Laxmaiah Manchikanti

Summary

Affiliation: Pain Management Center of Paducah
Country: USA

Publications

  1. 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
  2. ncbi request reprint Cost utility analysis of caudal epidural injections in the treatment of lumbar disc herniation, axial or discogenic low back pain, central spinal stenosis, and post lumbar surgery syndrome
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 16:E129-43. 2013
  3. ncbi request reprint Evaluation and management service in interventional pain practice: doing it right!
    L Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 3:322-41. 2000
  4. ncbi request reprint Is there correlation of facet joint pain in lumbar and cervical spine? An evaluation of prevalence in combined chronic low back and neck pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 5:365-71. 2002
  5. ncbi request reprint Evaluation of the prevalence of facet joint pain in chronic thoracic pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 5:354-9. 2002
  6. ncbi request reprint Prevalence of illicit drug use in patients without controlled substance abuse in interventional pain management
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 6:173-8. 2003
  7. ncbi request reprint Correlates of non-physiological behavior in patients with chronic low back pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 6:159-66. 2003
  8. ncbi request reprint Are diagnostic lumbar medial branch blocks valid? Results of 2-year follow-up
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 6:147-53. 2003
  9. ncbi request reprint Effectiveness of protective measures in reducing risk of radiation exposure in interventional pain management: a prospective evaluation
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 6:301-5. 2003
  10. ncbi request reprint A comparative evaluation of illicit drug use in patients with or without controlled substance abuse in interventional pain management
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 6:281-5. 2003

Detail Information

Publications139 found, 100 shown here

  1. 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...
  2. ncbi request reprint Cost utility analysis of caudal epidural injections in the treatment of lumbar disc herniation, axial or discogenic low back pain, central spinal stenosis, and post lumbar surgery syndrome
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY 42003, USA
    Pain Physician 16:E129-43. 2013
    ..There has not been any cost utility analysis studies of epidural injections in large randomized trials performed in interventional pain management settings...
  3. ncbi request reprint Evaluation and management service in interventional pain practice: doing it right!
    L Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 3:322-41. 2000
    ....
  4. ncbi request reprint Is there correlation of facet joint pain in lumbar and cervical spine? An evaluation of prevalence in combined chronic low back and neck pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 5:365-71. 2002
    ..There was also significant correlation noted with 94% of the patients with confirmed lumbar facet joint pain also presenting with cervical facet joint pain...
  5. ncbi request reprint Evaluation of the prevalence of facet joint pain in chronic thoracic pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 5:354-9. 2002
    ..Thus, comparative local anesthetic blocks showed the prevalence of facet joint pain to be 48%, with single blocks carrying a false-positive rate of 58%...
  6. ncbi request reprint Prevalence of illicit drug use in patients without controlled substance abuse in interventional pain management
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 6:173-8. 2003
    ..However, if cocaine is considered as a hardcore drug in contrast to marijuana, abuse of hardcore illicit drugs is only 3%...
  7. ncbi request reprint Correlates of non-physiological behavior in patients with chronic low back pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 6:159-66. 2003
    ..However, correlation was present for non-physiological symptoms only with elevated scores of anxiety and somatization...
  8. ncbi request reprint Are diagnostic lumbar medial branch blocks valid? Results of 2-year follow-up
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 6:147-53. 2003
    ....
  9. ncbi request reprint Effectiveness of protective measures in reducing risk of radiation exposure in interventional pain management: a prospective evaluation
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 6:301-5. 2003
    ..9 -/+ 0.11 seconds. Scatter radiation exposure was higher outside the lead aprons compared to inside the lead aprons. Scatter radiation exposure at groin level was similar with or without lead shielding from the table to the floor...
  10. ncbi request reprint A comparative evaluation of illicit drug use in patients with or without controlled substance abuse in interventional pain management
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 6:281-5. 2003
    ....
  11. ncbi request reprint Spinal endoscopic adhesiolysis in the management of chronic low back pain: a preliminary report of a randomized, double-blind trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 6:259-67. 2003
    ..Spinal endoscopic adhesiolysis with targeted injection of local anesthetic and steroid, is an effective treatment in a significant number of patients without major adverse effects at 6-month follow-up...
  12. ncbi request reprint Interventional pain management: evolving issues for 2003
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 6:125-37. 2003
    ..This review will discuss the issues of CPT coding, correct coding, and utilization as they pertain to interventional techniques...
  13. ncbi request reprint Evidence-based practice guidelines for interventional techniques in the management of chronic spinal pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 6:3-81. 2003
    ..Based on an individual patient's needs, treatment different from that outlined here could be warranted. These guidelines do not represent "standard of care."..
  14. ncbi request reprint Evolution of interventional pain management
    Laxmaiah Manchikanti
    Medical Director, Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 6:485-94. 2003
    ....
  15. ncbi request reprint Radiation exposure to the physician in interventional pain management
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 5:385-93. 2002
    ..It is concluded that it is feasible to perform all procedures under fluoroscopy in the described setting safely and effectively in interventional pain management...
  16. ncbi request reprint Medial branch neurotomy in management of chronic spinal pain: systematic review of the evidence
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 5:405-18. 2002
    ....
  17. ncbi request reprint Research designs in interventional pain management: is randomization superior, desirable or essential?
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 5:275-84. 2002
    ..In contrast, randomization showed significant differences in seven parameters. The results of this study conclude that in interventional pain management settings, non-randomized sampling is valid...
  18. ncbi request reprint Current issues in billing and coding in interventional pain medicine
    L Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 3:434-52. 2000
    ..Based on an individual patient's needs, treatment, billing and coding, different from what is outlined here is not only warranted but essential...
  19. ncbi request reprint Recent developments in evaluation and management services
    L Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 3:403-21. 2000
    ..The new guidelines are purported to eliminate "bullets" and "shading"; reduce the need for counting the "elements"; introduce the first specialty-specific vignettes; and include a nationwide study of the new proposed guidelines...
  20. ncbi request reprint Transforaminal lumbar epidural steroid injections
    L Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 3:374-98. 2000
    ..This review describes various aspects of transforaminal epidural steroid injections in managing chronic low back pain...
  21. ncbi request reprint The effect of neuraxial steroids on weight and bone mass density: a prospective evaluation
    L Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 3:357-66. 2000
    ..This study also showed no deleterious effect on weight or BMD...
  22. ncbi request reprint Effectiveness of lumbar facet joint nerve blocks in chronic low back pain: a randomized clinical trial
    L Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 4:101-17. 2001
    ....
  23. ncbi request reprint The role of guidelines in interventional pain medicine: let us separate apples and oranges
    L Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 4:13-23. 2001
    ..e., providers and patients vs payors. This article discusses the development, usage, advantages, disadvantages and the implications of practice guidelines to interventional pain medicine specialists...
  24. ncbi request reprint Essentials of documentation in interventional pain medicine
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 5:226-36. 2002
    ..This review describes various elements of documentation, documentation standards and the government's perspective on documentation, as well as the process of documentation...
  25. ncbi request reprint Do number of pain conditions influence emotional status?
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 5:200-5. 2002
    ..Psychological abnormalities with generalized anxiety disorder, somatization disorder, and depression are commonly seen in chronic pain patients...
  26. ncbi request reprint Role of neuraxial steroids in interventional pain management
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 5:182-99. 2002
    ..This review describes various aspects of neuraxial steroids including historical concepts, mechanism of action, pharmacological aspects, side effects, complications and their role in treatment...
  27. ncbi request reprint Evaluation of psychological status in chronic low back pain: comparison with general population
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 5:149-55. 2002
    ....
  28. ncbi request reprint Effectiveness of clinical guidelines in interventional pain management
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 5:127-32. 2002
    ....
  29. ncbi request reprint Screening for controlled substance abuse in interventional pain management settings: evaluation of an assessment tool
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 6:425-33. 2003
    ..This tool provides a simple, reliable, and cost effective means of screening for drug abuse during the clinical evaluation of patients in interventional pain management settings...
  30. ncbi request reprint Chronic low back pain of facet (zygapophysial) joint origin: is there a difference based on involvement of single or multiple spinal regions?
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 6:399-405. 2003
    ..These results may not be extrapolated to the general population or chronic low back pain population at large...
  31. ncbi request reprint Facet Joint Pain and the Role of Neural Blockade in Its Management
    - Manchikanti
    Pain Management Center, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Curr Rev Pain 3:348-358. 1999
    ..Radiofrequency neurotomy remains the only practical and validated treatment for cervical facet joint pain; however, its role in management of either lumbar or thoracic facet joint pain awaits validation...
  32. ncbi request reprint Evaluation of variables in illicit drug use: does a controlled substance abuse screening tool identify illicit drug use?
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 7:71-5. 2004
    ..A retrospective, case-controlled study...
  33. ncbi request reprint Evidence synthesis and development of guidelines in interventional pain management
    Laxmaiah Manchikanti
    Medical Director, Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 8:73-86. 2005
    ..The methods describing evidence synthesis or development of guidelines in interventional pain management are scarce...
  34. ncbi request reprint Evaluation of abuse of prescription and illicit drugs in chronic pain patients receiving short-acting (hydrocodone) or long-acting (methadone) opioids
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 8:257-61. 2005
    ....
  35. ncbi request reprint A randomized, prospective, double-blind, placebo-controlled evaluation of the effect of sedation on diagnostic validity of cervical facet joint pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 7:301-9. 2004
    ..Other confounding factors claimed to influence the diagnostic validity of cervical facet joint blocks include administration of anxiolytics and narcotics prior to or during the procedure...
  36. ncbi request reprint Prospective evaluation of patients with increasing opiate needs: prescription opiate abuse and illicit drug use
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 7:339-44. 2004
    ..However, patient behavior encompassing aggressive seeking or complaining about the need for higher doses of opioids has not yet been evaluated with regards to misuse or abuse patterns of prescription drugs and illicit drug usage...
  37. ncbi request reprint Managing phantom pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 7:365-75. 2004
    ..The review also examines the effectiveness of various described modalities for prevention, as well as management of established phantom pain syndromes...
  38. ncbi request reprint Evaluation of the effect of sedation as a confounding factor in the diagnostic validity of lumbar facet joint pain: a prospective, randomized, double-blind, placebo-controlled evaluation
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 7:411-7. 2004
    ..Diagnosis may be confounded by false-positive results with a single diagnostic block and administration of anxiolytics and narcotics prior to or during the diagnostic facet joint blocks...
  39. ncbi request reprint Patterns of illicit drug use and opioid abuse in patients with chronic pain at initial evaluation: a prospective, observational study
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 7:431-7. 2004
    ..It is not known what proportion of patients have already been exposed to controlled substances prior to presenting for interventional pain management...
  40. ncbi request reprint The growth of interventional pain management in the new millennium: a critical analysis of utilization in the medicare population
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 7:465-82. 2004
    ..Establishing an algorithmic approach and following guidelines may improve compliance and quality of care without implications of abuse...
  41. ncbi request reprint One day lumbar epidural adhesiolysis and hypertonic saline neurolysis in treatment of chronic low back pain: a randomized, double-blind trial
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 7:177-86. 2004
    ..Chronic, refractory low back pain is a common problem. Percutaneous adhesiolysis with hypertonic saline neurolysis was described in the management of chronic refractory low back pain, non-responsive to conservative modalities of management...
  42. ncbi request reprint Effectiveness of cervical medial branch blocks in chronic neck pain: a prospective outcome study
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 7:195-201. 2004
    ..Therapeutic interventions utilized in managing chronic neck pain of facet joint origin include intraarticular injections, medial branch nerve blocks, and neurolysis of medial branch nerves by means of radiofrequency...
  43. ncbi request reprint Evaluation of lumbar transforaminal epidural injections with needle placement and contrast flow patterns: a prospective, descriptive report
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 42003, USA
    Pain Physician 7:217-23. 2004
    ..However, there have been no controlled prospective evaluations of epidural and nerve root contrast distribution patterns and other aspects of fluoroscopically directed lumbosacral transforaminal epidural steroid injections...
  44. ncbi request reprint Evaluation of fluoroscopically guided caudal epidural injections
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky 2003, USA
    Pain Physician 7:81-92. 2004
    ..To evaluate accuracy of needle placement and flow patterns of fluoroscopically guided caudal epidural injections...
  45. ncbi request reprint Methods for evidence synthesis in interventional pain management
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA
    Pain Physician 6:89-111. 2003
    ....
  46. pmc Risk of whole body radiation exposure and protective measures in fluoroscopically guided interventional techniques: a prospective evaluation
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, Kentucky, USA
    BMC Anesthesiol 3:2. 2003
    ..3930 mREM per procedure. CONCLUSION: Results of this study showed that scatter radiation exposure to both the upper and lower parts of the physician's body is present. Protection was offered by traditional measures to the upper body only...
  47. pmc [ISRCTN 16558617] A randomized, controlled trial of spinal endoscopic adhesiolysis in chronic refractory low back and lower extremity pain
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, Kentucky 42003, USA
    BMC Anesthesiol 5:10. 2005
    ..The use of spinal endoscopic adhesiolysis in recent years in the management of chronic refractory low back and lower extremity pain has been described...
  48. 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...
  49. 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...
  50. 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...
  51. 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...
  52. 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...
  53. 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)...
  54. 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...
  55. 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...
  56. 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...
  57. 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...
  58. 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...
  59. 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...
  60. 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...
  61. 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
    ....
  62. 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...
  63. 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
  64. 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...
  65. 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...
  66. 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...
  67. 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...
  68. 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
    ....
  69. 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...
  70. 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...
  71. 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...
  72. 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...
  73. 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...
  74. 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
    ....
  75. 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...
  76. 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...
  77. 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...
  78. 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...
  79. 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...
  80. 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
    ....
  81. 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...
  82. 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...
  83. 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...
  84. 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...
  85. 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
    ....
  86. 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...
  87. 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...
  88. 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...
  89. 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...
  90. 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...
  91. doi 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...
  92. 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...
  93. 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...
  94. 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...
  95. 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...
  96. 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...
  97. 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...
  98. doi 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...
  99. 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...
  100. 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
    ....
  101. doi 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. ..