Using PRP or PNS to Treat Back Pain related to Multiifdus Atrophy
Release Date: 10/25/2024
Optimizing Genicular Nerve Blocks and Phenol for Knee Pain- Journal Club
AnesthesiaExam Podcast
Podcast Show Notes Episode Title: Optimizing Genicular Nerve Chemical Ablation: Insights from Dr. David Rosenblum Episode Summary: In this episode, we are joined by Dr. David Rosenblum, a New York-based interventional pain physician, who discusses optimizing genicular nerve chemical ablation. Dr. Rosenblum shares insights as well as his upcoming ultrasound course schedyke in New York City, focusing on regional anesthesia, interventional pain, and IV ultrasound placement. He emphasizes the significance of ultrasound in enhancing pain management procedures and the latest advancements in the...
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Using PRP or PNS to Treat Back Pain related to Multiifdus Atrophy
AnesthesiaExam Podcast
Exploring the Efficacy of Autologous Platelet Leukocyte Rich Plasma Injections in Chronic Low Back Pain & Understanding Degenerative Lumbar Spinal Stenosis Host David Rosenblum, MD Episode Date: October 25, 2024 In this episode, Dr. David Rosenblum discusses two significant studies related to chronic low back pain and degenerative lumbar conditions. The first study focuses on the use of autologous platelet leukocyte rich plasma (PLRP) injections for treating atrophied lumbar multifidus muscles, while the second study investigates the correlation between muscle...
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The use of Corticosteroids in Nerve Blocks- A Recent Review
AnesthesiaExam Podcast
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The Trigeminal Nerve Block and Cancer (Ultrasound and Flouroscopic Approaches)
AnesthesiaExam Podcast
PainExam Show Notes: Mandibular Division of the Trigeminal Nerve Block with Dr. David Rosenblum Introduction Host: Dr. David Rosenblum Topic: Mandibular Division of the Trigeminal Nerve Block for Cancer Pain Management Techniques: Ultrasound and Fluoroscopic Guidance Overview Purpose: Alleviate chronic facial pain, specifically in cancer patients suffering from trigeminal neuralgia or other related conditions. Focus: Detailed discussion on the anatomy, clinical presentation, and procedural techniques for effective nerve block. Anatomy of the Mandibular Nerve ...
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Regenerative Pain Medicine Journal Club: Interosseous vs Intraarticular vs ESW Inejctions
AnesthesiaExam Podcast
Dr. Rosenblum addresses 2 Studies on this Pain Management Journal Club Podcast Article 1: The Treatment of Bone Marrow Lesions Associated with Advanced Knee Osteoarthritis: Comparing Intraosseous and Intraarticular Injections with Bone Marrow Concentrate and Platelet Products Article 2: Autologous US-guided PRP injection versus US-guided focal extracorporeal shock wave therapy for chronic lateral epicondylitis: Aminimum of 2-year follow-up retrospective comparative study Editorial: Dr. Rosenblum poses some important questions: Why are regenerative therapies not covered? ...
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Collaborative Research. Exosomes & more with Christopher Robinson, MD PhD
AnesthesiaExam Podcast
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Intra-Discal Leukocyte Rich PRP: Treating DDD as an Infectious Disease.
AnesthesiaExam Podcast
Journal Club: Treating Degenerative Disc Disease with Leukocyte Rich PRP Dr. Rosenblum discusses an article written by Dr. Gregory Lutz describing Leukocyte RIch PRP's role in treating Degenerative Disc Disease and the theory that there is an infectious disease component to disc injury. Dr. Lutz describes multiple articles, as well as anectodal experience in which bacterial infectious was demonstrated in pathological discs, and PRP was successful in alleviating symptoms, modic changes and improved clinical as well as radiographic appearance. Other Announcements from : PainExam...
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Post Operative Pain after Shoulder Replacement: Peri-operative Ablation?
AnesthesiaExam Podcast
Dr. Rosenblum describes a patient with chronic shoulder pain who failed shoulder replacement, steroid injections, nerve blocks, cryotherapy, and peripheral nerve stimulation of the axillary and suprascapular nerve block. In this podcast, he discusses his perfomance of Shoulder Radiofrequency Ablation targeting the articular branches of the suprascapular nerve, axillary nerve, nerve to subscapularis and lateral pectoral nerve. Reference: ...
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IRO's (Independent Review Organizations)- Physicians Lobby for Oversight and Transparency
AnesthesiaExam Podcast
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Stellate Ganglion, Ketamine Infusions and Interventional Psychiatry
AnesthesiaExam Podcast
Dr. Rosenbum discusses Interventional Psychiatry, the role of Stellate Ganglion Blocks in PTSD, Ketamine Infusions for Depression, and the role of Magnesium as a co-factor in ketamine infusions. Other Announcements from : PainExam App almost ready Pain Management Board Prep migrated to AnesthesiaExam Board Prep migrated to PMRExam Board Prep migrated to Ultrasound Interventional Pain Course Registration For Anesthesia Board Prep References References Górska N, Cubała WJ, Słupski J, Wiglusz MS, Gałuszko-Węgielnik...
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Exploring the Efficacy of Autologous Platelet Leukocyte Rich Plasma Injections in Chronic Low Back Pain & Understanding Degenerative Lumbar Spinal Stenosis
Host David Rosenblum, MD
Episode Date: October 25, 2024
In this episode, Dr. David Rosenblum discusses two significant studies related to chronic low back pain and degenerative lumbar conditions. The first study focuses on the use of autologous platelet leukocyte rich plasma (PLRP) injections for treating atrophied lumbar multifidus muscles, while the second study investigates the correlation between muscle atrophy and the severity of degenerative lumbar spinal stenosis (DLSS).
Featured Article 1:
- Effect of Autologous Platelet Leukocyte Rich Plasma Injections on Atrophied Lumbar Multifidus Muscle in Low Back Pain Patients with Monosegmental Degenerative Disc Disease
- **Authors:** Mohamed Hussein, Tamer Hussein
Key Points Discussed
1. Background: Correlation between lumbar multifidus muscle dysfunction and chronic low back pain.
2. Study Overview: 115 patients treated with weekly PLRP injections for six weeks, followed for 24 months.
3. Outcome Measures: Significant improvements in NRS and ODI scores, with high patient satisfaction.
4. Conclusions: PLRP injections into the atrophied multifidus muscle are safe and effective for managing chronic low back pain.
Featured Article 2:
- Degenerative Lumbar Spinal Stenosis
Authors:* Gen Xia, Xueru Li, Yanbing Shang, Bin Fu, Feng Jiang, Huan Liu, Yongdong Qiao
Key Points Discussed
1. Background: DLSS is a common condition in older adults, often leading to muscle atrophy and disability.
2. Study Overview: A retrospective analysis involving 232 patients to investigate the correlation between muscle atrophy and spinal stenosis severity.
3. Results:
- Significant differences in the ratio of fat-free multifidus muscle cross-sectional area between stenotic and non-stenotic segments.
- A strong positive correlation was found between multifidus atrophy and the severity of spinal stenosis.
- The atrophy was more pronounced on symptomatic sides of the spine compared to contralateral sides.
4. Conclusions: The findings suggest that more severe spinal stenosis is associated with greater muscle atrophy, emphasizing the importance of addressing muscle health in DLSS patients.
Discussion:
Dr. Rosenblum provides insights into how these studies inform clinical practices for treating chronic low back pain and managing degenerative conditions. He emphasizes the need for comprehensive treatment strategies that consider both muscle health and spinal integrity which may be achieved via peripheral nerve stimulation of the medial branch nerve and multifidus muscle or PRP injection in to the multifidus muscle.
Closing Remarks:
Listeners are encouraged to stay informed about innovative treatment options and the importance of muscle assessment in managing spinal disorders.
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**Disclaimer:** The information presented in this podcast is for educational purposes only and should not be considered medical advice. Always consult a healthcare professional for medical concerns.
References