Low Dose Ketamine for Chronic Pain: What is the Evidence?
AnesthesiaExam Podcast
Ketamine clinics have exploded worldwide, offering low-dose intravenous infusions for chronic pain patients who've run out of options. But is this practice actually backed by evidence, or has off-label use outpaced the science? In this episode of the PainExam Podcast, Dr. David Rosenblum reviews the current literature on subanaesthetic-dose ketamine infusions (SDKIs) for chronic pain, drawing on the 2023 British Journal of Pain review by Harry M. Griffiths, "Low-dose ketamine infusions for chronic pain management: Does this qualify as evidence-based practice?" Topics covered: Why conventional...
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NAD+ Supplementation and Pain
AnesthesiaExam Podcast
PainExam Podcast Show Notes NAD+ Supplementation in Pain and Inflammation: Hype, Hope, or Emerging Science? Hosted by: Presented by: Host: David Rosenblum, MD Episode Overview In this episode of the PainExam Podcast, we explore the growing interest in NAD+ (Nicotinamide Adenine Dinucleotide) supplementation and its potential role in pain management, inflammation reduction, cellular recovery, and healthy aging. NAD+ is a naturally occurring coenzyme found in every living cell and is essential for energy production, mitochondrial function, DNA...
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Occipital Neuralgia and Compression Fractures for the Boards
AnesthesiaExam Podcast
PainExam Podcast Show Notes Compression Fractures, Vertebroplasty, Kyphoplasty & Occipital Neuralgia for the ABA Pain Medicine Boards In this episode of the PainExam Podcast, Dr. David Rosenblum reviews two frequently tested topics on the ABA Pain Medicine Board Examination: Occipital Neuralgia and Vertebral Compression Fractures, including the indications, techniques, complications, and evidence surrounding vertebroplasty and kyphoplasty. Whether you are preparing for the ABA Pain Medicine Boards, ABPM, ABIPP, FIPP, or simply looking to strengthen your interventional pain knowledge, this...
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CRPS & Intrathecal Pain Pumps for the Anesthesia Boards
AnesthesiaExam Podcast
🎙️ PainExam Podcast Show Notes CRPS & Intrathecal Pain Pumps — High-Yield ABA Pain Board Review 🔥 Episode Overview In this episode of the PainExam Podcast, David Rosenblum reviews two essential ABA Pain Medicine Board topics: Complex Regional Pain Syndrome (CRPS) Intrathecal Drug Delivery Systems (Pain Pumps) This episode focuses on: High-yield board pearls Clinical decision-making Interventional treatment strategies Common exam pitfalls Whether you are preparing for the: ABA Pain Medicine Boards ABPM ABIPP FIPP —or looking to sharpen your interventional pain...
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Corticosteroids and Contrast for Pain Procedures: Anesthesia Board Prep Pearls!
AnesthesiaExam Podcast
🎙️ PainExam Podcast Show Notes Corticosteroids & Contrast Agents in Pain Management + Evidence-Based Steroid Selection 🔥 Episode Overview In this high-yield episode of the PainExam Podcast, David Rosenblum breaks down a must-know board topic: 👉 Injectable corticosteroids vs contrast agents in interventional pain procedures This episode goes beyond basics and dives into: Particulate vs non-particulate steroids Comparative profiles of dexamethasone, betamethasone, triamcinolone, and methylprednisolone Contrast agent selection and safety Critical complications including...
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Facet Mediated Pain for the Anesthesia Boards
AnesthesiaExam Podcast
🎙️ AnesthesiaExam Podcast & Video Show Notes Spine Pain, Facet Syndromes, and Interventional Concepts for the Anesthesia Boards 🔥 Episode Overview In this episode of the AnesthesiaExam Podcast, David Rosenblum delivers a high-yield, board-focused review of spine pain concepts every anesthesiologist must know: Lumbar, cervical, and thoracic facet-mediated pain Key anatomy and spinal innervation patterns Medial branch blocks and radiofrequency ablation (RFA) Important clinical correlations for anesthesia and pain boards This episode bridges the gap between anesthesiology board...
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Phantom Limb Pain and SI Joint Dysfunction for the Anesthesia & Pain Boards
AnesthesiaExam Podcast
🎙️ PainExam Podcast Show Notes Phantom Limb Pain & Sacroiliac Joint Dysfunction — High-Yield Pain Board Review 🔥 Episode Overview In this episode of the PainExam Podcast, David Rosenblum delivers a high-yield review of two must-know topics for the ABA Pain Medicine Board Certification exam: Phantom Limb Pain — mechanisms, risk factors, and advanced treatment strategies Sacroiliac (SI) Joint Dysfunction — diagnosis, provocative testing, and interventional management Whether you're preparing for the ABA, ABPM, ABIPP, or FIPP boards, or looking to sharpen your clinical...
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What is Red Light Therapy?
AnesthesiaExam Podcast
PainExam Podcast Show Notes Red Light Therapy (Photobiomodulation) for Pain Evidence, Mechanisms, and Clinical Applications Host: Dr. David Rosenblum Red light therapy, also known as photobiomodulation (PBM) or low-level laser therapy (LLLT), is an emerging non-invasive treatment modality increasingly used in pain medicine, rehabilitation, and regenerative medicine practices. In this episode of the PainExam Podcast, Dr. Rosenblum reviews the mechanisms, clinical evidence, indications, and safety considerations surrounding photobiomodulation therapy for pain. Red and near-infrared wavelengths...
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What you need to know about Regenerative Pain Medicine- ASIPP Regenerative Med Talk
AnesthesiaExam Podcast
Dr. Rosenblum from presented a webinar on the integration of regenerative medicine into pain practices, highlighting its benefits and applications. He discussed the evolution of treating pain, emphasizing the shift from neural blockade to addressing tissue health. Dave explained the use of PRP and BMAC in treating conditions like knee pain, and shared patient success stories. He addressed common misconceptions about regenerative medicine, including its cost and effectiveness. Dave also mentioned upcoming events and training opportunities in regenerative medicine. Regenerative Medicine...
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Meralgia Paresethetica for the Anesthesia Boards- NRAPpain.org
AnesthesiaExam Podcast
Meralgia Paresthetica Education and the Anesthesiology Boards This podcast episode from the NRAP Academy features Dr. David Rosenblum discussing Meralgia Paresthetica, a mononeuropathy affecting the lateral femoral cutaneous nerve. The condition involves entrapment or compression of this purely sensory nerve as it passes under the inguinal ligament near the anterior superior iliac spine, causing burning pain, tingling, and numbness in the anterior lateral thigh. Key clinical points covered include the nerve's L2-3 origin from the lumbar plexus, common causes such as obesity, tight clothing,...
info_outlinePodcast Show Notes: Peripheral Vascular Disease in PainManagement
Episode Highlights:
- Host: Dr. David Rosenblum
- Podcast: Pain Exam Podcast
- Focus: Peripheral Arterial Disease (PAD) in Pain Management
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Key Topics Covered:
1. Peripheral Arterial Disease (PAD) Overview
- Definition: Arterial sclerosis condition developing over long term
- WHO Definition: Exercise-related pain or ankle-brachial index (ABI) < 0.9
- Prevalence:
* 3-4% in 60-65 year olds
* Increases to 15-20% in 85-90 year olds
* Up to 50% of patients may progress to symptomatic stages
2. Diagnostic Considerations
Diagnostic Tests:
- Ankle Brachial Index (ABI)
- Ultrasound
- CT Angiography
- Physical examination
- Pulse volume recordings
- Transcutaneous oximetry
ABI Interpretation:
- 1.0-1.4: Normal
- 0.9-1.0: Acceptable
- 0.8-0.9: Some arterial disease
- 0.5-0.8: Moderate arterial disease
- < 0.5: Severe arterial disease
3. Pain Characteristics
Types of Pain:
- Intermittent claudication
- Chronic limb ischemia
- Nociceptive pain
- Neuropathic pain
- Mixed pain syndrome
4. Pain Management Strategies
Pharmacological Approaches:
- Mild Pain: Paracetamol, NSAIDs
- Neuropathic Pain: Lidocaine patches, gabapentin, duloxetine
- Severe Pain: Morphine, fentanyl, ketamine
Non-Pharmacological Interventions:
- Music therapy
- Aromatherapy
- Psychotherapy
- Massage
- Acupuncture
- TENS
- Intermittent pneumatic compression
Upcoming Conferences Mentioned:
- ASPN
- ASIPP
- Pain Week
- Latin American Pain Society
Additional Resources:
- Pain Exam newsletter: painexam.com
- Virtual pain fellowship at nrappain.org
Disclaimer: Always consult with a healthcare professional for personalized medical advice.
Reference
Garba Rimamskep Shamaki, Favour Markson, Demilade Soji-Ayoade, Chibuike Charles Agwuegbo, Michael Olaseni Bamgbose, Bob-Manuel Tamunoinemi,
Peripheral Artery Disease: A Comprehensive Updated Review,
Current Problems in Cardiology, Volume 47, Issue 11, 2022,101082,
Maier, J.A.; Andrés, V.; Castiglioni, S.; Giudici, A.; Lau, E.S.; Nemcsik, J.; Seta, F.; Zaninotto, P.; Catalano, M.; Hamburg, N.M. Aging and Vascular Disease: A Multidisciplinary Overview. J. Clin. Med. 2023, 12, 5512. https://doi.org/10.3390/jcm12175512
Maier, J.A.; Andrés, V.; Castiglioni, S.; Giudici, A.; Lau, E.S.; Nemcsik, J.; Seta, F.; Zaninotto, P.; Catalano, M.; Hamburg, N.M. Aging and Vascular Disease: A Multidisciplinary Overview. J. Clin. Med. 2023, 12, 5512. https://doi.org/10.3390/jcm12175512