Does RFA of Lumbar Spine cause multifidus atrophy?
No..
https://cdn.ymaws.com/www.spineintervention.org/resource/resmgr/factfinder/23/02.sis.ff.rfa.multifidus.atr.pdf (Source: Student Doctor Network)
Source: Student Doctor Network - May 14, 2023 Category: Universities & Medical Training Authors: lobelsteve Tags: Pain Medicine Source Type: forums
Re: Comparative effectiveness and safety of analgesic medicines for adults with acute non-specific low back pain: systematic review and network meta-analysis
(Source: BMJ Comments)
Source: BMJ Comments - May 11, 2023 Category: General Medicine Source Type: forums
Post up SCS seroma
Did SCS implant for a patient. Day 3 she complained of brown fluid from midline wound (not battery pocket). Seen in office, expressed fluid which was consistent with serous fluid. Compression dressing applied. Seen on day 5, still serous fluid but less volume. Seen on post op day 10 and still had some serous fluid coming out. No signs of infection. Wound is healing fine, no dehiscence. Would you consider draining under US or taking back to OR or just give it some more time and see if it...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 10, 2023 Category: Universities & Medical Training Authors: ni15 Tags: Pain Medicine Source Type: forums
My most recent NP referral...
So last night I had a 40F come in at the behest of the NP at her PCP's office. She was rear ended the day before. No airbags, self extricated, restrained etc etc. Now has some anxiety about driving and has some diffuse back pain. Gradual onset. NP sent her in for imaging of some kind. I assume it's for a BS Head CT request and look up the records. This is verbatim from the chart.
"...with her overall, complete body pain, including CVA tenderness, patient is advised to go to the ED for...
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Source: Student Doctor Network - April 29, 2023 Category: Universities & Medical Training Authors: BoardingDoc Tags: Emergency Medicine Source Type: forums
NRG/RTOG 0631 is out: 1 x 16 Gy "SRS" not better than 1 x 8 Gy EBRT for bone mets?
Radiosurgery of Spine Metastasis—NRG/RTOG 0631 RCT Final Results
This randomized clinical trial assesses whether patient-reported pain relief was improved with stereotactic radiosurgery compared with conventional external beam radiotherapy for patients with 1 to 3 sites of vertebral metastases.
jamanetwork.com
DISCUSS! (Source: Student Doctor Network)
Source: Student Doctor Network - April 21, 2023 Category: Universities & Medical Training Authors: Palex80 Tags: Radiation Oncology Source Type: forums
Re: Comparative effectiveness and safety of analgesic medicines for adults with acute non-specific low back pain: systematic review and network meta-analysis
(Source: BMJ Comments)
Source: BMJ Comments - April 20, 2023 Category: General Medicine Source Type: forums
Cochrane review on scs debunked
Conclusions of the…
Striking Errors in the Methodology, Execution, and Conclusions of the Cochrane Library Review of Spinal Cord Stimulation for Low Back Pain by Traeger et al.
www.linkedin.com (Source: Student Doctor Network)
Source: Student Doctor Network - April 19, 2023 Category: Universities & Medical Training Authors: lobelsteve Tags: Pain Medicine Source Type: forums
Joining a practice and getting partnership
The hot topic always during job interviews with private practice is "Is there an opportunity for partnership?" I always hear stories about people not getting partnership in the end, or the offer they received was a total joke and not at all what they envisioned.
This might be good for new fellows to read. Who here joined a practice and obtained partnership in the end? Were you satisfied? Were you screwed? Did they go back on their word? Any positive or negative experiences...
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Source: Student Doctor Network - April 17, 2023 Category: Universities & Medical Training Authors: DrSpine Tags: Pain Medicine Source Type: forums
Re: Comparative effectiveness and safety of analgesic medicines for adults with acute non-specific low back pain: systematic review and network meta-analysis
(Source: BMJ Comments)
Source: BMJ Comments - April 12, 2023 Category: General Medicine Source Type: forums
Inconclusive results of comparative safety/efficacy of analgesics - need to look into complementary and alternative medicine (CAM) therapies for acute Low back pain (LBP)
(Source: BMJ Comments)
Source: BMJ Comments - April 11, 2023 Category: General Medicine Source Type: forums
Resources for an incoming fellow
Hi all,
Wondering if you have any resources for incoming fellows to get familiarized with before starting. Specifically, I feel weak on spine fluoroanatomy.
I bought Benzon’s essentials but it’s a beast of a book. Wondering if there’s something digestible and easy to get a solid basic knowledge foundation before delving into deeper study during fellowship? (Source: Student Doctor Network)
Source: Student Doctor Network - April 9, 2023 Category: Universities & Medical Training Authors: AlvinKamara Tags: Pain Medicine Source Type: forums
Re: Comparative effectiveness and safety of analgesic medicines for adults with acute non-specific low back pain: systematic review and network meta-analysis
(Source: BMJ Comments)
Source: BMJ Comments - April 6, 2023 Category: General Medicine Source Type: forums
Kypho prior to spine RT
When you get a run of the mill referral for palliative spine RT, and the patient has a pathologic fracture, do you ever refer for upfront kyphoplasty before RT? Do you use any specific criteria (pain, spinal instability) for kypho? (Source: Student Doctor Network)
Source: Student Doctor Network - March 24, 2023 Category: Universities & Medical Training Authors: RadOncBeamer 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
