SPRINT PNS for low back pain
Who does it? What pathology? What are the results? (Source: Student Doctor Network)
Source: Student Doctor Network - March 17, 2023 Category: Universities & Medical Training Authors: cameroncarter Tags: Pain Medicine Source Type: forums
Northern California Private Practice Ortho Group
My group is looking to hire another interventional pain doc due to volume and community need. I’m anesthesia/pain and do mostly bread and butter injections, lots of RFA, some joint injections, and some SCS, and my partner who is PM&R/spine fellowship does lumbar interventions and EMGs. Procedures almost all done in clinic including SCS trial and kypho. No opioid management (unless you want to). I don’t. Partner does a tiny bit for long-time patients. 2 local long-standing pain Docs retired...
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Source: Student Doctor Network - March 12, 2023 Category: Universities & Medical Training Authors: callmeanesthesia Tags: Pain Management Positions Source Type: forums
Cochrane review concludes SCS is ineffective for chronic low back pain
https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD014789.pub2/full
“Authors' conclusions
Data in this review do not support the use of SCS to manage low back pain outside a clinical trial. Current evidence suggests SCS probably does not have sustained clinical benefits that would outweigh the costs and risks of this surgical intervention.” (Source: Student Doctor Network)
Source: Student Doctor Network - March 9, 2023 Category: Universities & Medical Training Authors: Agast Tags: Pain Medicine Source Type: forums
C7-1 vs C6-7 CESI
Hello everyone,
I see some people doing C6-7 ILESI's and these physicians swear they get better relief. I know the ligament things as we move further superior but they say C6-7 is still ok. I saw a patient I did 2 C7-1 ESI's and she got a third from another at C6-7 with 100% relief as opposed to only moderate relief with mine. Are other people doing C6-7? I know in theory the epidural space is small enough that volume does get up the spine but wanted to see what others are doing. Thank yall! (Source: Student Doctor Network)
Source: Student Doctor Network - March 7, 2023 Category: Universities & Medical Training Authors: jwalker12 Tags: Pain Medicine Source Type: forums
Back up power for C -arm
Guys,
I was wondering if anyone has looked jnto gettkng a portable battery / power pack that you could use to run your C Arm incase of power failure. We have lost power for an hour today as well as last month. Looking into options to run your C arm. Renting so backup gen is not an option. (Source: Student Doctor Network)
Source: Student Doctor Network - March 4, 2023 Category: Universities & Medical Training Authors: bronchospasm Tags: Pain Medicine Source Type: forums
Bizarre practices
I’ve had a lot of patients leaving their pain doctors in the last year to come see me after failed treatment.
First practice is a well known and respected one in my community. Interesting enough, many of his patients had a RACZ procedure. What was more interesting is none of them had back surgery or other procedure prior to his injections. After further testing, none had MRI findings of epidural scaring or nerve clumping. After talking to many of them it sounds like he uses the Racz...
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Source: Student Doctor Network - February 24, 2023 Category: Universities & Medical Training Authors: BloodySurgeon Tags: Pain Medicine Source Type: forums
just another kypho question
T12 compression fracture work related injury
initial compression 1 year ago, presented to me 3 months ago with worsening pain.
T12 compression worsening (acute on chronic). radiologist initially called chronic compression but i thought i saw edema on STIR (right side pic). spoke to another radiologist who agrees with subacute edema.
to kypho or not is the question. pain still 8/10. anterior portion almost vertebra plana, and protruding back with mild-mod...
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Source: Student Doctor Network - February 18, 2023 Category: Universities & Medical Training Authors: TIVAndy Tags: Pain Medicine Source Type: forums
Extrapedicular Vertebral Augmentation
First time I have reason to do a true extrapedicular kypho. 60 y/o M on chronic glucocorticoids presents with severe low back pain. Edema noted at L3 and L4, patient with prior instrumented fusion at L4-5.
Screws are fairly superior at L4, so I was planning on using Beall's extrapedicular inferior end plate access, aka low and outside (3rd picture).
Since I hadn't augmented a fused level before, Stryker connected me to one of their KOLs. He was...
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Source: Student Doctor Network - February 10, 2023 Category: Universities & Medical Training Authors: manowar rules Tags: Pain Medicine Source Type: forums
ASPN July Miami Throwdown
Tim Deer, MD on LinkedIn: #collaboration #neuroscience #neuromodulation #spinesurgery #spine… | 69 comments
WE ARE SURROUNDED BY CRAZIES. We have spine surgeons posting negative thoughts on Spinal Interventionalist, picking worst case scenarios. We have… | 69 comments on LinkedIn
www.linkedin.com
Anyone care to Sunshine Act this show?
Propublica Dollars for Doctors?
Financial disclosures?
The loudest voices are the KOLs. Science or marketing? (Source: Student Doctor Network)
Source: Student Doctor Network - January 29, 2023 Category: Universities & Medical Training Authors: lobelsteve Tags: Pain Medicine Source Type: forums
Si joint injection
Hey guys
Can you post some of your ap and lateral images for si joint injection?
Particularly lateral and the needle tip. Been having a discussion with Spine surgeon as to where needle should be (Source: Student Doctor Network)
Source: Student Doctor Network - January 20, 2023 Category: Universities & Medical Training Authors: PinchandBurn Tags: Pain Medicine Source Type: forums
Local anesthetic shortage guidelines
Best practices for interventional pain procedures in the setting of a local anesthetic shortage: A practice advisory from the Spine Intervention Society
Representatives from the Spine Intervention Society (SIS) Standards Division and Evidence Analysis Committee have developed the following best practic…
www.sciencedirect.com (Source: Student Doctor Network)
Source: Student Doctor Network - January 18, 2023 Category: Universities & Medical Training Authors: lobelsteve Tags: Pain Medicine Source Type: forums
Sedation protocols for RFA/rhizotomy
In med school/residency, 5-10 years ago we did these with a wiff of versed and copious local in the office.
New pain guys want essentially a motionless field, GA without an airway/ deep heavy propofol sedation in the OR.
Sometimes they are just too fat or sick and there is no way to make this happen.
Couple weeks back had a BMI 50 anxious chronic pain patient for bilateral c3-5 RFA. Usually I’d just tell pain guy I’m going to give a wiff of versed and deal with it. they expect more...
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Source: Student Doctor Network - January 17, 2023 Category: Universities & Medical Training Authors: DocMcCoy Tags: Anesthesiology Source Type: forums
Interventional Spine & Pain Medicine Fellowship Training Program through North American Spine and Pain
With enthusiasm I am writing to announce another year of the Interventional Spine & Pain Medicine Fellowship Training Program through North American Spine and Pain. The Fellowship Program is committed to recruiting diverse physicians who have completed a residency in Anesthesiology, Physical Medicine & Rehab, and/or Neurology to meet the changing needs of our patient population. We aim to recruit candidates who demonstrate excellence in academics, leadership, and communication. The program...
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Source: Student Doctor Network - January 2, 2023 Category: Universities & Medical Training Authors: ARastogi Tags: Internship, Residency and Fellowship Positions Source Type: forums
What are your top 5 "Dirty Diaper" pain topics of 2022?
1) Opioid Prescribing Guidelines, COI, and Regulatory Capture of Federal Agencies.
2) Private Equity and Nonprofit Hospitals Buying Doctors: They will never love you back
3) Declining Medicare Reimbursement for Pain: Who cares, old people get what they deserve, and the payment is all in the facility fee anyway.
4) I'm a KOL but don't hate me because I'm beautiful.
5) I didn't even go to medical school, but anything you can do, I can do better. (Source: Student Doctor Network)
Source: Student Doctor Network - December 29, 2022 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
If I were a spine surgeon, I ’d be pissed
See Zachary McCormick, MD’S activity on LinkedIn (Source: Student Doctor Network)
Source: Student Doctor Network - December 24, 2022 Category: Universities & Medical Training Authors: cowboydoc Tags: Pain Medicine Source Type: forums
