Spine and Pain Medicine Physician w/ an interest in Orthobiologics and Neuromodulation | Type 1 Diabetic |
Salt Lake City, UT
Joined April 2019
- Tweets127
- Following146
- Followers217
- Likes373
My first Basivertebral Nerve Ablation (Intracept) for vertebrogenic low back pain at Intermountain
1
8
1,482
Furnishing a new office work space. What have been the essentials or some fun additions to your work space?
Standing desk is first order of business!
@JayKarriMD @JSinghMD @AbdullahNewaj @Ryan_S_DSouzaMD
4
6
653
Incoming and graduating Fellows, join me with @IPSISMed tomorrow night, Tuesday 6/11, 8:30p ET. Registration: ipsismed.org/event/Post-Fell…
Intraarticular SI Joint injections are the most difficult spine injection. Convince me otherwise!
1
2
313
Just registered for @IPSISMed International Pain & Spine Intervention Society 2024 Annual Meeting, September 11-14, 2024 in Boston, MA.
Nice little “staycation” ahead…
@CraigDiTommaso as you have likely read every article in the rehabilitation space over the past 15 years, anything ringing a bell?
1
361
No matter how hard I look, I can’t seem to find a non-surgical review on treatment for adults with Adolescent Idiopathic Scoliosis (AIS).
Do I not know how to properly use MeSH terms, or does this review just not exist?
@AAPMR @NASSspine @JayKarriMD
1
561
Max H. Epstein, MD retweeted
Everyone thinks their tendons hurt because of inflammation. But they’re all wrong. Here’s the truth. A lot of painful conditions like achilles tendonitis, patellar tendonitis, lateral epicondylitis, and rotator cuff tendonitis actually have very little to no inflammation.
A 🧵 :
During fellowship at @UofUtahPain, inspired by the beauty of the mountains, I picked up running as a hobby.
This Sunday I will run in the New York City Marathon for St. Jude’s Children’s Hospital!
Follow me on Sunday and consider donating to the wonderful people of @StJude
1
6
716
Is this plan perfect? No.
But, we now have:
1) A diagnosis of pain generators
2) A window of time to progress with PT- likely only about 3wk- but that just may be enough to get her over the hump
3) Availability for future steroid injection if needed without over exposure
5
375
Step 3: right GT bursa injection with Toradol (ketorolac) and local for diagnostic and temporary therapeutic benefit.
- patient with immediate improvement in lateral leg pains post injection
- now able to tolerate PT
4/n
1
459
Imaging with L4-L5 listhesis causing severe spinal and foramina stenosis.
Step 1: L5-S1 IL ESI.
-greatly improved neurogenic clarification, but did not help lateral leg pains.
-unable to progress in PT
Step 2: inject GT bursa? Right L5 TFESI?
Expose to steroids again?
3/n
1
1
211
Ex: 86yo F with sx of neurogenic claudication, and right lateral hip pain radiating down to lateral knee with getting out of chair and walking.
Physical exam with pain on palpating of GT bursa, pain on resisted hip abduction.
2/n
1
242
Have been increasing my use of intra-articular and/or bursa Toradol (ketorolac), particularly when diagnosis is not clear or multiple pain generators
1/n
If both groups have similar immediate pain relief (32% and 21% respectively) is there any role for LA in a cervical interlaminar epidural steroid injection at all?
pubmed.ncbi.nlm.nih.gov/3278…
2mL of 1% lidocaine vs. 2mL of saline as dilutent for a 4mL CILESI injectate results in no sig. difference in pain reduction 20min after injection
1
3
807
Diagnostic value was my #1 reason for consider LA in my interlaminar injection, however, @ZackMcCormickMD et al suggest otherwise