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WWW.goodmancampbell.neurosurgical AND INTERVENTIONAL PAIN MANAGEMENT CONSULTATION REQUEST Patient Name: Date of Birth: To Expedite Your Referral, It Is Critical to Provide the Following Information:

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How to fill out neurosurgical and interventional pain

01

To fill out a neurosurgical form:

02

Start by providing your personal information, such as your name, date of birth, and contact details.

03

Next, provide your medical history, including any previous surgeries, conditions, or injuries related to the neurosurgical procedure.

04

Describe your symptoms and the duration of these symptoms. Be as detailed as possible in explaining the type and severity of pain you are experiencing.

05

If you have undergone any previous diagnostic tests or imaging studies, provide the results and share them with your healthcare provider.

06

Discuss any ongoing medications, allergies, or chronic medical conditions that may affect your neurosurgical procedure or pain management.

07

Lastly, make sure to follow the instructions given by your healthcare provider and submit the form as instructed.

Who needs neurosurgical and interventional pain?

01

Neurosurgical and interventional pain procedures are generally recommended for individuals who have exhausted other conservative treatments and are still experiencing significant pain or discomfort.

02

Specifically, those who may need neurosurgical procedures include individuals with conditions such as herniated discs, spinal stenosis, degenerative disc disease, brain tumors, or hemorrhages that require surgical intervention.

03

Interventional pain procedures, on the other hand, are usually considered for patients with chronic pain from conditions such as osteoarthritis, sciatica, failed back surgery syndrome, or complex regional pain syndrome.

04

Ultimately, the decision to undergo these procedures should be made in consultation with a qualified neurosurgeon or pain management specialist, who can assess the individual's specific condition and recommend suitable treatment options.

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