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RF Workshop, Malaysia, 2023
What a great honor to have another opportunity to come back to Malaysia and share knowledge with other pain practitioners. Here are the lectures I presented for the workshop. Hopefully it can also be a simple guideline for your practice!
Acute Pain Management
“Exploring the crucial realm of acute pain management is not just a professional duty; it’s a commitment to the well-being of those in our care. In the fast-paced world of medicine, where every second counts, understanding the significance of swift and empathetic pain intervention is paramount. This topic aims to give non-anesthesiologist the basics of acute pain management. May this discussion serve as a valuable resource, enhancing your daily practice and reinforcing the compassionate foundation of patient care. Thank you.”
Percutaneous Minimally Invasive Management for Chronic Non-Cancer Pain
On September 29, 2023, I had the amazing opportunity to present at the Bali Update Anesthesia Skill Symposium, and my topic was all about “Percutaneous Minimally Invasive Management for Chronic Non-Cancer Pain.”
It certainly is a big topic for a 30 minute presentation, so I wrote an introduction of interventional pain management and the basic concepts of pain intervention.
Caudal Epidural
The caudal epidural procedure is a medical treatment commonly used to manage lower back pain. This minimally invasive technique involves injecting an anesthetic and/or steroid medication into the epidural space in the lower back region. By doing so, the medication can help relieve inflammation and pain in the nerves, muscles, and tissues in the area.
Pulsed radiofrequency (PRF) is a newer technique that can also be used to manage chronic lower back pain. Unlike traditional radiofrequency ablation, which uses high-frequency currents to destroy problematic nerves, PRF instead sends short pulses of electrical signals to the targeted nerves to interrupt and decrease pain signals. PRF has been shown to be a safe and effective way to manage lower back pain, especially in patients who have not responded well to other treatments. In some cases, PRF may be used in addition to a caudal epidural procedure to provide longer-lasting relief of lower back pain.
I have included some studies about caudal epidural PRF which I have used in my practice with quite good result.
Medial Branch Block and Radiofrequency Ablation
Medial branch blocks and radiofrequency ablation are two types of procedures used to diagnose and manage pain in the spine, particularly in the back and neck. Medial branch blocks involve the injection of an anesthetic near the medial branches of spinal nerves, which supply sensation to the facet joints. The goal is to temporarily block the pain signals to determine if it is originating from the facet joints. If the test is positive, then radiofrequency ablation may be indicated. This procedure involves the use of radiofrequency energy to destroy the medial branches, thus interrupting the pain signals and providing pain relief for longer periods
This is a presentation I presented at “Ultrasound and C-Arm Guided Radiofrequency Ablation Pain Management Course” at University Kebangsaan Malaysia in 2022. I summarized and made a step-by-step guide for C-arm medial branch block and RFA.
Common Upper Extremity Pain Syndromes
Ultrasound guided upper extremity pain refers to the use of ultrasound technology to diagnose and treat pain in the arms, shoulders, and hands. Ultrasound imaging allows for a clear view of the soft tissue, nerves, and blood vessels in the affected area, which can help us accurately identify any issues or injuries.
Ultrasound guided upper extremity pain procedures can be a quick and effective way to diagnose and treat discomfort in the arms, shoulders, or hands. They are minimally invasive and can be performed in a doctor’s office or outpatient setting.
This is a presentation I presented at a workshop by Perdatin Nusa Tenggara Barat. It has some basic diagnosis and treatment for common shoulder, elbow and wrist pain syndromes.
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