Among neuromodulation procedures, electrical stimulation of peripheral nerves (PNS) is probably the most underappreciated modality. Although PNS is used for all kinds of medical conditions, ranging from chronic neuropathic pain and headache to epilepsy, depression, hypertension and heart failure, its importance is frequently overshadowed by spinal cord stimulation and deep brain stimulation. While the earlier version of this book dealt exclusively with various pain syndromes, this new volume covers the entire spectrum of PNS applications. Written by recognized authorities in their respective fields, the chapters of this title describe the use of PNS in the management of neurological, psychiatric, otorhinolaryngological, cardiovascular, pulmonary, colorectal and genitourinary disorders. To reflect the complexity of the regulatory process, the book ends with a special chapter dedicated to the current state of approval of different PNS devices. This book will be of great value to all those who deal with neuromodulation, including clinicians who select PNS candidates, surgeons and other specialists who implant PNS devices, and researchers and engineers who work on making the stimulators safer and more effective.
Neuromodulation: Comprehensive Textbook of Principles, Technologies, and Therapies, Second Edition, serves as a comprehensive and in-depth reference textbook covering all aspects of the rapidly growing field of neuromodulation. Since the publication of the first edition seven years ago, there has been an explosion of knowledge in neuromodulation, optogenetics, bioelectronics medicine and brain computer interfacing. Users will find unique discussions of the fundamental principles of neuromodulation and therapies, and how they are applied to the brain, spinal cord, peripheral nerves, autonomic nerves and various organs. The book focuses on comprehensive coverage of spinal cord stimulation, non-interventional and interventional brain stimulation, peripheral nerve stimulation, and the emerging fields of neuromodulation, including optogenetics and bioelectronics medicine. - Provides a comprehensive reference that covers all aspects of the growing field of neuromodulation - Written by international, leading authorities in their respective fields of neuromodulation, pain management, functional neurosurgery and biomedical engineering - Includes new chapters on optogenetics, bioelectronics medicine and brain computer interfacing
At last—a single, convenient reference on this interventional pain management technique, covering all recent advances in this fast-changing field. Peripheral Nerve Stimulation: A Comprehensive Guide is a one-stop resource offering practical guidance on performing a wide array of pain-relieving procedures using office-based ultrasound-guided techniques, fluoroscopy, and more. Concise and user-friendly, this easy-to-use guide helps physicians deliver safe, accurate, and cost-effective care by demonstrating how to evaluate the causes of pain, identify the most promising stimulation technique, locate the site with precision, and provide effective pain relief. - Offers clear guidance on peripheral nerve stimulation procedures for patients with chronic pain, incorporating all clinically useful imaging modalities. - Illustrates the anatomical targets for each procedure and the appropriate placement of wireless micro devices. - Presents information in an easy-to-follow, consistent format: anatomy; diagnosis by history, exam, imaging, and diagnostic block; indications for PNS; contraindications for PNS; and techniques. - Provides superb visual guidance with clinically relevant anatomic drawings, color line drawings, clinical photographs, and ultrasound images. - Discusses the risks and benefits of each procedure, highlights potential pitfalls, and offers clinical pearls on how to avoid them.
There is an unmet need in both acute and chronic care settings for a comprehensive, clinically focused, fast reference on pain management. Written by high-profile, internationally recognized experts in field, Pain Treatment for Acute and Chronic Conditions: A Comprehensive Handbook is one of the first manuals of its kind to provide balanced and comprehensive coverage of pain medicine modalities. The book is structured into sixteen sections with each chapter providing key points for quick reference, followed by a more detailed overview of the topic at hand with extensive tables and figures to illustrate. Beautifully laid out and extensively furnished with both research and experience, this book is a necessary resource in the field of pain medicine.
Until recently, it was thought that the adult brain is modifiable only during early stages of ontogenesis. However, neurophysiological and neuroimaging studies now indicate that the mature human brain is, under certain conditions, capable of substantial neuroplastic changes. Neuroplasticity reflects the ability of the human brain to alter the pattern of neural activation in response to previous experience, and recent findings indicate that the effects of experience can lead to both structural as well as functional reorganization. It has been shown that pathological neuroplastic changes can be reverted/normalized and that the modulation of the neuroplastic changes can be paralleled by improvement of the patient's status. However, there is a gap between the potential of neuromodulation, technical progress and actual preparedness of medical personnel to provide this type of treatment. A prevalent opinion among medical professionals indicates that training programs and educational materials in neuromodulatory techniques are well needed and appreciated. Neuromodulation will focus on the description and discussion of methods currently available for invasive and non-invasive neuromodulation, their clinical potential, significance and practical applications. In order to facilitate understanding of the topic, the initial part of the textbook will review neurophysiological systems involved in neuromodulation and will provide readers with basic principles of neuroplasticity that constitutes the rationale for neuromodulation in human medicine. Additionally, the clinical use of these techniques will be described with special regard to safety and avoidance of complications.
This book is a comprehensive illustrated surgical guide to operative exposures of the spinal nerves, also known as peripheral nerves. Each chapter is devoted to a particular nerve and describes the origin, anatomic relations, branches, surgical approaches, and clinical significance. The text is concise and easy to read and is complemented by informative color photos from cadaveric dissections and surgical procedures. A separate chapter on technical notes identifies surgical pearls relating to techniques such as nerve suturing and nerve transfers. Importantly, unlike other peripheral nerve atlases, this book is accompanied by videos of different approaches. The book will be especially valuable for residents and fellows in training and candidates for oral board and MOC examinations. It is also designed to provide a quick illustrated review for surgeons unfamiliar with a procedure. Most videos are less than 5 minutes long, and it should take less than 10 minutes to review each approach, including watching the video. Anatomy and Exposures of Spinal Nerves will effectively fill a gap caused by the absence of a peripheral nerve surgeon from many neurosurgery training programs.
Neuromodulation will be the first comprehensive and in-depth reference textbook covering all aspects of the rapidly growing field of neuromodulation. This book provides a complete discussion of the fundamental principles of neuromodulation and therapies applied to the brain, spinal cord, peripheral nerves, autonomic nerves and various organs. The textbook is highly structured and organized into overarching sections that cover chronic pain, movement disorders, psychiatric disorders, epilepsy, functional electrical stimulation, cardiac, gastrointestinal, genitourinary and organ neuromodulation. The fundamental principles of electricity and infusion, neural tissue interface, biomedical engineering, neuromodulation devices, basic science, neuroanatomy, neurophysiology, imaging and mechanisms are emphasized. In addition to providing details pertaining to the state-of-the-art current practice, innovative and emerging applications are discussed in specific chapters. Finally, the textbook provides specific chapters focusing on the technical aspects of the various neuromodulation procedures as well as technical specifications of various implantable devices. All of the contributors to Neuromodulation represent leading experts in the field. The editors are internationally renowned in their respective fields of neuromodulation, pain management, functional neurosurgery and biomedical engineering. Neuromodulation will be the first and foremost authoritative text on neuromodulation therapies and will establish the gold standard that defines the field for years to come.Key Features - The first comprehensive reference on the emerging field of Neuromodulation - Editors and authors include all leading figures in the field, and the leaders of the International Neuromodulation Society - Over 90 chapters on topics ranging from a layout of the fundamentals (e.g. neuroanatomy, plasticity, bioelectrical effects, infusion therapies), solutions for the biomedical engineering challenges (e.g. materials, how to preserve normal function etc.), to a rundown of the existing applications and their future promise - Over 1200 pages in splendid full color, richly illustrated - Important areas of application include: control of chronic pain delivery of drugs to the nervous system via implanted devices control of epilepsy, Parkinson, etc. functional restoration, e.g. visual, auditory, restoration after stroke, restoration of motor function after traumatic events stimulation of body organs via neural devices (incl. the heart, abdominal organs, genitourinary organs) overview over newly emerging fields - control of obesity, blood pressure, tinnitus, brain injury, neurodegenerative diseases, brain-machine interfaces
This is the first comprehensive text-atlas that shows how to use ultrasound technology and nerve stimulation techniques to guide regional blockade in children. Clinical chapters follow a sequential, highly illustrated format that provides step-by-step guidance and include cases, clinical pearls, and troubleshooting tips. Nearly 400 figures, consisting of ultrasound images, MRI images, and schematics, have been assembled to maximize understanding of pediatric neuroanatomy and its relationship to surrounding anatomical structures. To help the novice user, the book features side-by-side presentation of unlabeled and labeled ultrasound images. Pediatric Atlas of Ultrasound- and Nerve Stimulation-Guided Regional Anesthesia focuses on common approaches, supplemented in clinical pearls and notes by alternative approaches, and emphasizes dynamic and systematic scanning techniques. It is intended for pediatric anesthesiologists who wish to incorporate regional blockade into their repertoire and designed as a refresher and resource for all regional anesthesiologists seeking to refine their skills. Unique Selling Points: Internationally renowned experts Presents two technologies proven to improve block success when used together Superb coverage of pediatric anatomy in relation to regional anesthesia Equipment, set-up, pain assessment, local anesthetic pharmacology, and patient safety considerations f or child patients
This book illustrates ultrasound and guided nerve stimulation techniques to achieve consistently good anesthesia results. Also included are demonstrations of peripheral nerve block techniques for the trunk, and upper and lower extremities. Images are correlated with MRIs for better anatomic identification.
Featured as a single volume, this is a comprehensive guide to possible nerve entrapment syndromes and their management. Each chapter covers a single nerve, or group of closely related nerves, and goes over the clinical presentation, anatomy, physical exam, differential diagnosis, contributing factors, injection techniques, neurolytic/surgical techniques, treatments of perpetuating factors, and complications. Nerve entrapments can occur throughout the body and cause headaches, chest pain, abdominal pain, pelvic pain, low back pain, and upper and lower extremity pain. As an example, one of the most common forms of nerve entrapment syndrome, Carpal Tunnel Syndrome, affects roughly 1 in 20 people in the United States, and is only one of several types of entrapment syndromes possible for the median nerve. Chapters are also extensively illustrated and include 3D anatomical images. The additional online material enhances the book with more than 50 videos - at least 2 for each nerve. This enables readers to easily navigate the book. In addition to a conventional index it includes a “Pain Problems Index” for searching by symptom. Peripheral Nerve Entrapments: Clinical Diagnosis and Management is a long-needed resource for pain physicians, emergency room physicians, and neurologists.
