Ganglion of impar RFA
Have a patient that would be a good candidate, 100% pain relief for a month on multiple occasional, coccyx pain and some symptoms with bowel movements.
Anyone have experience? Essentially I see people place an RFA needle just like an injection and proceed to sensory testing and ablate.
Conventional RF or pulsed? Any rectal injuries?
One needle or multiple? (Source: Student Doctor Network)
Source: Student Doctor Network - January 29, 2022 Category: Universities & Medical Training Authors: dipriMAN Tags: Pain Medicine Source Type: forums
Ganglion impar cpt
What are y’all using (Source: Student Doctor Network)
Source: Student Doctor Network - June 24, 2021 Category: Universities & Medical Training Authors: paindoctor2014 Tags: Pain Medicine Source Type: forums
Stellate Ganglion Blocks for PTSD?
Just curious what others are doing. In milmed these have become pretty common and I'm doing a few a month with pretty good success. Do any insurances cover it? (Source: Student Doctor Network)
Source: Student Doctor Network - February 15, 2021 Category: Universities & Medical Training Authors: Baron Samedi Tags: Pain Medicine Source Type: forums
A Nurse Practitioner and a Chiropractor walk into a procedure room and...stellate ganglion block
This nurse practitioner is doing a stellate ganglion block while her chiropractor operates the ultrasound machine. San Diego.
This NP lists herself as the "Lead Provider" in the clinic.
About Us - Regenerative Medicine | San Diego | Joy Wellness Partners (Source: Student Doctor Network)
Source: Student Doctor Network - November 18, 2020 Category: Universities & Medical Training Authors: Ligament Tags: Pain Medicine Source Type: forums
Stellate Ganglion Block (cervical sympathetic chain block) with ultrasound guidance; in-plane or out of plane?
Assuming one starts at C6 or C7, Seems to me using an out of plane approach makes a lot of sense, for the following reasons:
1. easier to avoid vessels
2. If standing at head, and needle trajectory is from cranial to caudal trajectory, could push meds further caudal to stellate ganglion.
thoughts and preferences? (Source: Student Doctor Network)
Source: Student Doctor Network - January 2, 2020 Category: Universities & Medical Training Authors: Ligament Tags: Pain Medicine Source Type: forums
Ultrasound guided stellate ganglion block; best technique?
Can any of you point me in the direction of what is considered the best technique publication or video for ultrasound guided stellate ganglion block? Thanks! (Source: Student Doctor Network)
Source: Student Doctor Network - November 10, 2019 Category: Universities & Medical Training Authors: Ligament Tags: Pain Medicine Source Type: forums
PTSD and Stellate Ganglion Blocks
Hello:
New to this forum. I am a board certified Pain Medicine MD.
I have been seeing patients that are interested in stellate ganglion blocks (cervical sympathetic chain) for PTSD, depression, anxiety, etc.
Most of these patients found my practice due to the specificity/complexity of this procedure. Apparently, a '60minutes' CBS piece and a Podcast has sparked interest in this procedure for the aforementioned conditions.
I have done my due diligence and cannot find literature...
PTSD and Stellate Ganglion Blocks (Source: Student Doctor Network)
Source: Student Doctor Network - November 8, 2019 Category: Universities & Medical Training Authors: 10KHertz Tags: Psychiatry Source Type: forums
Coccyx pain
I have a patient with several months of coccyx pain. Worse with sitting, TTP over coccyx. Otherwise normal exam. No trauma, but she has an anteriorly displaced coccyx. Failed NSAIDs and no one around me does good pelvic floor PT. I scheduled her for ganglion impar injection, but her insurance won't pay for it. They wouldn't even let me to a peer-to-peer... they just straight up said they won't cover it. Any other treatment options? I don't want to send her to a surgeon. Thanks. (Source: Student Doctor Network)
Source: Student Doctor Network - September 14, 2019 Category: Universities & Medical Training Authors: MD87 Tags: Pain Medicine Source Type: forums
60 mins: SGB for PTSD
Anyone else have experience with these? I've done 3-5 patient for a psychiatrist friend. 2 were clear home runs. The others were lost to follow-up (I just do straight to injection referral). Cash pay. The two who benefited, it was a very rewarding experience.
Could a simple shot be a breakthrough treatment for PTSD?
Stellate ganglion block therapy has helped a number of soldiers deal with PTSD and now they're calling for it to be used more widely. Bill Whitaker reports, Sunday on 60 Minutes.
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Source: Student Doctor Network - June 14, 2019 Category: Universities & Medical Training Authors: drusso Tags: Pain Medicine Source Type: forums
Tremor in Parkinson
So the way Kaplan explains Parkinson dz, is that this is the dz in direct basal ganglion pathway.
Lack of DA --> suppressed direct pathway --> suppressed motor cortex --> rigidity
Which all makes sense. However, how do you explain tremor? Isn't this counter intuitive if Dopamine plays a role in facilitying direct pathway which facilitates movement, such as tremor?
Also, with cerebellum problem you get intention tremor, but with Parkinson dz, you get resting tremor, how come?
Many thanks...
Tremor in Parkinson (Source: Student Doctor Network)
Source: Student Doctor Network - March 20, 2018 Category: Universities & Medical Training Authors: MudPhud20XX Source Type: forums
