XRT for spine arthritis, or just extremities?
We've discussed many times here the merits of low dose RT for arthritis, but it seems to always be extremity. I guess my in-house program has taken off too well, because I got a referral for refractory spine arthritis pain, in a patient requiring interventions like nerve ablations.
Has anyone here seen published or treated spine before? I'm sure someone must have tried it for ankylosing spondylitis or "rheumatism" back in the day. (Source: Student Doctor Network)
Source: Student Doctor Network - June 1, 2023 Category: Universities & Medical Training Authors: IonsAreOurFuture Tags: Radiation Oncology Source Type: forums
TIPS for ILESI - difficult arthritic back
Had a patient that had extremely arthritic spine, difficult to see due to OA/osteophytes
Is there some technique to orient yourself in the spine with this type of back (sorry, no pictures saved, but in future if I see them, i'll post it).
My thought was to square end plate (and try to aim between pedicles - if unable to see opening).
Any way people have to try and optimize this? (Source: Student Doctor Network)
Source: Student Doctor Network - March 20, 2023 Category: Universities & Medical Training Authors: anujacket Tags: Pain Medicine Source Type: forums
Advanced Hip AVN options?
Have a patient with a bad hip, not a surgical candidate.
MRI
Impression
1. Severe left hip arthritis with moderate flattening of the femoral head contour suggestive of advanced AVN
2. Moderate diffuse labral fraying. Moderate capsular thickening also seen.
Options for treatment? Any success with regenerative for pain? RF? Ive never done a hip RF.
Thanks in advance! (Source: Student Doctor Network)
Source: Student Doctor Network - January 18, 2023 Category: Universities & Medical Training Authors: IkeBoy18 Tags: Pain Medicine Source Type: forums
NSAIDs Worsen OA: If I Were an NSAID KOL, I'd Be Pissed...
NSAIDs May Worsen Arthritis Inflammation
/PRNewswire/ -- Taking anti-inflammatory pain relievers like ibuprofen and naproxen for osteoarthritis may worsen inflammation in the knee joint over time,...
www.prnewswire.com
"For the study, 277 participants from the Osteoarthritis Initiative cohort with moderate to severe osteoarthritis and sustained NSAID treatment for at least one year between baseline and four-year follow-up were included in the study and compared with a group of 793 control participants who were not treated with NSAIDs. All part...
Source: Student Doctor Network - November 23, 2022 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Re: How to improve discussions about osteoarthritis in primary care. Quick questions can indicate both physical and emotional consequences of the arthritis.
(Source: BMJ Comments)
Source: BMJ Comments - November 18, 2022 Category: General Medicine Source Type: forums
SCS for low back pain
What diagnosis codes (for insurance/ Medicare approval) do you use for the 80+ year old, non surgical patient with severe arthritis, severe multilevel stenosis, cauda equines impingement, never had surgery/not offered surgery because of age but wants to try SCS? I think it’s perfectly reasonable to offer this to patients but running into insurance companies who don’t think so because “patient never had back surgery” or doesn’t have “crps”? (Source: Student Doctor Network)
Source: Student Doctor Network - October 11, 2022 Category: Universities & Medical Training Authors: painfree23 Tags: Pain Medicine Source Type: forums
Coping with chronic pain while doing A levels
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Coping with chronic pain while doing A levels
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Source: The Student Room - September 7, 2022 Category: Universities & Medical Training Authors: Spilerrrrrr Tags: Medicine Source Type: forums
Idiopathic neuropathy
Can any of you tell me how you work up idiopathic neuropathy? What labs do you order? What is your treatment?
***List your algorithm***
I usually rule out superficial neuritis secondary to arthritis/spurring (via tinels), rule out lumbar issues, rule out DM, rule out neuroma (mulders click), rule out radiculopathy in their history. Check sharp dull, swmf, vibratory sensation. If I can't find a cause, I refer to Neurology for NCV/EMG, and allow them to start patients on nerve pain...
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Source: Student Doctor Network - December 14, 2021 Category: Universities & Medical Training Authors: podfam3008 Tags: Podiatric Residents & Physicians Source Type: forums
Arthritis from typing
I have been told I type loudly and now that I'm typing so many notes as an IM resident I notice at the end of the day my DP joints feel sore and I'm worried I may be developing early arthritis when I'm still in my 20s and this shouldn't be happening. Anyone else have this? (Source: Student Doctor Network)
Source: Student Doctor Network - July 6, 2021 Category: Universities & Medical Training Authors: Redpancreas Tags: Internal Medicine and IM Subspecialties Source Type: forums
Is it ethical to offer bad pain care just because it's covered?
The Insurance Coverage Bioethics Dilemma - Regenexx
Advanced regenerative orthobiologic injection treatments for injuries, arthritis, athletes & more. Regenexx is the trusted alternative to surgery.
regenexx.com
"The only way that I can see that the doctor would be able to avoid a serious medical ethics dilemma (and a possible malpractice case) by steering a patient toward covered care of a bad or “less good” solution is with expanded informed consent. That means that the doctor goes out of his or her way and documents that they have d...
Source: Student Doctor Network - April 4, 2021 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Re: Covid-19: Arthritis drug tocilizumab reduces deaths in hospitalised patients, study shows
(Source: BMJ Comments)
Source: BMJ Comments - February 23, 2021 Category: General Medicine Source Type: forums
Re: Covid-19: Arthritis drugs improve survival in intensive care patients, shows study
(Source: BMJ Comments)
Source: BMJ Comments - January 25, 2021 Category: General Medicine Source Type: forums
Hope this is not a false start! Re: Covid-19: Arthritis drugs improve survival in intensive care patients, shows study
(Source: BMJ Comments)
Source: BMJ Comments - January 12, 2021 Category: General Medicine Source Type: forums
