1507 - A Paradigm Shift: Understanding Vertebrogenic Low Back Pain

Saturday, October 22, 2022

8:00 AM – 9:15 AM ET

Location: 343-344

Session Director(s)

Mahmood Gharib, MD

Assistant Professor, Medical Spine Medical Director
University of Minnesota
Minneapolis, Minnesota

Disclosed no relevant financial relationships.

PDF of Slides

Faculty(s)

Zachary McCormick, MD

Vice Chair of PM&R, Division Chief of Spine and Musculoskeletal Medicine
University of Utah School of Medicine
Salt Lake City, Utah

Disclosed no relevant financial relationships.

PDF of Slides
Matthew Smuck, MD

Chief of PM&R, Professor Orthopaedic Surgery
Stanford University PM&R Program
Redwood City, California

Disclosed no relevant financial relationships.
Aaron Conger, DO

Assistant Professor
University of Utah Department of Physical Medicine and Rehabilitation
Salt Lake City, Utah

Disclosed no relevant financial relationships.

PDF of Slides

Research has demonstrated that vertebral body endplates are a significant source of a subset of chronic axial low back pain. Nociception from this structure is transmitted via the basivertebral nerve. In this session you will improve your understanding of vertebrogenic pain as it relates to chronic low back pain, and how to recognize it in your practice. The science of vertebrogenic pain will be discussed including the relevant neuroanatomy, pathophysiology, clinical presentation, and imaging. Finally, attendees will learn about recent and emerging evidence on treatment with basivertebral nerve radiofrequency ablation, and then examine how to conceptualize this paradigm shift within the greater context of chronic low back pain care.

Learning Objectives:

Describe the pathophysiology of vertebrogenic pain.
Recognize the clinical presentation of vertebrogenic low back pain.
Summarize the published clinical outcomes from basivertebral nerve radiofrequency ablation.
Understand vertebrogenic pain within the greater context of low back pain care and how it fits into your clinical practice.

Presentations:

Introduction and the Pathophysiology of Vertebrogenic Pain
Speaker: Mahmood Gharib, MD – University of Minnesota Medical Center
Understanding the Clinical Profile and Patient Phenotype
Speaker: Zachary McCormick, MD – University of Utah School of Medicine
Vertebrogenic Pain from a Physiatric Perspective and How It Fits into Your Practice
Speaker: Matthew Smuck, MD – Stanford University PM&R Program
Outcomes of Basivertebral Nerve Ablation: An Update on the Evidence
Speaker: Aaron Conger, DO – University of Utah Department of Physical Medicine and Rehabilitation