Novel Interventional Techniques for Chronic Pain with Minimally Invasive Arthrodesis of the Sacroiliac Joint: (INSITE, iFuse, Tricor, Rialto, and others)

Rheumatol Ther. 2021 Jul 30. doi: 10.1007/s40744-021-00350-8. Online ahead of print.ABSTRACTAcute and chronic pain are public health issues that clinicians have been battling for years. Opioid medications have been a treatment option for both chronic and acute pain; however, they can cause unwanted complications and are a major contributor to our present opioid epidemic. The sacroiliac (SI) joint is a common cause of both acute and chronic low back pain. It affects about 15-25% of patients with axial low back pain, and up to 40% of patients with ongoing pain following lumbar fusion. Recent advances in the treatment of SI joint pain have led to the development of a wide variety of SI joint fusion devices. These fusion devices seek to stabilize the joints themselves in order that they become immobile and, in theory, can no longer be a source for pain. This is a minimally invasive procedure aimed to address chronic pain without subjecting patients to lengthy surgery or medications, including opioids with the potential for addiction and abuse. Minimally invasive SI fusion can be performed by a lateral approach (i.e., iFuse, Tricor) or posterior approach (i.e., CornerLoc, LinQ, Rialto). The posterior approach requires the patient to be in the prone position but allows for less disruption of muscles with entry. More data are necessary to determine which fusion system may be best for a particular patient. SI fusion devices are a promising way of treating chronic lower back pain rela...
Source: Pain Physician - Category: Anesthesiology Authors: Source Type: research

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Authors: Borenstein DG, Hassett AL, Pisetsky D Abstract The Pain Management Task Force of the American College of Rheumatology published a report in 2010 highlighting pain management as a fundamental aspect of clinical practice, training and research. In the interim, the consideration of pain as a focus of attention of rheumatologists and rheumatology health professionals has become even more challenging than in 2010 because of the epidemic of opiate addiction and overdose death. The characterisation of categories of pain by mechanism (e.g., inflammation, joint degeneration, abnormalities of central pain processing...
Source: Clinical and Experimental Rheumatology - Category: Rheumatology Tags: Clin Exp Rheumatol Source Type: research
When I was in medical school, doctors only wrote prescriptions for opioid painkillers for terminal cancer patients, surgical patients and critical emergencies. That's because they knew these drugs were lethal. Opioids come from the same poppy plant used to make opium and heroin. And just like those addictive street drugs, the risk of getting hooked on them is extremely high. It's incredible how things have changed since then… What are opioids prescribed for? Today, you're likely to get a prescription for opioids for just about any kind of pain. That includes chronic pain, fibromyalgia, depression, heada...
Source: Al Sears, MD Natural Remedies - Category: Complementary Medicine Authors: Tags: Health Natural Cures Source Type: news
In April, the U.S. Surgeon General, Dr. Vivek Murthy, attended a meeting of the Association of Health Care Journalists. In an exclusive interview with MedPage Today, he shared his mounting concerns about two matters: the impact of burnout on physicians and our society’s current opioid crisis. Dr. Murthy stated that he views physicians as being an essential part of the solution to the epidemic of drug overdoses, which have exceeded motor vehicle accidents as one of the leading causes of death. Dr. Murthy correctly linked the well-being of health professionals with that of the general public, stating, “As I think...
Source: New Harvard Health Information - Category: Consumer Health News Authors: Tags: Addiction Behavioral Health Health care Pain Management Source Type: news
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Source: Psychology of Pain - Category: Anesthesiology Source Type: blogs
"Please, I need my Oxycodone!" my patient, M, pleaded with me. My eyes met his. I observed every fleeting facial expression, hoping to gauge his intentions. The discussion about whether to continue to prescribe this medication was one I'd had too many times with too many patients over the past few months. "My arthritis is always worst in the winter," he said, rubbing his lower back. It was a snowy afternoon in clinic, and M and I were in the midst of a debate. Oxycodone is an opioid medication, and, like other painkillers such as Oxycontin, Percocet, and Vicodin, it carries a significant risk of ...
Source: Psychology of Pain - Category: Anesthesiology Source Type: blogs
The nation has seen a four-fold increase in opioid deaths in the last decade, according to the Centers for Disease Control and Prevention (CDC)—and physicians stand on the front lines of this national health crisis. During the 2015 AMA Interim Meeting, physician experts recently discussed actions you can take now to help combat the opioid epidemic and improve patient care. Rethinking prescribing practices, effectively using PDMPs CDC Director Thomas Frieden, MD, was among a panel of experts who offered actionable solutions to help curb the nation’s high rate of opioid overdoses. He noted that the rise in opi...
Source: AMA Wire - Category: Journals (General) Authors: Source Type: news
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Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - Category: Consumer Health News Authors: Tags: Health Local News Seen On WBZ-TV Syndicated Local Watch Listen Dr. Mallika Marshall Pain Killers Quell Source Type: news
By JOE SELBY, MD For more than a decade, the United States has faced an escalating opioid abuse crisis. The number of deaths associated with abuse of these prescription painkillers more than tripled between 1999 and 2012 and now outstrips the number associated with any other drug, according to the US Centers for Disease Control and Prevention. The problem is estimated to approach $56 billion in costs to society. Often, opioid abuse or overuse is associated with patients seeking effective relief from the common and often devastating problem of chronic pain, which has been reported as affecting up to one in three US adults. ...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: THCB Source Type: blogs
During a recent campaign stop, presidential candidate Hillary Clinton promised to make the "quiet epidemic" involving heroin and prescription opioids an important part of her presidential campaign -- and, presumably, of her presidency, should she be elected. She mentioned the issue of substance misuse again in her highly publicized speech on criminal justice reform last week. As someone intimately familiar with the devastating impact of this public health crisis on individuals, families and communities, I was very pleased to hear this, and thought of several ways she could make good on her pledge. Here are fi...
Source: Science - The Huffington Post - Category: Science Source Type: news
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