Differentiating Spinal Pain with Dr. Kim Kuebler
Dr. Kim Kuebler, DNP, APRN, ANP-BC, FAAN, provides insights into different types of spinal pain, including somatic, inflammatory, neuropathic, and mixed. Explore the multidimensional aspects of pain, inflammation, nerve issues, and stenosis. Learn about dermatomes, foraminal stenosis, central canal stenosis, and spinal cord compression. Discover how to collaborate with spinal interventionists and diagnose/manage spinal stenosis effectively.
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Presentation Transcript
DIFFERENTIATING SPINAL PAIN DR. KIM KUEBLER DNP, APRN, ANP-BC, FAAN
PAIN IS WHATEVER THE EXPERIENCING PERSON SAYS IT IS McCaffery, 1969
ACUTE CHRONIC SOMATIC/INFLAMMATORY NEUROPATHIC/NERVE MIXED DISCOGENIC TYPES OF PAIN
MEMORY OF PAIN
INFLAMMATION FACET
MEDIAL NERVE BRANCH FACET JOINT
NEUROPATHIC PAIN: NERVE FIRING/SCIATICA/RADICULAPTHY DERMATOMES NEUROPATHI C PAIN INFLAMMATION MUSCLE WEAKNESS STENOSIS (FORAMINAL. CENTRAL CANAL) TFESI, Caudal, Intralaminar
FORAMINAL STENOSIS
CENTRAL CANAL STENOSIS
SPINAL CORD COMPRESSION SERIOUS
Kuebler, K., & Oskouei, A (2020). Collaborating With a Spinal Interventionalist in the Management of Low Back Pain. Journal of the Nurse Practitioner, 16(1), 23-27. Kuebler, K., Arcure, J., & Oskouei, A. (2021), Diagnosing and Managing Spinal Stenosis. Journal of the Nurse Practitioner, 17(9), 1068-1070 REFERENCES McCartney, S., Baskerville, R., Blagg, S., & McCartney, D. (2018). Cervical Radiculopathy and Cervical Myelopathy. British Journal of General Practice, 68, 44-46.