Adhesive Arachnoiditis: Identification, Treatment, and Management of Inflammatory Pain
Forest Tennant, MD, MPH, DrPH
Director of the
Research and Education Project
The Tennant Foundation
West Covina, CA
Adhesive arachnoiditis (AA) is emerging as a clinical entity in the 21st Century. It is an intraspinal inflammatory disorder that is one of the toughest to treat in the pain management field. If it goes uncontrolled and untreated it may cause severe pain and disabling neurologic abnormalities including paraparesis, bladder and bowel dysfunction, headache, blurred vision, and an early death. AA has a typical, clinical profile that includes the unusual sensations of water dripping or insects on the skin, discomfort when standing or reclining, and numbness, weakness, and radiating pain down the leg. It is diagnosed by symptoms and confirmatory, magnetic resonance imaging. First generation treatment protocols have been developed which can and should be implemented by medical practitioners in every community.
- Discuss why adhesive arachnoiditis is a difficult and debilitating pain management issue in clinical practice.
- Differentiate adhesive arachnoiditis from other conditions that produce back pain.
- Identify medical and non-medical measures that reduce inflammatory pain and treat adhesive arachnoiditis.
PRESENT e-Learning Systems is approved by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine. PRESENT e-Learning Systems has approved this activity for a maximum of 1 continuing education contact hours.
AffinityCE designates this live educational activity for AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. A maximum of 1 AMA PRA Category 1 CreditTM will be awarded.
Nurses: CE is provided for this program through collaboration between PRESENT e-Learning Systems and AffinityCE. AffinityCE is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC). This activity provides 1 contact hour of nurse CE credit.