Neuromodulation Techniques for Pain Treatment

Tiago da Silva Freitas, MD, PhD, FIPP, graduated from the Medical School of the Federal University of Goiás in 2001. He completed his post-graduation / residency in neurosurgery at the Base Hospital of the Federal District (2002- 2005), and his subspecialization in functional neurosurgery at Hospital das Clínicas of University of São Paulo (USP) (Brazil) and Cleveland Clinic Foundation, Ohio, USA (2006). He received his Master's and PhD degrees in Health Science from the University of Brasília (UnB) in 2012 and 2018 respectively. He is currently a member of the Brazilian Society of Stereotactic and Functional Neurosurgery (SBENF), Brazilian Society for the Study of Pain (SBED), American Society of Stereotactic and Functional Neurosurgery (SBENF), Brazilian Society for the Study of Pain (SBED) and past President of the Brazilian Society of Neuromodulation (SBNM). He is a neurosurgeon at the “Instituto da Dor de Brasília” (InDor-DF), Syrian-Lebanese Hospital of Brasíliaand the Base Hospital of the Federal District. His areas of clinical practice and research are neurosurgical treatment of pain, movement disorders and psychiatric disorders.Bernardo A. de Monaco, MD completed his medical degree (1999-2004) at the University of Sao Paulo (USP) - Brazil, neurosurgery residency at the same institution, and subspecialization in functional neurosurgery at USP and Universitätsklinikum Freiburg – Germany (2011). He is member of the board of Brazilian Neuromodulation Society (SBNM – INS Brazil) and member of the board of Brazilian Functional and Stereotactic Society (SBENF), he represents the Brazilian Neurosurgery Society (SBN) as a pain consultant specialist among Brazilian Medical Association (AMB).  He has been working with pain and spasticity for more than 10 years, and he is the neurosurgery director at Association for the Assistance of Disabled Children (AACD-SP) since 2016. He has experience in ablative and neuromodulatory procedures, and his PhD is in course at USP (from 2018). He founded and has been the CEO of CDF – Clinica de Dor e Funcional (Functional and Pain Clinic) at Sao Paulo – Brazil.Stanley Golovac, MD has 35 years of experience in interventional pain medicine. He graduated from the School of Medicine at the Technological University of Santiago (UTESA) in 1985, and is an Associate professor at the University of Miami Jackson Memorial Hospital. He co-founded and has been the CEO of the Florida Pain Institute in Merritt Island FL since 1993. He is an international and national speaker on many topics, and he invented the AccuraC needle. Together with John Mathis MD, he is Editor of Image Guided Spine Interventions.

• 1. Introduction and History of Neuromodulation for Pain.- 2. Spinal Cord Stimulation: Percutaneus Technique.- 3. Spinal Cord Stimulation: Surgical (Paddle) Technique.- 4. The Penta Implant As I Do It.- 5. Deep Brain Stimulation for Pain: Indications and Techniques.- 6. Introduction to Dorsal Root Ganglion Stimulation an Overview of the Field.- 7. Percutaneous/Paddle Techniques: Values and Pearls.- 8. Peripheral Nerve Field Stimulation (PNfS).- 9. Ultrasound Indications, Historical Aspects and Devices in Peripheral Nerve Stimulation.- 10. Brachial Plexus Stimulation Using Ultrasound: New Technique Description.- 11. Occipital Nerve Stimulation Using a Ultrasound-Surgical Technique.- 12. Peripheral Nerve Stimulation in Upper Limb Using Ultrasound Technique.- 13. Peripheral Nerve Stimulation Technique Using Ultrasound in Lower Limbs.- 14. Peripheral Nerve Stimulation (PNS) Using Ultrasound: Thrunk and Pelvic Regions.- 15. Abdominal and Pancreatic pain: Sites and Techniques in Neuromodulation.- 16. IPG Site Creation, Considerations, and Risk Mitigation.- 17. Intrathecal Drug Delivery System: Surgical Technique.- 18. Intracerebroventricular Drug Infusion System Implant: Surgical Technique.- 19. Peripheral Nerve Stimulation: Fluoroscopic Implant Techniques.- 20. The Value of Intraoperative Neuromonitoring for Neuromodulation.- 21. Sacral Neuromodulation for Urinary and Fecal Incontinence: Surgical Technique.- 22. Motor Cortex Stimulation: Neural Circuits and Practical Approach on Electrode Implantation Technique.