Clinical experience with intrathecal bupivacaine in combination with opioid for the treatment of chronic pain related to failed back surgery syndrome and metastatic cancer pain of the spineTimothy R Deer
Center for Pain Relief, 1201 Washington Street, Suite 100, Charleston, WV 25301, USA
Spine J 2:274-8. 2002
..The patients had pain related to failed back surgery syndrome or metastatic cancer to the spine...
The prospective evaluation of safety and success of a new method of introducing percutaneous paddle leads and complex arrays with an epidural access systemTimothy Deer
Center for Pain Relief, Charleston, West Virginia, USA
Neuromodulation 15:21-9; discussion 29-30. 2012
..We will both describe the technique and review the outcomes of some of the early cases...
Practice choices and challenges in the current intrathecal therapy environment: an online surveyTimothy R Deer
The Center for Pain Relief, Charleston, West Virginia, USA
Pain Med 10:304-9. 2009
..The objective of this study was to evaluate current practice characteristics, treatment choices, clinical experiences, and economic concerns associated with intrathecal therapy...
Spinal cord stimulation for the treatment of angina and peripheral vascular diseaseTimothy R Deer
The Center for Pain Relief, 400 Court Street, Suite 100, Charleston, WV 25301, USA
Curr Pain Headache Rep 13:18-23. 2009
..This article also examines possible study protocols to further examine the overall outcome of these therapies...
New image-guided ultra-minimally invasive lumbar decompression method: the mild procedureTimothy R Deer
Center for Pain Relief, Charleston, WV 25301, USA
Pain Physician 13:35-41. 2010
..The objective of this technical report is to evaluate the acute safety of the mild procedure...
Inflammatory mass of an intrathecal catheter in patients receiving baclofen as a sole agent: a report of two cases and a review of the identification and treatment of the complicationTimothy R Deer
The Center for Pain Relief, Charleston, West Virginia and Department of Anesthesiologoy, West Virginia University, Charleston, West Virginia 25301, USA
Pain Med 8:259-62. 2007
..Intrathecal baclofen has been used to treat spasticity secondary to stroke, multiple sclerosis, cerebral palsy, spinal cord injury, and other neurological disease...
Prospective clinical study of a new implantable peripheral nerve stimulation device to treat chronic painTimothy R Deer
The Center for Pain Relief, Inc, Charleston, WV 25301, USA
Clin J Pain 26:359-72. 2010
..To evaluate clinical use of the StimRouter, an investigational implanted peripheral nerve stimulator for treating chronic neuropathic pain, using the median nerve as a model for that general application...
Spinal cord stimulation for refractory angina pectoris and peripheral vascular diseaseTimothy R Deer
The Center for Pain Relief, Charleston, West Virginia 25301, USA
Pain Physician 9:347-52. 2006
..In this publication, we review the current literature on these two indications and present case examples of both therapies...
Consensus guidelines for the selection and implantation of patients with noncancer pain for intrathecal drug deliveryTimothy R Deer
Center for Pain Relief, Inc, Charleston, West Virginia 25301, USA
Pain Physician 13:E175-213. 2010
..These consensus guidelines are intended to assist with weighing this risk/benefit ratio of intrathecal therapy, thereby minimizing the potential for treatment failure, unacceptable adverse effects, and excess mortality...
Comprehensive consensus based guidelines on intrathecal drug delivery systems in the treatment of pain caused by cancer painTimothy R Deer
The Center for Pain Relief, Inc, Charleston, WV, USA
Pain Physician 14:E283-312. 2011
..However, there is a scarcity of comprehensive guidelines in implanting IT drug delivery systems in the treatment of pain caused by cancer...
Intrathecal drug delivery for treatment of chronic low back pain: report from the National Outcomes Registry for Low Back PainTimothy Deer
Center for Pain Relief, Charleston, West Virginia 25301, USA
Pain Med 5:6-13. 2004
..To obtain data on patient demographics, clinical practices, and long-term outcomes for patients with chronic low back pain treated with implantable drug-delivery systems...
Current and future trends in spinal cord stimulation for chronic painT R Deer
The Center for Pain Relief, 1201 Washington Street East, Suite 100, Charleston, WV 25301, USA
Curr Pain Headache Rep 5:503-9. 2001
..Technologic advances such as multi-lead and multi-electrode arrays are also discussed in regard to the impact these developments have on the clinical application of the therapy...
Intrathecal ziconotide and opioid combination therapy for noncancer pain: an observational studyTimothy R Deer
The Center for Pain Relief, Inc, Charleston, WV 25301, USA
Pain Physician 12:E291-6. 2009
..Although ziconotide is approved by the US Food and Drug Administration for monotherapy, it is sometimes used in combination with other intrathecal drugs for the management of intractable pain conditions in clinical practice...
Stability, compatibility, and safety of intrathecal bupivacaine administered chronically via an implantable delivery systemK R Hildebrand
Drug Delivery Ventures, Medtronic, Inc, Minneapolis, Minnesota 55432-5604, USA
Clin J Pain 17:239-44. 2001
..In this study, chronic supplementation of intrathecal opioids with bupivacaine was a safe method for providing continued management of chronic pain of cancer or noncancer origin...
Interventional techniques: evidence-based practice guidelines in the management of chronic spinal painMark V Boswell
American Society of Interventional Pain Physicians, Paducah, KY 42001, USA
Pain Physician 10:7-111. 2007
..The evidence-based practice guidelines for the management of chronic spinal pain with interventional techniques were developed to provide recommendations to clinicians in the United States...
Opioid guidelines in the management of chronic non-cancer painAndrea M Trescot
American Society of Interventional Pain Physicians, Paducah, KY 42001, USA
Pain Physician 9:1-39. 2006
..However, available evidence suggests a wide variance in the use of opioids, as documented by different medical specialties, medical boards, advocacy groups, and the Drug Enforcement Administration (DEA)...
Intrathecal drug deliveryHoward S Smith
Department of Anesthesiology, Albany Medical College, Albany, NY 12208, USA
Pain Physician 11:S89-S104. 2008
..Further clinical studies are needed to evaluate the efficacy and safety of new intrathecal drugs, the complications related to these devices, and the proper selection of patients to receive these treatments...
Polyanalgesic Consensus Conference 2003: an update on the management of pain by intraspinal drug delivery-- report of an expert panelSamuel J Hassenbusch
Department of Neurosurgery, The University of Texas M. D. Anderson Cancer Center, Houston, 77030, USA
J Pain Symptom Manage 27:540-63. 2004
..Based on the best available evidence and expert opinion, consensus recommendations were developed in all these areas. The panel's conclusions may provide a foundation for clinical practice and a rational basis for new research...