hueso subcondral.
Aplicaciones en tobillo y pie.
Parte III: Aplicaciones en Columna y Dolor Espinal
Trastornos y enfermedad degenerativa del disco intervertebral.
Inyecciones epidurales y aplicación de biológicos.
Intervenciones en articulaciones facetarias vertebrales.
Articulación sacroilíaca y ligamentos asociados.
Evaluación y tratamiento regenerativo del dolor lumbar crónico.
Dolor pélvico crónico.
Parte IV: Aplicaciones Misceláneas
Cistitis intersticial y aplicaciones urológicas.
Trastornos neurológicos y dolor neuropático.
Parte V: Aspectos Regulatorios y Éticos
Regulaciones de la FDA y normativas internacionales sobre productos biológicos.
Consideraciones éticas en la práctica de la medicina regenerativa.
Parte VI: Gestión de la Práctica y Manejo de Riesgos
Consentimiento informado, selección de pacientes y factores de riesgo.
Contraindicaciones, complicaciones y gestión del riesgo en la clínica privada/hospitalaria.