425 posters, 1 videos, 9 audios, 8 topics, 53 sessions, 340 authors, 286 institutions
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22nd Annual Pain Medicine Meeting 2023
November 10 - 11, 2023 | New Orleans Marriott | New Orleans, Louisiana, USA
4941
PRECISION REHABILITATION FOLLOWING RESTORATIVE NEUROSTIMULATION IMPLANTATION FOR MULTIFIDUS DYSFUNCTION
Poster Presenter
Part of Topic
Chronic Pain
Precision Rehabilitation following Restorative Neurostimulation Implantation for Multifidus Dysfunction
Alexios Carayannopoulos, David Johnson, David Lee, Anthony Giuffrida, Kavita Poply, Vivek Mehta, Marco Amann, Douglas Santillo, Yousef Ghandour, Amy Koch, Meredith Langhorst, Robert Heros
BACKGROUND
•Chronic low back pain (CLBP) debilitates and burdens individuals with painful dysfunction and low quality of life1
•Mechanical CLBP (not surgically amenable, without neuropathic pain) requires precise medical management of multifidus dysfunction with fatty infiltration (Fig 1)
•Restorative neurostimulation shows durable and effective recovery of function and quality of life2,3
•Aim: Enhance multifidus dysfunction rehabilitation guidance for patients with restorative neurostimulation implantation
METHODS
•Inform on ideal patient selection with patient-reported outcomes, clinical testing, imaging, and history
•Develop rehabilitation guidance consensus from physicians and rehabilitation specialists with experience managing patients with CLBP and restorative neurostimulation
RESULTS
•Consensus highlights the approximate 6 weeks needed for leads and tissue scar formation. (Table 1)
DISCUSSION
•Providing precision patient-centric medical management with a robust rehabilitation presence allows patient and neurostimulation device to gain quality synergy
•Targeted rehabilitation is a cornerstone to quality recovery