Spine Fellowship at IPSC India скачать в хорошем качестве

Spine Fellowship at IPSC India

#Minimally_Invasive_Spine_and_Pain_Interventions are going to be game-changers in the #healthcare industry. Dr (Maj) #Pankaj_N_Surange MD, FIPP, FIAPM Director, #IPSC_India Hon Secretary, #Indian_Society_for_the_study_of_Pain, National Introduction The need of a specialty arises as the burden of the disease increases. #Pain_medicine is one such new paradigm of medicine that require specialists who are trained to understand the distinctive needs of patients who suffer from #chronic and #complex_pain. #Pain_medicine is a discipline of medicine that deals with subacute, chronic and intractable, and resistant painful conditions principally with minimally invasive interventional techniques. Acute pain for various conditions is managed by the specialist in that field and perioperative pain is managed mainly by Anesthesiologists. Interventional techniques are minimally invasive, #non-surgical procedures including percutaneous precision needle placement, with the placement of drugs in targeted areas or ablation of targeted nerves; and some surgical techniques for the diagnosis and management of chronic, persistent, or intractable pain such as #laser_discetomy or #endoscopic_discectomy and spine procedures, #Vertebroplasty, #intrathecal_infusion pumps, and #spinal_cord_stimulators. (1) There is overwhelming evidence showing an association of #chronic_pain with significant economic, societal, and health outcomes. (2,3) With the increasing geriatric population and even more alarming, the young population getting affected with chronic pain. A study from across 42 countries identified that self-reported chronic pain amongst adolescent populations was common: 20.6% of young people experienced pain in at least two sites headache, stomach, and backache. Chronic pain affects up to 30% of those aged 18–39 yr. (4) A survey conducted by the Indian Society for the study of pain showed 43% of #patients with #chronic_pain consulting pain physicians belong to the young age group between 25-45 years of age. Further, along with enormous costs and disability associated with reduced functioning, overuse of opioids and related fatalities have been well described. (5,6,7) Severe and chronic pain can impair mobility and function as well as reduce the general quality of life, thereby posing barriers to human flourishing and productivity. Prevalence of Chronic pain worldwide. According to a study published by the National Centre for Biotechnology Information (NCBI) in 2015, around 19.6% of the individuals aged between 20 to 60 years were suffering from low back pain worldwide. (8) According to a study published by the #Centres_for_disease_Control_and_Prevention (CDC) in 2012, around 20.3% of the population in the U.S. suffer from #lower_back_pain. As per the report of the American Academy of Pain Medicine (AAPM) 2012, over 100 million people suffer from chronic pain, 25.8 million from diabetes, 16.3 million from coronary heart disease, and 11.9 million from cancer in the U.S. every year, which is expected to further increase in the near future. Moreover, in 2015, the #National_Institutes_of_Health (NIH) estimated that one in 10 people in the U.S. suffers from #chronic_pain. According to a study published in the British Medical Journal in 2016, around one-third to half of the population in the U.K. suffers from chronic pain. Prevalence of Chronic pain in India and its impact. A prevalence study published in the Indian Journal of Palliative care shows a huge chronic burden in India by a prevalence rate of 19.3%, which translates into 180–200 million adults having CP (10). Thirty-six percent of respondents were not able to do their routine work due to pain. 25.5% had accepted pain as part of their lives. 14.1% of respondents had anxiety and depression due to CP. Musculoskeletal disorders, pain related to operations and injuries, and spine problems represent the largest global burden of pain, with low back pain being the leading cause of years lived with disability worldwide and prohibiting physical activities (11). The World Health Organization estimates that 80% patients with severe pain never receive any adequate treatment. The World Health Organization predicts that by 2030, chronic pain will be an important co-morbidity of the four leading causes of global burden of disease (12) Future Rising prevalence of chronic pain is expected to increase the demand for interventional pain management techniques for its treatment, thereby fuelling interventional pain management market growth in the near future. Most of the market survey have predicted a significant growth in the field of Interventional Pain management and the demand of these techniques for the next 5 years (2018-2023).