I’m honoured and thrilled to share my new role as the chair of the ISPN Middle East division.
@ASPN_PainNeuro
Looking forward to flourish the pain medicine field in the Middle East
Paravertebral space anatomy was one of the most challenging subject to understand since I was a resident. I put a lot of thoughts and effort into this lecture to make it easy to understand. Learn everything you need about paravertebral block in this video:
ATTENTION ANESTHESIOLOGISTS AND SURGEONS:
The attached pictures have very important practical information for acute pain management.
For more information, watch the mini-course:
1. Introduction to perioperative pain management:
ATTENTION ANESTHESIOLOGISTS AND SURGEONS:
The attached pictures have very important practical information for acute pain management.
For more information, watch the mini-course:
1. Introduction to perioperative pain management:
External Oblique Intercostal Plane Block.
It is useful for upper abdominal wall analgesia (e.g., open liver and gall bladder surgery – subcostal incision). Very good option in obese patients.
Watch this video:
#nerveblock
#regionalanesthesia
#anesthesia
Paravertebral space anatomy was one of the most challenging subject to understand since I was a resident. I put a lot of thoughts and effort into this lecture to make it easy to understand. Learn everything you need about paravertebral block in this video:
It is fascinating how moving your needle target few centimeters make a big difference in what you are blocking. What are the 5 different blocks you see in this illustration? Learn about all of them here:
#painmanagement
#surgicalpain
#nerveblock
Important facts about ligamentum flavum: will help explain the different feeling of loss of resistance you can get along the epidural space.
Learn more about epidural analgesia in the following two lectures:
Part 1:
Part 2:
Think innervation!
In this upper limbs innervation course, I walk you through applicable anatomy, causes of pain and nerves injury, nerves blocks and peripheral nerves stimulators applications.
#chronicpain
#painphysician
#nerveblock
#Neuromodulation
Facet joints’ arthritis and pain are very common. It is important to keep in mind this pain radiation map when making your diagnosis.
YouTube education:
#PainManagement
#PainPhysician
#ChronicPain
It is fascinating how moving your needle target few centimeters make a big difference in what you are blocking. What are the 4 different blocks you see in this illustration?
Learn about all of them:
#regionalanesthesia
#painmanagement
#nerveblock
Recommendations for anatomical structures to identify on ultrasound for the performance of intermediate and advanced blocks in ultrasound-guided regional anesthesia
#regionalanesthesia
#anesthesia
#acutepain
It is fascinating how moving your needle target few centimeters make a big difference in what you are blocking. What are the 5 different blocks you see in this illustration? Learn about all of them here:
@kaohesham
@amit_pawa
@NarouzeMD
هناك ست حالات وردت في كتاب الله عز وجل لا يجتمع الشقاء معها أبداً، فأرجو الله عز و جل أن يرزقنا اتباعها حتى نسعد في الدارين بإذنه.
١ - لا يجتمع الشقاء مع بِر الوالدة .... (وَبَرًّا بِوَالِدَتِي وَلَمْ يَجْعَلْنِي جَبَّاراً شَقِيّاً).
Evidence-based clinical practice guidelines on postdural puncture headache: a consensus report from a multisociety international working group. Uppal V, et al. Reg Anesth Pain Med 2023;0:1–31.
#Postdural
#Headache
#laborEpidural
#SpinalAnesthesia
One of the most common causes of suboptimal epidural analgesia is failure to choose an appropriate level for placement.
To learn more about epidural analgesia watch these two videos:
Part 1:
Part 2:
#Epidural
#Analgesia
#Pain
Stellate Ganglion is located at the anterior border of the first rib extending to the C7 transverse process, posterolateral to prevertebral fascia along the anterior surface of the longus colli muscle (Fig 1 & 2).
#StellateGanglionBlock
#CRPS
#SympathaticBlock
#painphysician
Think "innervation".
I am still working in comprehensive course for upper and lower extremities innervation (anatomy, pain, and blocks).
Stay tuned
#chronicpain
#painphysician
#painmanagement
How you make sense of radiological findings of lumbar spine stenosis (LSS)? Start with history and physical examination then go back and see if the radiological findings make sense (not the other way around).
#lowbackpain
#backpain
#painmanagement
#painphysician
Finding the nerve(s) responsible for pain open many treatment options!
Here I covered all those nerves:
Images source: Color Atlas of Neurology. Rohkamm R, ed. 2nd Edition. Stuttgart: Thieme; 2014.
#PainManagement
#PainPhysician
#ChronicPain
#NeckPain
Cervical radiculopathy vs peripheral neuropathy!
Most of the neck pain is due to muscle pain. But sometimes it can be from nerve impingement at the cervical vertebra. The keys for success: detailed history → thorough physical examination → systematic images review.
5 years ago, I published this network metanalysis
@_Anesthesiology
. It was the first in the journal and still the largest. The study was selected for the cover page and accompanied by infographic and podcast.
#Anesthesiology
#PainManagement
#TKA
ATTENTION ANESTHESIOLOGISTS AND SURGEONS:
The attached pictures have very important practical information for acute pain management.
For more information watch the mini-course:
1. Introduction to perioperative pain management:
#Pain
#Surgery
#Anesthesia
Serratus Anterior Plane Block:
Potentially blocks the lateral cutaneous branches of the intercostal nerves from T2 to T7-9, depend on the position and volume of LA, intercostobrachial nerve, long thoracic nerve, and thoracodorsal nerve.
Pain management relevant neurology examination
#4
In the past 2 posts I covered radiculopathic pain. Now let us learn about mono-neuropathy. Finding the nerve(s) responsible for pain open many treatment options!
YouTube education:
What challenges you may encounter during and after placing an epidural analgesia or labor epidural? Learn how to trouble shoot them from the attached slides.
Learn more about epidural in the following videos:
Part 1:
Part 2:
Pain management relevant neurology examination
#4
In the past 2 posts I covered radiculopathic pain. Now let us learn about mono-neuropathy. Finding the nerve(s) responsible for pain open many treatment options!
YouTube education:
Superior Hypogastric Block and Neurolysis are very effective for pelvic cancer pain (bladder, uterus, rectum, vagina, and prostate).
Reference: Chapter 13; Atlas of Image-Guided Intervention in Regional Anesthesia and Pain Medicine, 2e.
#CancerPain
#PelvicPain
#SympathaticBlock
Finding the nerve(s) responsible for pain open many treatment options!
Here I covered all those nerves:
Images source: Color Atlas of Neurology. Rohkamm R, ed. 2nd Edition. Stuttgart: Thieme; 2014.
#PainManagement
#PainPhysician
#ChronicPain
#NeckPain
Save this images!
Axial and sagittal lumbar MRI views, showing normal anatomy.
From my favorite book: Khanna, MRI Essentials for the Spine Specialist (chapter 4).
YouTube education:
#LumbarMRI
#MRI
#backpain
#PainPhysician
Nice illustration for the pathophysiology of Complex regional pain syndrome. A balanced - and early - pharmacological, neuromodulation, as well as physical and psychological approaches usually gives the best result.
Nice new review:
#CRPS
As we use local anesthetics every day, I think it is very important to know what determine the potency, speed of onset, and duration of action of local anesthetics. See the attached slide to learn about them.
#PainManagement
#Postsurgery
#Pain
It is fascinating how moving your needle target few centimeters make a big difference in what you are blocking. What are the 5 different blocks you see in this illustration? Learn about all of them here:
#regionalanesthesia
#painmanagement
#nerveblock
Save this image!
The first 3 scenarios give you “radiculopathic pain or sciatica” mostly from foramen stenosis. Low back pain that shoot down to the foot. Positive straight leg raise might be found depend on the level of the disease.
#Backpain
#ChronicPain
#PainManagement
#LBP
Pain management relevant neurology examination
#2
Figuring out the cause of lower back pain is often challenging. The keys for success: detailed history → thorough physical examination → systematic images review. Starting backward (i.e., from imaging, can be misleading).
Think innervation!
In this lower limbs innervation course, I walk you through applicable anatomy, causes of pain and nerves injury, nerves blocks and peripheral nerve stimulators applications.
#chronicpain
#painphysician
#nervepain
#Neuromodulation
Facet joints’ arthritis and pain are very common. It is important to keep in mind this pain radiation map when making your diagnosis.
YouTube education:
#PainManagement
#PainPhysician
#ChronicPain
Phrenic nerve block is an important treatment modality for intractable hiccup.
Learn more:
Image reference: Anesthesiology July 2017, Vol. 127, 173–191.
#PhrenicNerve
#Hiccups
Ok, I justed updated this infographic a little bet. This is how I approach chronic buttock pain.
Here:
I started publishing videos about all these causes, and more to come.
#buttockpain
#chronicpain
#painrelief
#lowbackpain