EuroPainClinics® at the Congress of Czech-Slovak Dialogues on Pain in Banská Bystrica
16. 10. 2017
The 19th Czech-Slovak and at the same time the 25th Slovak Dialogues on Pain – the most important international pain management congress – took place from 5 to 7 October in Banská Bystrica. In the framework of the Expert Programme, pain treatment specialists from EuroPainClinics® also imparted their knowledge.
This year’s prestigious congress, organized by the Slovak Society for the Study and Treatment of Pain (SSSTP) in cooperation with the Slovak Medical Chamber and the Society for the Study and Treatment of Pain of the CzMA, was attended by more than 350 doctors and nurses from Slovakia, the Czech Republic and experts from abroad. The main topic of the Congress, which tied in to the Global Year against Pain after Surgery announced by the International Association for the Study of Pain (IASP), was Post-operational Pain. For the sub-themes “Acute and Chronic Pain”, “Interventional Pain Management” and “Palliative Medicine”, a special programme had been reserved within the scope of the sections that the SSSTP covers.
There was a lecture block for the specialists from EuroPainClinics®, “Interventional Pain Management I” supported by a EuroPainClinics® educational grant. The role of chairing the block went to MUDr. Róbert Rapčan, MBA, FIPP, Medical Director of EuroPainClinics® and President of the Interventional Pain Management Section of the SSSTP, and Dr Arun Bhaskar, MBBS, FRCA, FFPMRCA, FFICM, FIPP, one of the most prominent international interventional pain clinicians and a very treasured guest who accepted EuroPainClinics® invitation to participate in the congress and who, after the introductory word by MUDr. Rapčan, gavethe first lecture.
In the lecture “Evidence-Based Practice and Observational Findings in Interventional Pain Medicine”, Dr Arun Bhaskar considered the importance of research findings and summarized the pitfalls in which current modern medical practice finds itself under the increasing weight of evidence, extensive studies and analytical parameters as gold standards in the treatment of pain, when, due to the great subjectivity of pain perception, other means of collecting information and using it for treatment should be taken into consideration.
MUDr. Róbert Rapčan, MBA, FIPP, in his lecture “Endoscopic Discectomy in the Lumbar Spine”, presented a minimally invasive method for the endoscopic removal of pathological changes in the lumbar part of the spine, including its advantages and benefits for the patient. The lecture was accompanied by videos of real operations in the epidural space. MUDr. Rapčan went on to talk about the design, progress and results of the EuroPainClinics® Study V clinical trial, which monitors the clinical benefits of this method.
MUDr. Juraj Mláka, in his lecture “Epiduroscopy – Preliminary Results of Ongoing RCT after One Year”, focused comprehensively on epiduroscopy and presented its diagnostic and therapeutic benefit in the treatment of chronic radicular pain after back surgery. He gave a detailed description of the EuroPainClinics® Study II clinical study, which focused on two aspects of epiduroscopy: comparing the effect of the method from a purely mechanical adhesiolysis and during lysis whilst administering medication.
MUDr. L’ubomír Poliak used his speech to focus on the treatment of the knee pain with advanced osteoarthritis. In the lecture “The Analgesic Effect of Radiofrequency Denervation of the Genicular Nerve in Patients with Advanced Gonartrosis” he presented an innovative therapeutic approach to radiofrequency ablation of the genicular nerves in the knee joint as one of the possibilities for the modulation and suppression of pain, for instance in cases where surgical treatment is not possible or where the waiting time for the operation significantly worsens the patient’s quality of life.
MUDr. Martin Griger, FIPP, gave a lecture entitled “A Technique for Denervation of Facet Joints in the Thoracic Spine – A Case Report”, which focused on the treatment of pain resulting from the facet joints of the thoracic spine as a technical challenge, especially considering that there is currently no technique for the denervation of these facets. In a specific case, he presented the possibility of treatment with RF denervation in the thoracic area, coupled with a bipolar denervation technique.
The lecture block of our specialists came to an end with an active discussion which brought a number of questions, ideas and insights and opened up room for further discussions on a professional basis even after it ended.
In the second block “Interventional Pain Management II” MUDr. Róbert Rapčan, MBA, FIPP, presented, to great interest, a case report on a constriction syndrome of the lower limb with a unique result from using multidisciplinary cooperation with Swedish specialists prof. Dr. Håkan Alfredsson and Björn Aasa.