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Demystifying post-stroke pain: from etiology to treatment
Unintended dural punctures with cerebral spinal fluid (CSF) leak are recognized as a frequent complication of spinal surgery. Although there are conservative and invasive options to treat post-operative CSF leaks, existing literature defines neither an algorithmic treatment approach nor a universally accepted standard of care. We believe that a transforaminal epidural blood patch (EBP) can serve as a minimally invasive, cost-effective option to treat post-surgical CSF leaks that do not resolve with conservative management.
Source: PM and R - June 14, 2016 Category: Rehabilitation Authors: Bradly Goodman, Sridhar Vallabhaneni, Bradley Cubitt, Srinivas Mallempati Source Type: research

Demystifying Poststroke Pain: From Etiology to Treatment
Pain after stroke is commonly reported but often incompletely managed, which prevents optimal recovery. This situation occurs in part because of the esoteric nature of poststroke pain and its limited presence in current discussions of stroke management. The major specific afflictions that affect patients with stroke who experience pain include central poststroke pain, complex regional pain syndrome, and pain associated with spasticity and shoulder subluxation. Each disorder carries its own intricacies that require specific approaches to treatment and understanding.
Source: PM and R - June 14, 2016 Category: Rehabilitation Authors: Andrew K. Treister, Maya N. Hatch, Steven C. Cramer, Eric Y. Chang Tags: Narrative Review Source Type: research

Time for Food—Including Nutrition on Physiatrists' Tables
Unhealthy nutrition is a leading factor in various rehabilitation diagnoses such as stroke and several musculoskeletal complications. Further, the association between nutrition, pain management, and brain plasticity support the importance of having rehabilitation patients follow healthy nutrition guidelines. The goal of this brief report is to emphasize the importance of nutritional counseling to physiatrists and to briefly describe recommended communication skills, behavioral change strategies, and opportunities for interprofessional collaborations.
Source: PM and R - March 31, 2016 Category: Rehabilitation Authors: Rani Polak, Marie L. Dacey, Edward M. Phillips Tags: Emerging Issue Source Type: research