Advanced Interventional Pain Center

Precise Diagnosis * Better Outcomes

Outstanding Success Rates

 

ADVANCED INTERVENTIONAL PAIN CENTER: TREATMENT SUCCESS EXCEEDS 90%

2004 to 2005

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cumulative Statistics as of 7/31/06 since Nov 2005:

 

New Patients 217.

 

Total patient visits above 800

 

Successful Treatment in 161 patients (defined as sustained pain relief beyond 8 weeks or more with significant reduction in pain symptoms or complete resolution of pain symptoms without the use of narcotics).

 

Non compliant patients 45 (those who did not follow up, did not follow treatment instructions etc.,)

Treatment failures 11 patients.

 

Success Rate: 93.6 after adjusting for non compliant patients.

                         (217-45 = 172; 172-11 = 161; 161/172 x % = 93.6)

 

National and International Averages for Pain Treatment Success are less than 50%!

Success Rates: Pain Procedures

Clin Orthop Relat Res. 1988 Mar;(228):270-2.

A retrospective analysis of the efficacy of epidural steroid injections.  Rosen CD, Kahanovitz N, Bernstein R, Viola K.

“Overall results were poor….. it appears that approximately 50% of patients with radicular symptoms may receive temporary relief with steroid injection. However, long-term relief occurs in less than 25% of patients.”

 

 

Spine. 1993 Aug;18(10):1345-50.(study involving 35 patients)

Bowman SJ, Wedderburn L, Whaley A, Grahame R, Newman S.

Outcome assessment after epidural corticosteroid injection for low back pain and sciatica.

“43% had improvement lasting 3 months.”

 

 

Ann Rheum Dis. 2003 Jul;62(7):639-43. (study involving 85 patients)

Valat JP, Giraudeau B, Rozenberg S, Goupille P, Bourgeois P, Micheau-Beaugendre V, Soubrier M, Richard S, Thomas E.

Epidural corticosteroid injections for sciatica: a randomized, double blind, controlled clinical trial.

“22/43 (51%) in the steroid group SG (p=0.15) were considered as success”

 

Success Rates: Open Surgery

Neurosurgical Treatments: Cingulotomy, Interruption of Spinothalamic tracts etc.,

Neurosurgical treatments of pain involving open surgical manipulation of the brain and spinal cord have an overall success rate of only 50% for pain conditions. The Neurosurgical Treatment of Pain Cole A. Giller, PhD, MD Archneurol/Vol60, Nov2003

Total Number of Patient Visits (Note: Each patient may have two or more visits)

342

Total Number of Patients

94

Patients found unsuitable for Minimally Invasive Operating Procedures (including non compliant patients)

9

Non compliant patients (didn’t follow clinic appointments, procedure schedules)

3

Patients who underwent Minimally Invasive Operating Procedures

85

Patients who received only temporary relief

5

Patients who received Sustained Pain Relief beyond 8 weeks or more, increased work activity with reduced pain, reduced or no rest pain

80

Patient Treatment Success Rate in percentage ( 80/85) x (100)

94.11 %

Total Number of Minimally Invasive Operating Procedures (Note: Each patient may have two or more operating procedures and each operating room procedure will have one or more sub procedures)

128

Procedures that resulted in Sustained Pain Relief beyond 8 weeks or more, increased work activity with reduced pain, reduced or no rest pain

122

Procedures that resulted only in temporary pain relief

6

Procedure Success Rate in percentage ( 122/128) x (100)

95.31 %