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The PMRExam Podcast

PMR Board Prep instructor and PMRExam's creator, David Rosenblum, MD discusses issues relevant to Physiatrists and Pain Physicians. Dr. Rosenblum's Physical Medicine and Rehabilitation Podcast, The PMRExam Podcast, features, interviews, board prep and practice management issues relevant to rehab physicians. For more information on Physiatry board prep and CME credits, go to PMRExam.com
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Now displaying: Category: general
Dec 11, 2023

PainExam Podcast Show Notes: Exploring Traumeel as an Alternative for Back Pain Relief

The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/HoEWFd
 

Board Prep and Continuing Education 

 

Introduction:

  • Today, Long Island Based Pain Physician David Rosenblum, MD  delves into the latest advancements and alternative treatments for pain management.
  • In today's episode, we shine a spotlight on Traumeel®, a homeopathic alternative gaining traction for its anti-inflammatory properties, with fewer reported side effects compared to corticosteroids.

Understanding Traumeel:

  • Traumeel, a fixed combination of diluted plant and mineral extracts, has been available over-the-counter in Europe for over 60 years.
  • Contrary to corticosteroids, Traumeel's popularity has surged due to its limited side effect profile, with reported contraindications primarily linked to allergies [9].

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Scientific Insights:

  • A study by Lussignoli et al. demonstrated Traumeel's efficacy in decreasing systemic interleukin-6 production and reducing edema, countering an unregulated inflammatory response [10].
  • In vitro studies revealed Traumeel's inhibition of pro-inflammatory mediators (IL-1β, TNFα, IL-8) in immune cells, suggesting its potential in stabilizing the immune system [8].
  • Notably, Traumeel's effectiveness seems to surpass the sum of its individual components, indicating a synergistic interaction [9-10].

Clinical Applications:

  • Traumeel has shown efficacy comparable to nonsteroidal anti-inflammatory drugs (NSAIDs) in treating various inflammatory conditions.
  • It is available in oral, topical, and injectable preparations, making it a versatile option for pain relief [8-9].

Research Gaps and Potential:

  • Despite its established use, current research lacks information on Traumeel's efficacy in epidural injections for short-term back pain relief.
  • No studies have compared Traumeel to corticosteroid injections, although the TRARO study protocol proposes a potential avenue for comparison in rotator cuff syndrome patients [11].

Pain Management Board Prep

Clinical Cases:

  • Five patients seeking back pain relief opted for Traumeel injections due to either a contraindication to or a preference against steroids.
  • This real-world scenario lays the groundwork for further exploration into Traumeel's efficacy in epidural injections, providing additional pain-relieving options for patients unable to tolerate corticosteroid injections.

Conclusion:

  • Traumeel presents a promising alternative for pain management, particularly in cases where corticosteroids may be unsuitable, however the FDA has yet to approve it and therefore it has failed to gain traction in the US. [14]
  • As we wrap up, stay tuned for future developments in the research landscape surrounding Traumeel and its potential role in enhancing pain relief options.

Disclaimer:

  • Consult with a healthcare professional before considering any alternative treatments. The information provided in this podcast is for educational purposes only and does not replace medical advice.

 

David Rosenblum, MD
President, NRAP Academy
Clinical Assistant Professor 
Department of Anesthesiology
SUNY Downstate Medical Center 
Director of Pain Management
Maimonides Medical Center

 
References 
1. Cassidy JD, Carroll LJ, Côté P: The Saskatchewan health and back pain survey. The prevalence of low back pain and related disability in Saskatchewan adults. Spine (Phila Pa 1976). 1998, 23:1860-66. 10.1097/00007632-199809010-00012 
2. Rudy TE, Weiner DK, Lieber SJ, Slaboda J, Boston JR: The impact of chronic low back pain on older adults: a comparative study of patients and controls. Pain. 2007, 131:293-301. 10.1016/j.pain.2007.01.012 
3. Fyneface-Ogan S: Anatomy and Clinical Importance of the Epidural Space. Epidural Analgesia - Current Views and Approaches. IntechOpen. IntechOpen (ed): IntechOpen, Internet; 2012. 1-14. 10.5772/39091 
4. Waldman SD: Complications of cervical epidural nerve blocks with steroids: a prospective study of 790 consecutive blocks. Reg Anesth. 1989, 14:149-51. 
5. McGrath JM, Schaefer MP, Malkamaki DM: Incidence and characteristics of complications from epidural steroid injections. Pain Med. 2011, 12:726-31. 10.1111/j.1526-4637.2011.01077.x 
6. Watters WC 3rd, Resnick DK, Eck JC, et al.: Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 13: injection therapies, low-back pain, and lumbar fusion. J Neurosurg Spine. 2014, 21:79-90. 10.3171/2014.4.SPINE14281 
7. Understanding Potential Complications Of Epidural Steroid Injections . (2011). Accessed: October 1, 2019: https://www.practicalpainmanagement.com/treatments/interventional/injections/understanding-potentialcomplications-ep…. 
8. Schneider C: Traumeel - an emerging option to nonsteroidal anti-inflammatory drugs in the management of acute musculoskeletal injuries. Int J Gen Med. 2011, 4:225-34. 10.2147/IJGM.S16709 9. Grech D, Velagala J, Dembek DJ, Tabaac B: Critical literature review of the homeopathic compound Traumeel for treatment of inflammation. Pharmacology & Pharmacy. 2018, 9:67-83. 10. Lussignoli S, Bertani S, Metelmann H, Bellavite P, Conforti A: Effect of Traumeel S®, a homeopathic formulation, on blood-induced inflammation in rats. Complement Ther Med. 1999, 7:225-30. 
10.1016/S0965-2299(99)80006-5 
11. Vanden Bossche L, Vanderstraeten G: A multi-center, double-blind, randomized, placebo-controlled trial protocol to assess Traumeel injection vs dexamethasone injection in rotator cuff syndrome: the TRAumeel in ROtator cuff syndrome (TRARO) study protocol. BMC Musculoskelet Disord. 2015, 16:8. 10.1186/s12891- 015-0471-z 
12. Birnesser H, Oberbaum M, Klein P, Weiser M: The homeopathic preparation Traumeel® S compared with NSAIDS for symptomatic treatment of epicondylitis 
13. Ehlert, Dianna, and Ariel Majjhoo. "Traumeel® Epidural Injection: A Viable Alternative to Corticosteroids-A Five-Patient Case Study." Cureus 11.11 (2019)
 
Nov 13, 2023
Hydroxyapatite Deposition Disease
 
Dr. Rosenblum discusses shoulder pain, and the pathophysiology of Hydroxyapatite Deposition Disease.
He discusses personal experience with infraspinatous tendon tear, and treatments such as NSAIDs, Lidocaine patch and steroid injections of the infraspinatous tendon.  Dr. Rosenblum discusses his experience with a failed suprascapular nerve block as well as evidence to support PRP injections and ethical safe care.
 
Dr. Rosenbum also is the NRAP Academy Course director for Ultrasound, Regenerative Pain Medicine and Regional Anesthesia CME Workshops and developed online PainExam, AnesthesiaExam and PMRExam Board Reviews
 
Pain Management Board Review
 Upcoming Workshops and EventsUltrasound Guided Interventional Pain and Regenerative Medicine Course Feb 10, 2024
 
Saturday, December 16, 2023 7:30 AM
 
Saturday, January 6, 2024 7:30 AM

 

For  up to date Calendar, Click Here!
 

References

 
  1. Valerio SansoneEmanuele MaioranoAlessandro Galluzzo & Valerio Pascale (2018) Calcific tendinopathy of the shoulder: clinical perspectives into the mechanisms, pathogenesis, and treatment, Orthopedic Research and Reviews, 10:, 63-72, DOI: 10.2147/ORR.S138225
     
    Seijas R, Ares O, Alvarez P, Cusco X, Garcia-Balletbo M, Cugat R. Platelet-Rich Plasma for Calcific Tendinitis of the Shoulder: A Case Report. Journal of Orthopaedic Surgery. 2012;20(1):126-130. doi:10.1177/230949901202000128
     
    Hegazi T. Hydroxyapatite Deposition Disease: A Comprehensive Review of Pathogenesis, Radiological Findings, and Treatment Strategies. Diagnostics (Basel). 2023 Aug 15;13(16):2678. doi: 10.3390/diagnostics13162678. PMID: 37627938; PMCID: PMC10453434.
Oct 12, 2023

Dr. Rosenblum explores Peptides, the various types, usess and applications for health and wellness.

Upcoming Pain Management Conferences

 

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Upcoming Workshops and Events

 

NYC Regional Anesthesia and  Pain  Ultrasound CME  Workshop

Saturday, October 28, 2023 8:00 AM

 

Charleston, SC  Regional Anesthesia and  Pain  Ultrasound CME  Workshop

Sunday, October 29, 2023 9:00 AM

 

NRAP Academy:  Regenerative Pain Medicine Course NYC

Saturday, November 11, 2023 8:00 AM

 

NYC Regional Anesthesia and  Pain  Ultrasound CME  Workshop

Saturday, December 16, 2023 7:30 AM

 

NYC Regional Anesthesia and  Pain  Ultrasound CME  Workshop

Saturday, January 6, 2024 7:30 AM

  

For  up to date Calendar, Click Here!

References

https://healthgains.com/wellness/peptide-therapy/#Selank

 
https://www.nature.com/articles/s41392-022-00904-4

 

Jun 14, 2023
 
The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/ATmqM6
 
 
David Rosenblum, MD Garden City and Brooklyn Pain Physician, world renown for his work on the PainExam Podcast, Board Review and NRAP Academy’s Continuing Medical Education Programs, discusses Ketamine infusions, optimal infusion protocols and the evidence or lack of to support them. 
 
Ketamine infusions have been used for chronic neuropathic pain, CRPS and depression. Dr. Rosenblum is accepting new patients and consultations could be scheduled by visiting www.AABPPain.com or calling 718 436 7246 or 516 482 7246.
 
Pain Management Board Prep
 
Physiatry Board Prep 
 

Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- July 19, 2023

Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- August 19th, 2023

Ultrasound Guided Regional Anesthesia and Pain Medicine- Sept 15, 2023, San Juan, PR

For  up to date Calendar, Click Here!

References 
Maher, Dermot P MD, MS; Chen, Lucy MD; Mao, Jianren MD, PhD. Intravenous Ketamine Infusions for Neuropathic Pain Management: A Promising Therapy in Need of Optimization. Anesthesia & Analgesia 124(2):p 661-674, February 2017. | DOI: 10.1213/ANE.0000000000001787 
May 2, 2023
2023 Update to the Sacroiliac Joint 
CMS Covered Indications for SI Joint Injection
 
Long Island Based Interventional Pain Physician, David Rosenblum, MD discusses Sacroiliac Joint Dysfunction, and CMS’s Covered Indications for Sacroiliac Joint Injection and Diagnostic Nerve Block
 
The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/ryGmAg
 For PM&R Board Review, Click Here!
 
Sacroiliac Joint Injections are considered necessary and reasonable when all of the following criteria are met:
 
  1. Moderate to severe low back pain primarily experienced over the anatomical location of the SI joints between the upper level of the iliac crests and the gluteal fold, AND
  2. Low back pain duration of at least three (3) months, AND
  3. Low back pain below L5 without radiculopathy, AND
  4. Clinical findings and/or imaging studies do not suggest any other diagnosed or obvious cause of the lumbosacral pain (such as central spinal stenosis with neurogenic claudication/myelopathy, foraminal stenosis or disc herniation with concordant radicular pain/radiculopathy, infection, tumor, fracture, pseudoarthrosis, or pain related to spinal instrumentation), AND
  5. At least three positive findings with provocative maneuvers: FABER, Gaenslen, Thigh Thrust or Posterior Shear, SI Compression, SI Distraction and Yeoman Tests,3,4 AND
  6. Low back pain persists despite a minimum of four weeks of conservative therapies.5
 
Workshop and Calendar
 
 
 
 
 
 
For  up to date Calendar, Click Here!
 
 

References

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39383&ver=9
Mar 29, 2023
CME Credit
The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/W8x3jd
 
Journal Club. Minimally Invasive Lumbar Decompression (mild® Procedure) with Conventional Medical Management vs. Conventional Medical Management Alone.
Descripton of Procedure, Safety, Technique, study outcome, personal experience with this minimally invasive technique that interventional pain physicians are using to treat neurogenic claudication related to ligamentum flavum hypertrophy. 
 
Dr. Rosenblum discusses spinal stenosis pathophysiology and neurogenic claudication. Dr. Rosenblum also mentions upcoming courses and webinars:
 
 
Upcoming Courses and Workshops!
 
Course Calendar
 
Practice Management Webinar: The End of the Public Health Emergency. What’s Changed and what Opportunities Remain!
 
 
For  up to date Calendar, Click Here!
 

References

Timothy R Deer, MD, Shrif J Costandi, MD, Edward Washabaugh, MD, Timothy B Chafin, MD, Sayed E Wahezi, MD, Navdeep Jassal, MD, Dawood Sayed, MD, The MOTIONStudy: A Randomized Controlled Trial with Objective Real-World Outcomes for Lumbar Spinal Stenosis Patients Treated with the mild® Procedure: One-Year Results, Pain Medicine, Volume 23, Issue 4, April 2022, Pages 625–634, https://doi.org/10.1093/pm/pnac028

 

Mar 21, 2023
Biologics and the Peripheral Nerve.
 
Claim CME
The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/TgB18M
 
Dr. Rosenblum discuss his upcoming talk at the Appalachian Region Spine and Pain Meeting:  Incorporating Ultrasound into a Spine and Pain Practice on April 14-16 2023 and the topics he plans to include: Ultrasound Guided Knee therapies, cluneal nerve, caudal, brachial plexus and more!
 
Today’s podcast (inspired by TOBI and Dr. Sudhir Diwan, Dr. Sheldon Jordon and Dr. Rikin Patel's ASIPP Lectures)  focuses on the risk and benefits of performing PRP injection onto a nerve.  Dr. Rosenblum discusses:
 
 Possible fibrosis of the ulna nerve after using PRP for partial ulnar collateral ligament tears
 Best Time for PRP Injection after Nerve Regeneration
 Alpha 2-macroglobulin (what is it?)
 PRP for moderate to severe carpal tunnel syndrome
 
Featured Courses!
 
May 25, 2023 Private Pain Group   Ultrasound Course- NYC (Sold out)
see the full schedule for our July and August US IPM Courses!
 
References
Robert G. Thompson, Kendall Bradley, Gary M. Lourie,
Ulnar nerve dysfunction at the elbow after platelet-rich plasma treatment for partial ulnar collateral ligament injuries,JSES Reviews, Reports, and Techniques,Volume 1, Issue 1,2021,Pages 41-44,ISSN 2666-6391,
 
Si-Ru Chen, Yu-Ping Shen, Tsung-Yen Ho, Tsung-Ying Li, Yu-Chi Su, Yu-Ching Chou, Liang-Cheng Chen, Yung-Tsan Wu,One-Year Efficacy of Platelet-Rich Plasma for Moderate-to-Severe Carpal Tunnel Syndrome: A Prospective, Randomized, Double-Blind, Controlled Trial,Archives of Physical Medicine and RehabilitationVolume 102, Issue 5,2021,
Pages 951-958,ISSN 0003-9993,https://doi.org/10.1016/j.apmr.2020.12.025.
 
Rehman, A.A., Ahsan, H. and Khan, F.H. (2013), Alpha-2-macroglobulin: A physiological guardian. J. Cell. Physiol., 228: 1665-1675. https://doi.org/10.1002/jcp.24266
 
Muhammad Pandunugrahadi, Komang Agung Irianto, Oen Sindrawati, "The Optimal Timing of Platelet-Rich Plasma (PRP) Injection for Nerve Lesion Recovery: A Preliminary Study", International Journal of Biomaterials, vol. 2022, Article ID 9601547, 7 pages, 2022. https://doi.org/10.1155/2022/9601547
Feb 25, 2023

Carpal Tunnel Syndrome

Claim CME
The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/JiPKnm
 
Diagnosis, Pathophysiology, Clinical Findings and Management of the Carpal Tunnel Syndrome

 In this episode, we will be discussing Carpal Tunnel Syndrome, a common condition that affects millions of people worldwide. But before we dive into the topic, we want to tell you about a great opportunity to advance your medical knowledge through the NRAP Academy CME courses offered on our website.

Discussion on Carpal Tunnel Syndrome:

Carpal Tunnel Syndrome is a condition that occurs when the median nerve, which runs from the forearm to the hand, becomes compressed or squeezed at the wrist. This compression can lead to pain, numbness, and tingling in the hand and arm, which can be debilitating.

There are many causes of Carpal Tunnel Syndrome, including repetitive hand movements, wrist injuries, pregnancy, and medical conditions such as diabetes and thyroid disorders. Treatment options for Carpal Tunnel Syndrome range from non-invasive approaches like rest, ice, and wrist splints to more invasive treatments like surgery.

It's important to diagnose and treat Carpal Tunnel Syndrome early to prevent long-term damage to the median nerve. A proper diagnosis can be made through a physical exam and imaging tests like an electromyography (EMG) or nerve conduction study (NCS).

Don't forget to check out the NRAP Academy CME courses offered on our website, www.painexam.com/events page, to continue your medical education and enhance your patient care.

For Board Prep go to www.PMRExam.com

NRAP Academy Events

Hands on Training for medical professional looking to enhance your knowledge and skills in pain management? Offering courses are designed to help you stay up-to-date with the latest advances in pain management and to help you improve patient outcomes. Visit our website, www.painexam.com/events page, to learn more about the courses available and to sign up today.


References
Sevy JO, Varacallo M. Carpal Tunnel Syndrome. [Updated 2022 Sep 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448179/
 
Sevy JO, Varacallo M. Carpal Tunnel Syndrome. 2022 Sep 5. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 28846321.
Jan 31, 2023
Claim CME 
The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/tn70Yk
 
Dr. Rosenblum discuss a challenging case and reviews the pathology, treatment and evidence for interventional pain in the the treatment of Post Herpetic Neuralgia.
Discussed in this podcast:
Intrathecal injection of methylprednisolone
Dorsal Root Ganglion 
Paraveterbral Nerve Block
Stellate Ganglion Block
Spinal Cord Stimulation
Botulinum Toxin Injection
And more!
 
Course Calendar
 
 
 
 
References

Lin, Chia-Shiang, et al. "Interventional treatments for postherpetic neuralgia: a systematic review." Pain physician22.3 (2019): 209.

https://www.painphysicianjournal.com/current/pdf?article=NjMwMg%3D%3D&journal=120
Dec 21, 2022

Rachel Trobman, CEO of Upside Health and David Rosenblum, MD discuss updates to the 2023 Physician Fee Schedule + New Chronic Pain Management Codes, Remote Patient Monitoring and more!

Claim CME Credit!

This Podcast is not worth any CME Credit, but Credit can be Claimed for reflecting on content:
The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/9AX9LN

Upcoming Courses and Workshops!

Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- Dec 3, 2022

Regenerative Interventional Pain Course NYC- Jan, 28, 2023

Ultrasound Guided Regional Anesthesia and  Pain Medicine Tamarindo, Costa Rica- Feb. 19, 2023

Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- March 11, 2023

Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- April 22, 2023

Pain Management Board Review/Refresher Course/ Ultrasound Training NYC- June 9-11, 2023

NRAP: NYC Regional Anesthesia and Pain Ultrasound CME Workshop Registration, Sat, Dec 3, 2022 at 7:30 AM | Eventbrite

For  up to date Calendar, Click Here!

Dec 14, 2022

1 CME Available

What you need to know: The Updated CDC Clinical Practice Guideline for Prescribing Opioids for Pain

Monday, November 21 at 6:00 pm EDT

NYSPS Legal Briefs 

New 2022 CDC Guidelines on

OPIOID USE FOR TREATMENT OF PAIN

The CE experience for this Webinar is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/p1nfCi

The Guidelines state very clearly: “Nonopioid therapies are preferred for subacute and chronic pain.” If you are using opioids for subacute or chronic pain, which including both terms, means treating pain for 1 month or more, your chart must contain some justification for the use of opioids. This is an extremely important matter. Appropriate reasons, such as a prior treater, attempted various nonopioid treatments of some kind that failed. There must be a very good reason why opioids were tried. It must be documented.  

Larry Kobak, Esq.

Senior Counsel

Frier Levitt

ATTORNEYS AT LAW

101 Greenwich Street, Suite 8B

New York, NY 10006

(516) 755-7553 direct

(973) 618-1660 office

lkobak@frierlevitt.com

www.frierlevitt.com

Course Calendar

Regenerative Interventional Pain Course NYC- Jan, 28, 2023

Ultrasound Guided Regional Anesthesia and  Pain Medicine Tamarindo, Costa Rica- Feb. 19, 2023

Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- March 11, 2023

Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- April 22, 2023

Pain Management Board Review/Refresher Course/ Ultrasound Training NYC- June 9-11, 2023

 

Nov 30, 2022
Journal Club where David Rosenblum, MD reviews the possible complications related to an intrathecal pump.  Discussed in this podcast:
Intrathecal pump malfunction, disconnect, granuloma, infection, MRI compatibility, related malfunctions, and evaluation of pump failure.

Claim CME Credit
This CME credit is not for listening to the podcast.  No credit is offered for the podcast itself, but reflect on information learned and claim credit. 
The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/QzrQ19
 
Upcoming Workshops
 
 
 
 
 
 

 

For up to date Calendar, Click Here!

For PM&R and Pain Management board review go to ...

PM&R Board Review   or      Pain Management Board Review

Nov 16, 2022
Regenerative Pain Medicine in Knee OA- The Interosseous Injection of BMAC and PRP
 
In anticipation of NRAP Academy’s upcoming Regenerative Medicine Course, Dr. Rosenblum reviews interosseous injections of PRP and Bone Marrow Aspirate in the treatment of Knee Osteoarthritis. 
Dr. Rosenblum reviews key points and quotes Delgado et al in the below article. 
 
PMRexam.com for PM&R Board Prep
Claim CME Credit
The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/FOIuSR
 
Upcoming Courses and Workshops!
 
Ultrasound Guided Regional Anesthesia and Pain Medicine NYC- Dec 3, 2022
 
Regenerative Interventional Pain Course NYC- Jan, 28, 2023
 
Ultrasound Guided Regional Anesthesia and  Pain Medicine Tamarindo, Costa Rica- Feb. 19, 2023
 
Pain Management Board Review/Refresher Course/ Ultrasound Training NYC- June 9-11, 2023
 
For  up to date Calendar, Click Here!
 
Reference
Delgado D, Garate A, Vincent H, Bilbao AM, Patel R, Fiz N, Sampson S, Sánchez M. Current concepts in intraosseous Platelet-Rich Plasma injections for knee osteoarthritis. J Clin Orthop Trauma. 2019 Jan-Feb;10(1):36-41. doi: 10.1016/j.jcot.2018.09.017. Epub 2018 Sep 28. Erratum in: J Clin Orthop Trauma. 2020 Nov-Dec;11(6):1169-1171. PMID: 30705529; PMCID: PMC6349647.
Nov 8, 2022
A review of the evidence
 
David Rosenblum, MD reviews the description and evidence provided by Loibi et al in the published article referenced below.  Dr. Rosenblum discusses personal experiences with treating back pain with regenerative medicine procedures.  Discussed in this podcast:
Patient selection
Pathophysiology
Environment of the disc and it’s impact on MSCs
Risks and safety concerns of Intervertebral mesenchymal stem cell transplantation
Pain relief and recommendations for MSC injection into the disc in patients suffering from discogenic pain
 
 
The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/WAltmH
 
 
Course Calendar
 
 
Pain Management Board Review and Refresher, June 10-12, 2023- NYC Location TBA
 
 

References

 
Loibl, M,  Wuertz-Kozak, K,  Vadala, G,  Lang, S,  Fairbank, J,  Urban, JP.  Controversies in regenerative medicine: Should intervertebral disc degeneration be treated with mesenchymal stem cells? JOR Spine20192:e1043. https://doi.org/10.1002/jsp2.1043
Oct 27, 2022
The Glossopharyngeal Nerve Revisited-

The_Glossopharyngeal_Nerve_Revisited


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Glossopharyngeal Neuralgia, Anatomy, Pathophysiology, Diagnosis, and Treatment-

Dr. Rosenblum reviews Neuralgia and Compression of CN IX pathology, discusses the management, treatment and more.  David Rosenblum MD, pain physician in Great Neck, Long Island discusses the different approaches to treating patients with medications and interventional pain procedures such as nerve blocks, neurolysis and radiofrequency lesioning...


Upcoming Events...

Want to view the complete events agenda? Click Here Now!


IPA Israel: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Oct 30, 2022

ultrasound training course isreal

 Advanced Ultrasound Guided Injection Training Workshop!

Lock in Your Spot Today!

Register Now!


NYNJ-PS 2022 Annual Symposium- Nov. 3rd-6th, 2022!

NYNJ-PS 2022

NYSIPP/ NJSIPP's Annual Pain Medicine Symposium

Come and join us in New Jersey in November | NYNJ-PS 2022 

Save the Date! Nov. 3rd-6th, 2022

Get Your Tickets Today!
Register Now!
 

Dominican Republic: Regional Anesthesia & Pain Ultrasound CME Workshop, Nov 12th, 2022

ultrasound training course costa rica

 Advanced Ultrasound Guided Injection Training Workshop!

Lock in Your Spot Today!

Register Now!


Physician Networking Event- NYC Nov. 17th, 2022

physician-networking-nyc

 

Physician Networking Event- Nov. 17th, NYC

Join us for our a cool session of networking with your colleagues. Our last event hit the mark, and our docs left happy and excited for the next one. So we've planned it. As always, there will be food and drinks served. Come prepared to speak to others about medicine, healthcare. side gigs, new opportunities for career growth, innovation, fun activities, and more.

Lock in Your Spot Today!

Register Now!


NYC Ultrasound Guided Chronic Pain/Regional Anesthesia Training Workshop-  Dec. 3rd, 2022

ultrasound training course costa rica

 Advanced Ultrasound Guided Injection Training Workshop!

Lock in Your Spot Today!

Register Now!


NYC Regenerative Pain Medicine Workshop- Jan. 28th, 2023

regenerative pain medicine course

Regenerative Pain Medicine Training Workshop!

Lock in Your Spot Today!

Register Now!


IPA Costa Rica: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Feb. 19, 2023

ultrasound training course costa rica

 Advanced Ultrasound Guided Injection Training Workshop!

Lock in Your Spot Today!

Register Now!


Pain Management Board Review & Refresher Workshop  June 10-12, 2023 - TBA

ultrasound training course costa rica

 Annual NRAP/IPA/ Pain Management Board Review Workshop!

Registration Set to Open Soon...

Email to Reserve a Spot!


Podcast Resources:

https://europepmc.org/article/nbk/nbk541041

https://en.wikipedia.org/wiki/Glossopharyngeal_nerve

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Sep 22, 2022
Treating long COVID, Parosmia and Anosmia with Stellate Ganglion Blocks-

Treating_long_COVID_Parosmia_and_Anosmia_with_Stellate_Ganglion_Blocks


A new application of an old therapy-

Dr. Rosenblum reports his experience with a patient who reported long term relief of anosmia and parosmia with a unilateral stellate ganglion block.  Dr. Rosenblum discusses the pathophysiology of the imbalances between the Sympathetic, parasympathetic nervous system, and feedback loops in the Neuro-immune system. 

For more information see attached texts.

For Ultrasound Training to enable safe application of this therapy go to www.PainExam.com/events

Links to PDF files-

Stellate ganglion block reduces symptoms of Long Covid- A Case Series- Click here to download

Regulation of acute reflectory hyperinflammation in viral and other diseases by SGB- Click here to download

 

 


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Sep 14, 2022
Protect and Cover your ASSets! -

 Protect and Cover your ASSets!An interview with attorney Ken Falcon


Interview with attorney Ken Falcon-

Is Malpractice insurance enough? Dr. Rosenblum sits down and asks Ken Falcon about protecting assets, trusts, and more. Ken is an attorney practicing in Rockville Center, NY.  For more information, see his contact information below.

Ken Falcon
Falcon Rappaport & Berkman PLLC

265 Sunrise Highway, Suite 50 (MAIL)
Rockville Centre, New York 11570
T: (516) 599-0888
F: (516) 599-0889


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IPA Israel: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Oct 27, 2022

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NYNJ-PS 2022 Annual Symposium- Nov. 3rd-6th, 2022!

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Ken Falcon, Falcon Rappaport & Berkman PLLC

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Sep 7, 2022
What You Need to Know About CMS' New Chronic Pain Management Codes? -

dana corriel So Me docs


CMS’s Push into Remote Patient Care-

Dr. Rosenblum interviews PainExam Podcast Sponsor, Rachel Trobman.  Rachel Trobman is a digital health executive and leader in the remote care space. Her company, Upside Health, is dedicated to transforming pain care and has helped clinicians, health systems and tens of thousands of patients through their product, Branch Health. She is actively involved in legislation surrounding remote billing codes and collaborates with the AMA, CMS and leading law firms...

Find out more about Upside Health! https://Upside.health


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NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC Oct. 8th, 2022

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IPA Israel: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Oct 27, 2022

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NYNJ-PS 2022 Annual Symposium- Nov. 3rd-6th, 2022!

NYNJ-PS 2022

NYSIPP/ NJSIPP's Annual Pain Medicine Symposium

Come and join us in New Jersey in November | NYNJ-PS 2022 

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IPA Costa Rica: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Feb. 19, 2023

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David Rosenblum, M.D.

Rachel Trobman, Upside Health

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Aug 23, 2022
SoMeDocs Founder, Dana Corriel, MD! -

dana corriel So Me docs


Doctors on Social Media, Physician Entrepreneurship and more! -

Dr Rosenblum welcomes his friend and Colleague Dana Corriel, MD.  Dana runs the Facebook group SoMeDocs and has over 40,000 followers across her platform. 

Her website doctorsonsocialmedia.com is a platform to help physicians network, showcase and develop their brands.

Follow Dana on Facebook at SoMeDocs and get updates on all of her online and offline events and projects.


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NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC Oct. 8th, 2022

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 Advanced Ultrasound Guided Injection Training Workshop!

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IPA Israel: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Oct 27, 2022

ultrasound training course isreal

 Advanced Ultrasound Guided Injection Training Workshop!

Lock in Your Spot Today!

Register Now!


NYNJ-PS 2022 Annual Symposium- Nov. 3rd-6th, 2022!

NYNJ-PS 2022

NYSIPP/ NJSIPP's Annual Pain Medicine Symposium

Come and join us in New Jersey in November | NYNJ-PS 2022 

Save the Date! Nov. 3rd-6th, 2022

Get Your Tickets Today!
Register Now!
 

IPA Costa Rica: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Feb. 19, 2023

ultrasound training course costa rica

 Advanced Ultrasound Guided Injection Training Workshop!

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Podcast Resources:

David Rosenblum, M.D.

Dana Corriel, M.D.

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Aug 9, 2022
Dr. Myrdalis Diaz-Ramirez on Business, Medicine and more! -

supply chain shortages


Maxallure Mastermind Physician Coaching -

Dr. Rosenblum discusses business, coaching, work life balance and more with Dr. Mydralis Diaz-Ramirez.

To find out more about her physician coaching program, go to MaxAllure.com/PainExam


Upcoming Events...

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NRAP’s Acute and Chronic Pain Ultrasound CME Workshop in NYC- Sept. 10th, 2022

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NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC Oct. 8th, 2022

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IPA Israel: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Oct 27, 2022

ultrasound training course isreal

 Advanced Ultrasound Guided Injection Training Workshop!

Lock in Your Spot Today!

Register Now!


NYNJ-PS 2022 Annual Symposium- Nov. 3rd-6th, 2022!

NYNJ-PS 2022

NYSIPP/ NJSIPP's Annual Pain Medicine Symposium

Come and join us in New Jersey in November | NYNJ-PS 2022 

Save the Date! Nov. 3rd-6th, 2022

Get Your Tickets Today!
Register Now!
 

IPA Costa Rica: Ultrasound Guided Chronic Pain and Regional Anesthesia Course, Feb. 19, 2023

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Mydralis Diaz-Ramirez, M.D.

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Sep 24, 2021

Being Prepared...

dr john v prunskis
Life and Disability Insurance, What You Need to Know...

Dr. Rosenblum interviews financial planner, Greg Alerte as they discuss disability, life insurance and more!

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Advanced Ultrasound Guided Regional Injections CME Course for ANES, EM, PMR, Orthopedics, and Neurologists- 4 CME Credits!

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David Rosenblum, MD & Gregory P. Alerte, CFP®

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Sep 3, 2021

Justin Harvey & THE PRACTICE ACCELERATOR.

dr john v prunskis
Thinking About Starting a Pain Practice?

In the latest PainExam podcast episode Dr. David Rosenblum dissects the many intricacies of starting a pain practice with expert Justin Harvey. Everything from planning, to practice set up and infrastructure, funding or financing the venture, and much more!

Interested in find out more about the fast track "Pain Accelerator" Program? Click Here Now!

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Ultrasound Training Workshop

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Podcast Resources:

Dr David Rosenblum and Dr. Justin Harvey

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Apr 2, 2021

Enhancing Neuroplasticity to Augment Pain Treatments

Dr. Rosenblum reviews an article focusing on Intermittent Fasting and Glucose Administration and how it could help patients suffering from chronic pain.

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Upcoming Ultrasound Training Workshop Event Schedule-

May 16th, 2021-
Live Ultrasound Training in NYC for Pain and Regional Anesthesia-
https://painexam.com/events/in-person-live-ultrasound-training-april-18-nyc/

Resources:
Sibille KT, Bartsch F, Reddy D, Fillingim RB, Keil A. Increasing Neuroplasticity to Bolster Chronic Pain Treatment: A Role for Intermittent Fasting and Glucose Administration?. J Pain. 2016;17(3):275-281. doi:10.1016/j.jpain.2015.11.002

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Dec 17, 2019

Dr. Rosenblum Discuss the Cluneal Nerves and the pain syndromes associated with cluneal nerve entrapment.

Cluneal Nerves

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References

  1. Aota Y. Entrapment of middle cluneal nerves as an unknown cause of low back pain. World Journal of Orthopedics. 2016;7(3):167-170.
  2. Ermis M, Yildrum D, Duraknasa M, Tanam C, Ermis O. Medial superior cluneal nerve entrapment neuropathy in military personnel; diagnosis and etiologic factors. J Back Muscul Rehab. 2011;4:137-144.
  3. https://paindoctor.com/treatments/cluneal-nerve-blocks/
  4. Talu G, Suleyman O, talu U. Supeior cluneal nerve entrapment. Regional Anesthesia and Pain Medicine. 2000;25(6):648-650.
  5. Wisotzky E, Cocchiarella A. Cluneal neuropathy – An underdiagnosed cause of low back pain: A case series. PM&R. 2010;2(9):73-74.
  6. https://rapm.bmj.com/content/25/6/648
  7. http://drmorgan.info/clinicians-corner/cluneal-nerve-entrapment/
  8. https://www.ncbi.nlm.nih.gov/pubmed/28236130
Nov 27, 2018

PMRExam.com Podcast on Neuropathic Pain 

An update on the lates definition and treatment guidelines

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DISCLAIMER: Doctor Rosenblum IS HERE SOLELY TO EDUCATE, AND YOU ARE SOLELY RESPONSIBLE FOR ALL YOUR DECISIONS AND ACTIONS IN RESPONSE TO ANY INFORMATION CONTAINED HEREIN. This podcasts is not intended as a substitute for the medical advice of physician to a particular patient or specific ailment. 

You should regularly consult a physician in matters relating to yours or another’s health.  You understand that this podcast is not intended as a substitute for consultation with a licensed medical professional. 

 

Copyright © 2018 QBazaar.com, LLC  All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the author.

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