Perc MBB-PNS Before or After Conventional vs Pulsed RFA??
Prospective, Multicenter Study of Percutaneous Medial Branch PNS for the Treatment of Chronic Axial Low Back Pain – SPR Therapeutics One of the most prevalent and challenging musculoskeletal conditions, chronic low back pain (LBP), is a leading cause of disability in adults.[1] The SPRINT PNS System offers a motor-sparing 60-day … www.sprtherapeutics.com (Source: Student Doctor Network)
Source: Student Doctor Network - July 26, 2021 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums

Fluoro Procedures Resource
Hi all, Just started pain fellowship on 7/1. I've been using the Furman Atlas of Image Guided Spinal Procedures and it's great but was wondering if there are any good websites, apps, or videos you guys recommend in addition to the Atlas. Is there anything like NYSORA or BlockJocks for chronic pain procedures, especially fluoro guided procedures? Thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - July 15, 2021 Category: Universities & Medical Training Authors: gaspasser786 Tags: Pain Medicine Source Type: forums

Tizanadine vs. Clonidine, Guanfacine
I'm a psychiatry resident with many patients who have many psychiatric and non-psychiatric symptoms which would benefit from treatment with an alpha-2 agonist. For example, TBI from MVA, so has issues with impulsivity, anger/aggression, anxiety, and PTSD but also chronic pain, especially back pain. In an effort to reduce polypharmacy and increase efficacy I am considering starting/changing-to alpha-2 agonists I am discussing with my psychiatry supervisors, but I hoped for some insight/wisdom... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - July 13, 2021 Category: Universities & Medical Training Authors: aim-agm Tags: Pain Medicine Source Type: forums

EM Needs More Emergency Department-Free Fellowships
Being employable only within the walls of an emergency department, gives hospital administrators tremendous power over your quality of work life, which affects your entire life and happiness. Fellowships that allow you to be employable outside of an ED, like Pain, Hospice and Palliative and Sports free the death-grip administrators have over your career and life. They also inoculate you against the cancer that is Chronic EM Circadian Rhythm Depression, which you've been told is imaginary... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - June 10, 2021 Category: Universities & Medical Training Authors: Birdstrike Tags: Emergency Medicine Source Type: forums

Re: Chronic pain (primary and secondary) in over 16s: summary of NICE guidance
(Source: BMJ Comments)
Source: BMJ Comments - May 26, 2021 Category: General Medicine Source Type: forums

Re: Chronic pain (primary and secondary) in over 16s: summary of NICE guidance, ICD-11 definition is fundamentally flawed and Chronic pain - New NICE Guideline Summary: Antidepressants and chronic pain - chicken or egg?
(Source: BMJ Comments)
Source: BMJ Comments - May 26, 2021 Category: General Medicine Source Type: forums

Prevalence of Chronic Pain Increasing: Implications for Pain Medicine?
"Joint pain and lower back pain were the most prevalent sites of pain both in 2002 and by the end of the study period in 2018." Chronic pain prevalence increasing in the US, new study shows New research finds that the prevalence of chronic pain among adults in the United States has increased across all demographics included in the study. www.medicalnewstoday.com Pain Trends Among American Adults, 2002–2018: Patterns, Disparities, and Correlates Anna Zajacova ; Hanna Gr...
Source: Student Doctor Network - May 22, 2021 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums

Re: Chronic pain (primary and secondary) in over 16s: summary of NICE guidance
(Source: BMJ Comments)
Source: BMJ Comments - May 8, 2021 Category: General Medicine Source Type: forums

"Functional illnesses." What is your approach?
By "functional" illness, I'm referring to and lumping together a bunch of diagnoses: POTS, fibromyalgia, mast cell activation, chronic fatigue, multiple drug intolerances, EDS III, chronic itch, chronic pain, etc. (maybe IBS and interstitial cystitis and others I didn't list). Some of these might exist as a true organic disease in some patients but most of the time it's code talk for underlying psych issues. We have these patients in all of our varying specialties. I dread these encounters... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - May 1, 2021 Category: Universities & Medical Training Authors: hotsaws Tags: Internal Medicine and IM Subspecialties Source Type: forums

Re: Chronic pain (primary and secondary) in over 16s: summary of NICE guidance
(Source: BMJ Comments)
Source: BMJ Comments - April 28, 2021 Category: General Medicine Source Type: forums

Breast reduction for back pain?
Greetings from the Pain Management world. I've been getting this question from patients a lot recently. Some of my patients with chronic upper back pain request referrals for breast reductions in hope of improving their pain. I was always taught(and tell patients) that it often doesn't help, but I was curious what the plastics literature might show since it still seems to be performed somewhat frequently. I would love to be able to give patients actual data so they can make informed... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 18, 2021 Category: Universities & Medical Training Authors: Baron Samedi Tags: Plastic Surgery Source Type: forums

Re: Doctors raise concerns about NICE guidelines on chronic primary pain
(Source: BMJ Comments)
Source: BMJ Comments - April 16, 2021 Category: General Medicine Source Type: forums

Allogeinic Cellular Therapy for Degenerative Disc Disease: Hope or Hype?
First, read this thread, then read this study:​ DePalma is Lying to Hype Mesoblast https://ryortho.com/breaking/low-back-pain-mesoblast-receives-best-basic-science-award/ This is simply not consistent with the data he presented at SIS in July Sent from my SAMSUNG-SM-N930A using SDN mobile forums.studentdoctor.net ​Allogeneic mesenchymal precursor cells treatment for chronic low back pain associated with degenerative disc disease: a prospective randomized, placebo-controlled 36-month study of safety and e...
Source: Student Doctor Network - March 29, 2021 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums

Weird ortho case
One of the total joint guys I work closely with asked my opinion on a weird case he has. He specifically wanted to know if I could use botox. The case is a woman with multiple back surgeries and bilateral hip replacements with chronic dislocations. He has revised left hip and she did well. Now months later he revised the right hip (a few days ago) and she has since developed significant gastroc spasm and pain in RLE . She is now admitted in hospital The case was not a complicated revision... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 15, 2021 Category: Universities & Medical Training Authors: Crybaby Tags: Pain Medicine Source Type: forums