Main Study Course Information

Course Code

RMK_007

Branch of Science

Clinical medicine

ECTS

1.00

Target Audience

Medicine

LQF

Level 8

Study Course Implementer

Course Supervisor

Jānis Osītis

Residency Speciality

Speciality

Vertebral surgeon

Supervisor of Medical Speciality

Jānis Osītis

Contacts

-

About Study Course

Objective

To provide in-depth knowledge on the treatment of back pain and neuropathic pain caused by radiculopathy, with an emphasis on invasive analgesia methods that can be implemented by a spine surgeon - epidural and periradicular infiltrations, spinal joint blockades and denervations with a thermal or chemical mechanism of action.

Learning Outcomes

Knowledge

1.Acquired sufficient theoretical knowledge to understand the nature of invasive analgesia and its purposeful application in clinical work, reducing the risks of complications when performing this treatment.

Skills

1.Independently perform X-ray targeted epidural and facet joint blockades (infiltrations) in the lumbar spine.

Competences

1.Justify the chosen method of invasive analgesia or justify contraindications for one of the methods.

Assessment

Individual work

Title	% from total grade	Grade
1. Individual work	-	-
Algorithms for analgesia after spinal operations should be created for three degrees (intensity) pain levels.

Examination

Title	% from total grade	Grade
1. Examination	-	-
Assessment of practical skills in a 10-point system at the end of the course, conducted by the lecturer from whom the resident received practical training. Assessment of theoretical knowledge in a 10-point system for the written review presented within the seminar.

Study Course Theme Plan

FULL-TIME

Part 1

Seminar

Modality	Location
-	-

Topics

Indications and contraindications for invasive analgesia in spinal disease. Preparing the patient for invasive analgesia and drawing up the documentation. Epidural infiltrations. Periradicular infiltrations. Facet joint infiltration and denervation with RFT (microwave therapy). PRT method. Infiltrations of the sacroiliac joints and hip joints.

Total ECTS (Creditpoints):

1.00

Number of Residency Seminars:

1

Length (weeks):

1

Final Examination:

Residency exam (Theory and practice)

Bibliography

Required Reading

1.

Atlas of Image-Guided Spinal Procedures. Michael B. Furman. Elsevier, 2018.

Additional Reading

1.

Journal of Pain Research indexed in PubMed

Invasive Algology in Inpatient Patients, Treatment of Neuropathic Pain