Laxmaiah Manchikanti

Summary

Affiliation: Pain Management Center of Paducah
Country: USA

Publications

  1. doi request reprint The prevalence of facet-joint-related chronic neck pain in postsurgical and nonpostsurgical patients: a comparative evaluation
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, Kentucky, USA
    Pain Pract 8:5-10. 2008
  2. ncbi request reprint Controlled substance abuse and illicit drug use in chronic pain patients: An evaluation of multiple variables
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 9:215-25. 2006
  3. ncbi request reprint Therapeutic cervical medial branch blocks in managing chronic neck pain: a preliminary report of a randomized, double-blind, controlled trial: clinical trial NCT0033272
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 9:333-46. 2006
  4. ncbi request reprint Issues in health care: interventional pain management at the crossroads
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 10:261-84. 2007
  5. ncbi request reprint Evidence-based interventional pain management: principles, problems, potential and applications
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 10:329-56. 2007
  6. ncbi request reprint Prevalence of facet joint pain in chronic low back pain in postsurgical patients by controlled comparative local anesthetic blocks
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Arch Phys Med Rehabil 88:449-55. 2007
  7. ncbi request reprint National drug control policy and prescription drug abuse: facts and fallacies
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 10:399-424. 2007
  8. ncbi request reprint Evaluation of lumbar facet joint nerve blocks in the management of chronic low back pain: preliminary report of a randomized, double-blind controlled trial: clinical trial NCT00355914
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 10:425-40. 2007
  9. ncbi request reprint Medicare in interventional pain management: A critical analysis
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, Kentucky 42003, USA
    Pain Physician 9:171-97. 2006
  10. ncbi request reprint Does random urine drug testing reduce illicit drug use in chronic pain patients receiving opioids?
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Kentucky 42003, USA
    Pain Physician 9:123-9. 2006

Detail Information

Publications95

  1. doi request reprint The prevalence of facet-joint-related chronic neck pain in postsurgical and nonpostsurgical patients: a comparative evaluation
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, Kentucky, USA
    Pain Pract 8:5-10. 2008
    ..In light of this, the present retrospective study was conducted to assess and compare the prevalence of chronic postsurgical facet joint cervical spinal pain to nonsurgical, chronic cervical facet joint pain...
  2. ncbi request reprint Controlled substance abuse and illicit drug use in chronic pain patients: An evaluation of multiple variables
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 9:215-25. 2006
    ..Opioid abuse has been demonstrated in 9% to 41% of patients receiving chronic pain management. Illicit drug use has been reported in 14% to 34% of patients in chronic pain management settings...
  3. ncbi request reprint Therapeutic cervical medial branch blocks in managing chronic neck pain: a preliminary report of a randomized, double-blind, controlled trial: clinical trial NCT0033272
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 9:333-46. 2006
    ..Intraarticular injections, medial branch nerve blocks and neurolysis of medial branch nerves have been described in managing chronic neck pain of facet joint origin...
  4. ncbi request reprint Issues in health care: interventional pain management at the crossroads
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 10:261-84. 2007
    ..Medicaid physician payments and ambulatory surgery center payments for interventional techniques are proposed to be reduced substantially by Medicare and Medicaid, while hospital payments remain at stable levels with increases...
  5. ncbi request reprint Evidence-based interventional pain management: principles, problems, potential and applications
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 10:329-56. 2007
    ..To arrive at evidence-based medical decisions all valid and relevant evidence should be considered alongside randomized controlled trials, patient preferences, and resources...
  6. ncbi request reprint Prevalence of facet joint pain in chronic low back pain in postsurgical patients by controlled comparative local anesthetic blocks
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Arch Phys Med Rehabil 88:449-55. 2007
    ..To evaluate the prevalence of facet joint pain in patients with chronic low back pain (CLBP) after surgical intervention(s)...
  7. ncbi request reprint National drug control policy and prescription drug abuse: facts and fallacies
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 10:399-424. 2007
    ..This review focuses on the problem of prescription drug abuse with a discussion of facts and fallacies, along with proposed solutions...
  8. ncbi request reprint Evaluation of lumbar facet joint nerve blocks in the management of chronic low back pain: preliminary report of a randomized, double-blind controlled trial: clinical trial NCT00355914
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 10:425-40. 2007
    ..Therapeutic interventions utilized in managing chronic low back pain of facet joint origin include intraarticular injections, medial branch nerve blocks, and neurolysis of medial branch nerves...
  9. ncbi request reprint Medicare in interventional pain management: A critical analysis
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, Kentucky 42003, USA
    Pain Physician 9:171-97. 2006
    ..In 2006 and beyond, interventionalists will face a number of evolving economic and policy-related issues, including reimbursement discrepancies, issues related to CPT coding, issues related to utilization, fraud, and abuse...
  10. ncbi request reprint Does random urine drug testing reduce illicit drug use in chronic pain patients receiving opioids?
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Kentucky 42003, USA
    Pain Physician 9:123-9. 2006
    ..Random drug testing for appropriate use of opioids and use of illicit drugs is often used in pain management practices. Thus, it is expected that random urine drug testing will deter use of illicit drugs, and also improve compliance...
  11. ncbi request reprint Evaluation of therapeutic thoracic medial branch block effectiveness in chronic thoracic pain: a prospective outcome study with minimum 1-year follow up
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Kentucky 42003, USA
    Pain Physician 9:97-105. 2006
    ..These interventions have not been evaluated in managing chronic thoracic pain of facet joint origin...
  12. ncbi request reprint Does adherence monitoring reduce controlled substance abuse in chronic pain patients?
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Kentucky, USA
    Pain Physician 9:57-60. 2006
    ..Crucial to adherence monitoring is an initial controlled substance agreement and repeated review of the terms of this agreement with on-going education. However, the effect of adherence monitoring on drug abuse is unclear...
  13. ncbi request reprint The diagnostic validity and therapeutic value of lumbar facet joint nerve blocks with or without adjuvant agents
    L Manchikanti
    Pain Management Center, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Curr Rev Pain 4:337-44. 2000
    ..Comparison of duration of relief in days with each block in the three groups showed that the relief was significantly superior in Group III compared with Group I and Group II, whereas Group II was superior to Group I...
  14. ncbi request reprint The effect of sedation on diagnostic validity of facet joint nerve blocks: an evaluation to assess similarities in population with involvement in cervical and lumbar regions (ISRCTNo: 76376497)
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, Kentucky 42003, USA
    Pain Physician 9:47-51. 2006
    ..The effect of sedation on the validity and potential differential results in patients suffering with combined cervical and lumbar facet joint pain has not been evaluated...
  15. ncbi request reprint Prevalence of prescription drug abuse and dependency in patients with chronic pain in western Kentucky
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, Kentucky, USA
    J Ky Med Assoc 101:511-7. 2003
  16. ncbi request reprint Prevalence of illicit drug use among individuals with chronic pain in the Commonwealth of Kentucky: an evaluation of patterns and trends
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Kentucky, USA
    J Ky Med Assoc 103:55-62. 2005
    ....
  17. pmc Prevalence of facet joint pain in chronic spinal pain of cervical, thoracic, and lumbar regions
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky, USA
    BMC Musculoskelet Disord 5:15. 2004
    ..The purpose of this study was to systematically evaluate the prevalence of facet joint pain by spinal region in patients with chronic spine pain referred to an interventional pain management practice...
  18. ncbi request reprint Protocol for accuracy of point of care (POC) or in-office urine drug testing (immunoassay) in chronic pain patients: a prospective analysis of immunoassay and liquid chromatography tandem mass spectometry (LC/MS/MS)
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:E1-E22. 2010
    ..Thus far, there have not been any studies systematically assessing the diagnostic accuracy of immunoassay with laboratory testing...
  19. ncbi request reprint Preliminary results of a randomized, equivalence trial of fluoroscopic caudal epidural injections in managing chronic low back pain: Part 2--Disc herniation and radiculitis
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 11:801-15. 2008
    ..There is a paucity of evidence with contemporary methodology used in performing epidural injections under fluoroscopy and based on pain relief and functional status improvement...
  20. ncbi request reprint Comprehensive review of neurophysiologic basis and diagnostic interventions in managing chronic spinal pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 12:E71-120. 2009
    ..In contrast, controlled diagnostic blocks have been shown to determine the cause of pain in as many as 85% of the patients...
  21. ncbi request reprint The preliminary results of a comparative effectiveness evaluation of adhesiolysis and caudal epidural injections in managing chronic low back pain secondary to spinal stenosis: a randomized, equivalence controlled trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 12:E341-54. 2009
    ..There have not been any randomized trials evaluating the effectiveness of percutaneous adhesiolysis and targeted delivery of local anesthetic, steroid and hypertonic sodium chloride solution in lumbar spinal stenosis...
  22. ncbi request reprint Preliminary results of a randomized, equivalence trial of fluoroscopic caudal epidural injections in managing chronic low back pain: Part 1--Discogenic pain without disc herniation or radiculitis
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 11:785-800. 2008
    ..Even though epidural injections are frequently administered in managing axial low back pain, the evidence is lacking...
  23. ncbi request reprint A comparative effectiveness evaluation of percutaneous adhesiolysis and epidural steroid injections in managing lumbar post surgery syndrome: a randomized, equivalence controlled trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 12:E355-68. 2009
    ..However, the evidence for percutaneous adhesiolysis in managing post surgery syndrome has been questioned, coupled with a paucity of controlled trials...
  24. ncbi request reprint Preliminary results of a randomized, equivalence trial of fluoroscopic caudal epidural injections in managing chronic low back pain: Part 4--Spinal stenosis
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 11:833-48. 2008
    ....
  25. ncbi request reprint Age-related prevalence of facet-joint involvement in chronic neck and low back pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 11:67-75. 2008
    ..The studies of low back pain have shown the prevalence of facet joint involvement to be approximately 15% to 45%. However, age related prevalence of facet joint neck pain has not been studied...
  26. ncbi request reprint Comprehensive evidence-based guidelines for interventional techniques in the management of chronic spinal pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 12:699-802. 2009
    ..Comprehensive, evidence-based guidelines for interventional techniques in the management of chronic spinal pain are described here to provide recommendations for clinicians...
  27. doi request reprint A randomized, controlled, double-blind trial of fluoroscopic caudal epidural injections in the treatment of lumbar disc herniation and radiculitis
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Spine (Phila Pa 1976) 36:1897-905. 2011
    ..A randomized, controlled, double-blind trial...
  28. ncbi request reprint Preliminary results of a randomized, equivalence trial of fluoroscopic caudal epidural injections in managing chronic low back pain: Part 3--Post surgery syndrome
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 11:817-31. 2008
    ..There is lack of evidence for the effectiveness of epidural injections in managing chronic low back pain with or without lower extremity pain secondary to post surgery syndrome...
  29. ncbi request reprint Effectiveness of thoracic medial branch blocks in managing chronic pain: a preliminary report of a randomized, double-blind controlled trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 11:491-504. 2008
    ..Various therapeutic techniques utilized in managing chronic thoracic pain of facet joint origin include intraarticular injections, medial branch blocks, and radiofrequency neurotomy of thoracic facet joint nerves...
  30. ncbi request reprint Protocol for evaluation of the comparative effectiveness of percutaneous adhesiolysis and caudal epidural steroid injections in low back and/or lower extremity pain without post surgery syndrome or spinal stenosis
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:E91-E110. 2010
    ....
  31. ncbi request reprint An algorithmic approach for clinical management of chronic spinal pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 12:E225-64. 2009
    ..In managing thoracic pain, a diagnostic and therapeutic algorithmic approach includes either facet joint interventions or epidural injections...
  32. ncbi request reprint The effectiveness of fluoroscopic cervical interlaminar epidural injections in managing chronic cervical disc herniation and radiculitis: preliminary results of a randomized, double-blind, controlled trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:223-36. 2010
    ..However, the literature supporting cervical interlaminar epidural steroids in managing chronic neck pain is scant...
  33. ncbi request reprint Accuracy of diagnostic lumbar facet joint nerve blocks: a 2-year follow-up of 152 patients diagnosed with controlled diagnostic blocks
    Sneha Pampati
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 12:855-66. 2009
    ....
  34. ncbi request reprint Comprehensive review of therapeutic interventions in managing chronic spinal pain
    Laxmaiah Manchikanti
    Pain ManagementCenter of Paducah, Paducah, KY, USA
    Pain Physician 12:E123-98. 2009
    ..Available evidence documents a wide degree of variance in the definition and practice of interventional pain management...
  35. ncbi request reprint Influence of prior opioid exposure on diagnostic facet joint nerve blocks
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, Kentucky, USA
    J Opioid Manag 4:351-60. 2008
    ..To determine the influence of prior opioid use on the diagnostic validity of controlled comparative local anesthetic blocks in the diagnosis of facet joint involvement in chronic spinal pain...
  36. ncbi request reprint Lumbar facet joint nerve blocks in managing chronic facet joint pain: one-year follow-up of a randomized, double-blind controlled trial: Clinical Trial NCT00355914
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 11:121-32. 2008
    ..Various therapeutic techniques including intraarticular injections, medial branch blocks, and radiofrequency neurotomy of lumbar facet joint nerves have been described in the alleviation of chronic low back pain of facet joint origin...
  37. ncbi request reprint An update of the systematic appraisal of the accuracy and utility of lumbar discography in chronic low back pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 16:SE55-95. 2013
    ..Despite the extensive literature, intense debate continues about lumbar discography as a diagnostic tool...
  38. ncbi request reprint Assessment of infection control practices for interventional techniques: a best evidence synthesis of safe injection practices and use of single-dose medication vials
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, and University of Louisville, Louisville, KY, USA
    Pain Physician 15:E573-614. 2012
    ..The cost of implementation of single dose vial policy in interventional pain management for drugs alone may cost $750 million, whereas with single use radional gloves may exceed $1 billion per year...
  39. ncbi request reprint Effect of fluoroscopically guided caudal epidural steroid or local anesthetic injections in the treatment of lumbar disc herniation and radiculitis: a randomized, controlled, double blind trial with a two-year follow-up
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 15:273-86. 2012
    ....
  40. ncbi request reprint Fluoroscopic epidural injections in cervical spinal stenosis: preliminary results of a randomized, double-blind, active control trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 15:E59-70. 2012
    ..Emerging evidence for cervical interlaminar epidurals for various conditions in the cervical spine is positive; however, the effect of fluoroscopic epidural injections in cervical spinal stenosis has not been studied...
  41. ncbi request reprint Complications of fluoroscopically directed facet joint nerve blocks: a prospective evaluation of 7,500 episodes with 43,000 nerve blocks
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 15:E143-50. 2012
    ..While the literature addressing the effectiveness of facet joint nerve blocks is variable and emerging, there is paucity of literature on adverse effects of facet joint nerve blocks...
  42. ncbi request reprint Evaluation of the effectiveness of lumbar interlaminar epidural injections in managing chronic pain of lumbar disc herniation or radiculitis: a randomized, double-blind, controlled trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:343-55. 2010
    ..2% to 43%. Among the numerous non-surgical interventions available, epidural injections are the most commonly performed interventions in the United States in managing chronic low back and lower extremity pain...
  43. ncbi request reprint Comparative outcomes of a 2-year follow-up of cervical medial branch blocks in management of chronic neck pain: a randomized, double-blind controlled trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, Kentucky, USA
    Pain Physician 13:437-50. 2010
    ..However, the effectiveness of these modalities continues to be debated. The purpose of this study was to determine the clinical effectiveness of therapeutic cervical medial branch blocks with or without steroids...
  44. ncbi request reprint Facet joint pain in chronic spinal pain: an evaluation of prevalence and false-positive rate of diagnostic blocks
    Rajeev Manchukonda
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    J Spinal Disord Tech 20:539-45. 2007
    ..A retrospective review...
  45. ncbi request reprint The role of fluoroscopic interlaminar epidural injections in managing chronic pain of lumbar disc herniation or radiculitis: a randomized, double-blind trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, Kentucky 42003, USA
    Pain Pract 13:547-58. 2013
    ..There is paucity of literature on interlaminar epidural injections in managing lumbar disc herniation or radiculitis in contemporary interventional pain management settings utilizing fluoroscopy...
  46. ncbi request reprint Assessment of bleeding risk of interventional techniques: a best evidence synthesis of practice patterns and perioperative management of anticoagulant and antithrombotic therapy
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 16:SE261-318. 2013
    ..Overall, there is a paucity of literature on the subject of bleeding risk in interventional pain management along with practice patterns and perioperative management of anticoagulant and anti-thrombotic therapy...
  47. pmc Management of chronic pain of cervical disc herniation and radiculitis with fluoroscopic cervical interlaminar epidural injections
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Int J Med Sci 9:424-34. 2012
    ..A randomized, double-blind, active controlled trial...
  48. ncbi request reprint Lumbar interlaminar epidural injections in central spinal stenosis: preliminary results of a randomized, double-blind, active control trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah Paducah, KY, USA
    Pain Physician 15:51-63. 2012
    ..However, there is little in the medical literature to support interlaminar, or transforaminal epidural injections under fluoroscopy for managing lumbar pain of central spinal stenosis, while the caudal epidural approach has been studied...
  49. ncbi request reprint Influence of psychological variables on the diagnosis of facet joint involvement in chronic spinal pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 11:145-60. 2008
    ..A lack of influence of psychological factors on the validity of controlled diagnostic local anesthetic blocks of lumbar facet joints has been demonstrated. However, no such studies have been performed in the thoracic or cervical spine...
  50. ncbi request reprint A prospective evaluation of bleeding risk of interventional techniques in chronic pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 14:317-29. 2011
    ..However, it has been a common practice to discontinue antiplatelet therapy prior to performing interventional techniques, which may potentially increase the risk of acute cerebral and cardiovascular events...
  51. ncbi request reprint Psychological factors as predictors of opioid abuse and illicit drug use in chronic pain patients
    Laxmaiah Manchikanti
    Pain Management Center of Paducab, Kentucky, USA
    J Opioid Manag 3:89-100. 2007
    ....
  52. ncbi request reprint Comprehensive review of epidemiology, scope, and impact of spinal pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 12:E35-70. 2009
    ..This section of the American Society of Interventional Pain Physicians (ASIPP)/Evidence-Based Medicine (EBM) guidelines evaluates the epidemiology, scope, and impact of spinal pain and its relevance to health care interventions...
  53. ncbi request reprint Cervical medial branch blocks for chronic cervical facet joint pain: a randomized, double-blind, controlled trial with one-year follow-up
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Spine (Phila Pa 1976) 33:1813-20. 2008
    ..A double-blind, randomized, controlled trial...
  54. ncbi request reprint Systematic review of cervical discography as a diagnostic test for chronic spinal pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 12:305-21. 2009
    ..Yet in the absence of validation and controlled outcome studies, the procedure remains mired in controversy...
  55. ncbi request reprint Cervical radicular pain: the role of interlaminar and transforaminal epidural injections
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY, 42003, USA
    Curr Pain Headache Rep 18:389. 2014
    ..Emerging concepts in pain include further randomized trials; proper placebo design; focus on control design (either active control or placebo control); and appropriate methodologic quality assessment and evidence synthesis. ..
  56. ncbi request reprint A randomized, double-blind, active control trial of fluoroscopic cervical interlaminar epidural injections in chronic pain of cervical disc herniation: results of a 2-year follow-up
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY and University of Louisville, Louisville, KY and The McFarland Clinic, Mary Greeley Medical Center, Ames, Iowa
    Pain Physician 16:465-78. 2013
    ..Evidence for the efficacy of cervical interlaminar epidural injections, however, continues to be debated, despite positive evidence derived from controlled randomized trials and systematic reviews...
  57. ncbi request reprint Results of 2-year follow-up of a randomized, double-blind, controlled trial of fluoroscopic caudal epidural injections in central spinal stenosis
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 15:371-84. 2012
    ..However, there is a paucity of literature from randomized, controlled trials about the effectiveness of epidural injections for lumbar central spinal stenosis...
  58. ncbi request reprint Physician payment outlook for 2012: déjà vu
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 15:E27-52. 2012
    ..Interventional pain management, like other evolving specialties will probably most likely suffer under the new affordable health care law and regulatory burden...
  59. ncbi request reprint Fluoroscopic cervical interlaminar epidural injections in managing chronic pain of cervical postsurgery syndrome: preliminary results of a randomized, double-blind, active control trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 15:13-25. 2012
    ..However there have not been any systematic evaluations regarding the effectiveness of cervical epidural injections in cervical postsurgery syndrome...
  60. pmc Explosive growth of facet joint interventions in the Medicare population in the United States: a comparative evaluation of 1997, 2002, and 2006 data
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY, 42003, USA
    BMC Health Serv Res 10:84. 2010
    ..The purpose of the study was to determine trends of frequency and cost of facet joint interventions in managing spinal pain...
  61. ncbi request reprint Preliminary results of a randomized, double-blind, controlled trial of fluoroscopic lumbar interlaminar epidural injections in managing chronic lumbar discogenic pain without disc herniation or radiculitis
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY and Millennium Pain Center, Bloomington, IL, USA
    Pain Physician 13:E279-92. 2010
    ..However, little evidence exists regarding the effectiveness, indications, and medical necessity of lumbar epidural injections in managing axial low back pain without disc herniation or radiculitis...
  62. ncbi request reprint Reassessment of evidence synthesis of occupational medicine practice guidelines for interventional pain management
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 11:393-482. 2008
    ....
  63. ncbi request reprint A critical review of the American Pain Society clinical practice guidelines for interventional techniques: part 1. Diagnostic interventions
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:E141-74. 2010
    ..However, these guidelines have been questioned regarding their development process, their implementation, and their impact on various specialties...
  64. ncbi request reprint Facts, fallacies, and politics of comparative effectiveness research: Part I. Basic considerations
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:E23-54. 2010
    ..Part I of this comprehensive review will describe facts, fallacies, and politics of CER with discussions to understand basic concepts of CER...
  65. ncbi request reprint Analysis of the growth of epidural injections and costs in the Medicare population: a comparative evaluation of 1997, 2002, and 2006 data
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:199-212. 2010
    ..However, an analysis of the growth of epidural injections and costs in the Medicare population has not been performed with recent data and has not been looked at from an interventional pain management perspective...
  66. ncbi request reprint Cervical epidural injections in chronic discogenic neck pain without disc herniation or radiculitis: preliminary results of a randomized, double-blind, controlled trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:E265-78. 2010
    ..Despite limited evidence, cervical epidural injections are one of the commonly performed non-surgical interventions in the management of chronic neck pain...
  67. ncbi request reprint Making sense of the accuracy of diagnostic lumbar facet joint nerve blocks: an assessment of the implications of 50% relief, 80% relief, single block, or controlled diagnostic blocks
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:133-43. 2010
    ..However, controversy surrounds the following related issues: placebo control, the amount of relief (50% versus 80%), single block versus double block, and placebo or comparative control...
  68. ncbi request reprint One-year results of a randomized, double-blind, active controlled trial of fluoroscopic caudal epidural injections with or without steroids in managing chronic discogenic low back pain without disc herniation or radiculitis
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 14:25-36. 2011
    ..However, there is little evidence utilizing contemporary methodology for using epidural injections in patients with discogenic pain...
  69. ncbi request reprint Fluoroscopic caudal epidural injections with or without steroids in managing pain of lumbar spinal stenosis: one-year results of randomized, double-blind, active-controlled trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    J Spinal Disord Tech 25:226-34. 2012
    ..A randomized, double-blind, active-controlled trial...
  70. ncbi request reprint Medicare physician payment systems: impact of 2011 schedule on interventional pain management
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 14:E5-33. 2011
    ..Consequently, CMS issued an emergency update of the 2011 Medicare fee schedule, with multiple revisions, resulting in a reduction of the conversion factor of $36.8729 from December 2010 to $33.9764 for 2011...
  71. ncbi request reprint Description of documentation in the management of chronic spinal pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 12:E199-224. 2009
    ..With minor variations, these requirements are similar for an in-office setting, hospital out patient department, and ambulatory surgery centers...
  72. ncbi request reprint Prevalence of side effects of prolonged low or moderate dose opioid therapy with concomitant benzodiazepine and/or antidepressant therapy in chronic non-cancer pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 12:259-67. 2009
    ..However, there is no data available on the prevalence of side effects associated with low or moderate dose opioid use in chronic non-cancer pain when administered in conjunction with interventional techniques...
  73. ncbi request reprint Facts, fallacies, and politics of comparative effectiveness research: Part 2 - implications for interventional pain management
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:E55-79. 2010
    ....
  74. ncbi request reprint A preliminary report of a randomized double-blind, active controlled trial of fluoroscopic thoracic interlaminar epidural injections in managing chronic thoracic pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:E357-69. 2010
    ..In addition, there is a paucity of literature regarding thoracic intervertebral discs and thoracic disc herniation as causative structures of thoracic pain...
  75. ncbi request reprint Interventional pain management at crossroads: the perfect storm brewing for a new decade of challenges
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:E111-40. 2010
    ..This manuscript will analyze various issues related to interventional pain management with a critical analysis of physician payments, office facility payments, and ASC payments by various payor groups...
  76. pmc Evaluation of lumbar facet joint nerve blocks in managing chronic low back pain: a randomized, double-blind, controlled trial with a 2-year follow-up
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Int J Med Sci 7:124-35. 2010
    ..A randomized, double-blind, controlled trial...
  77. ncbi request reprint Comparative effectiveness of a one-year follow-up of thoracic medial branch blocks in management of chronic thoracic pain: a randomized, double-blind active controlled trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:535-48. 2010
    ..Various therapeutic techniques utilized in managing chronic thoracic pain of facet joint origin include intraarticular injections, medial branch blocks, and radiofrequency neurotomy of thoracic medial branch nerves...
  78. ncbi request reprint A systematic review of randomized trials of long-term opioid management for chronic non-cancer pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 14:91-121. 2011
    ..Even though evidence is limited, multiple expert panels have concluded that chronic opioid therapy can be effective therapy for carefully selected and monitored patients with chronic non-cancer pain...
  79. ncbi request reprint An introduction to an evidence-based approach to interventional techniques in the management of chronic spinal pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 12:E1-33. 2009
    ..Evidence synthesis for guidelines includes the review of all relevant systematic reviews and individual articles, grading them for relevance, methodologic quality, consistency, and recommendations...
  80. ncbi request reprint Opioid guidelines in the management of chronic non-cancer pain
    Andrea 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)...
  81. ncbi request reprint Prescription drug abuse: what is being done to address this new drug epidemic? Testimony before the Subcommittee on Criminal Justice, Drug Policy and Human Resources
    Laxmaiah Manchikanti
    American Society of Interventional Pain Physicians, Paducah, KY, USA
    Pain Physician 9:287-321. 2006
    ..on the written and oral testimony of witnesses at a July 26, 2006 Congressional Hearing, including that of Laxmaiah Manchikanti, MD, the chief executive officer of the American Society of Interventional Pain Physicians and additions ..
  82. ncbi request reprint Interventional techniques in ambulatory surgical centers: a look at the new payment system
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, KY 42003, USA
    Pain Physician 10:627-50. 2007
    ..The proposed CMS rule will have widespread effects on physician payments, ASC payments, and particularly interventional pain management physicians...
  83. ncbi request reprint Opioids in the management of chronic non-cancer pain: an update of American Society of the Interventional Pain Physicians' (ASIPP) Guidelines
    Andrea M Trescot
    American Society of Interventional Pain Physicians, Paducah, KY 42001, USA
    Pain Physician 11:S5-S62. 2008
    ..Available evidence suggests a continued wide variance in the use of opioids, as documented by different medical specialties, medical boards, advocacy groups, and the Drug Enforcement Administration...
  84. ncbi request reprint Physician payment 2008 for interventionalists: current state of health care policy
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, KY 42003, USA
    Pain Physician 10:607-26. 2007
    ..As well, ethical issues of policy development upon the infrastructure and practice of interventional pain management are addressed...
  85. ncbi request reprint Therapeutic opioids: a ten-year perspective on the complexities and complications of the escalating use, abuse, and nonmedical use of opioids
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, KY 42003, USA
    Pain Physician 11:S63-88. 2008
    ..Patients on long-term opioid use have been shown to increase the overall cost of healthcare, disability, rates of surgery, and late opioid use...
  86. ncbi request reprint Analysis of growth of interventional techniques in managing chronic pain in the Medicare population: a 10-year evaluation from 1997 to 2006
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 12:9-34. 2009
    ..Interventional pain management (IPM) is an evolving specialty amenable to multiple influences. Evaluation and isolation of appropriate factors for increasing growth patterns have not been performed...
  87. ncbi request reprint Health care reform in the United States: radical surgery needed now more than ever
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 11:13-42. 2008
    ..This manuscript will review escalating national health care expenditures, factors contributing to health care increases, health care systems in many other countries, and various proposals...
  88. ncbi request reprint Epidural lysis of adhesions and myeloscopy
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Curr Pain Headache Rep 6:427-35. 2002
    ..This review describes pathophysiologic aspects, purposes and goals, rationale and indications, complications, and effectiveness of epidural lysis of adhesions with myeloscopy...
  89. doi request reprint Opioids in chronic noncancer pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Expert Rev Neurother 10:775-89. 2010
    ....
  90. ncbi request reprint Systematic review of lumbar discography as a diagnostic test for chronic low back pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 12:541-59. 2009
    ..Despite the extensive literature, controversy continues about provocation lumbar discography...
  91. ncbi request reprint Monitoring opioid adherence in chronic pain patients: tools, techniques, and utility
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 11:S155-80. 2008
    ....
  92. ncbi request reprint Physician refer thyself: is Stark II, phase III the final voyage?
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, KY, USA
    Pain Physician 10:725-41. 2007
    ..This article is not, and should not be, construed as legal advice or an opinion on specific situations...
  93. ncbi request reprint Interventional techniques: evidence-based practice guidelines in the management of chronic spinal pain
    Mark 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...