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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: Page 3
Nov 18, 2020

Is Local Anesthetic in Cervical Epidurals Beneficial?

In this podcast episode:
Dr. Rosenblum announces postponement of November 22 Ultrasound Course.

  • Discusses RAPM article on Lidocaine in the Cervical Epidural Space
  • Benefits of Ultrasound for Guiding injections to treat Cervical Radiculopathy
  • Pitfalls of the Standard of Care

Private Consultation Service and Chart Review Available for Pain Patients- Inquire at DRosenblum@RMCPain.com

Live Virtual Ultrasound CME Training Event Set for Dec. 6th, 2020

Click here to register now! https://painexam.com/events/ultrasound-guided-interventional-pain-and-regional-anesthesia-virtual-training/

Podcast References:
McCormick ZL, Burnham T, Cunningham S, et al
Effect of low-dose lidocaine on objective upper extremity strength and immediate pain relief following cervical interlaminar epidural injections: a double-blinded randomized controlled trial
Regional Anesthesia & Pain Medicine Published Online First: 11 August 2020. doi: 10.1136/rapm-2020-101598

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https://www.facebook.com/PainExam/
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https://www.linkedin.com/company/painexam
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https://www.youtube.com/user/DocRosenblum/videos

Nov 13, 2020

Autism and Labor Epidurals?

Dr. Rosenblum discusses JAMA’s October 2020 article that suggests an association between Labor Epidural and the diagnosis of Autism Spectrum Disorder

Speaking of Labor Analgesia... Learn TAP Blocks, Ilioinguianl Block and more!

Next Ultrasound Guided Regional Anesthesia and Interventional Pain Courses..

November 22, 2020 - Live In Person Ultrasound Training-

"In-Person" Ultrasound Guided Pain Management 7 CME Credit Training Event Nov. 22nd, 2020. Limited Spaces!

Covering:
-Upper Extremity (Brachial Plexus, Axillary, Suprascapular)
-Lower Extremity (Femoral, Sciatic, Popliteal, Ankle, IPACK, Genicular)
-Soft Tissue & Joint (Shoulder, ITB, Hip, Knee, Plantar Fascia)
-Peripheral Nerve Blocks and Spine (Ilioinguinal, TAP, Intercostal, -Paravertebral, Caudal, Cervical , Cluneal and much more!)
-Live Model Scanning and Practice with Phantoms

Register Now!

https://painexam.com/events/in-person-live-ultrasound-training-november-22-nyc/

December 6, 2020-  Virtual Interventional Pain and Regional Anesthesia Training Webinar-

New Ultrasound Guided Interventional Pain Management & Regional Anesthesia 4 CME Webinar Event by PainExam, Set for Dec. 6th, 2020

Covering-

Ultrasound Guided Interventional Pain Virtual Training on Nerve Blocks, Soft Tissue Injections, Spine, etc.
-Upper extremity (Brachial Plexus, Axillary, Suprascapular, Radial, Ulna, Median)
-Lower Extremity (Femoral, Sciatic, Popliteal, Genicular, IPACK, Ankle)
-Soft Tissue and Joint (Knee & Shoulder)
-Peripheral Nerve Block (Occipital, TAP, Ilioinguinal, Intercostal Paravertebral
-Spine (Sacroiliac, Caudal, Cervical Selective Nerve Root, Medial Branch)

Register Now!
https://painexam.com/events/ultrasound-guided-interventional-pain-and-regional-anesthesia-virtual-training/

Podcast References:

https://www.asahq.org/about-asa/newsroom/news-releases/2020/10/labor-epidurals-and-autism-joint-statement

https://jamanetwork.com/journals/jamapediatrics/article-abstract/2771634

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Nov 5, 2020

Myths in Pain Medicine: Steroid Doses, Spine Surgery, Vasectomies, etc.

Dr. Rosenblum discusses a recent email (below) from a patient suffering from Post Vasectomy Pain who reached out after hearing the recent PVPS Episode of the PainExam Podcast.

Also Discussed:
- Myth of 3 Steroid Shots Per Year
- Myth of Needing Cervical Spine Surgery to Avoid Paralysis if Rear Ended
- Myth of Downplaying Surgeries like Vasectomies (See Below)

"Dr. Rosenblum

I appreciated your recent podcast on Post Vasectomy Pain Syndrome. This is a condition I am currently suffering from. I am being treated by a pelvic floor physical therapist, which is improving muscular coordination, but not improving the pain much.

My vasectomy was in December, 2017 and I have been in pain since then. It was very distracting for about 10 months, and I had a 2 month course of Lyrica which helped reduce the pain. After about October 2018 the pain went down but it is always there. Ejacuation is not pleasurable, rather it feels like someone is squeezing my testicles unpleasantly and afterward I have a dull ache or burning sensation which persists for about 1-2 days.

I thought your reactions and impressions on reviewing the medical consequences of vasectomy to be amusing. The surgery is typically presented as being as trivial as excising a wart. This may be the experience of 90% of men, but if you end up with chronic complications, it is no exaggeration to say that it is capable of ruining your life. I am convinced that this is more common and causes far more suffering that is generally understood, affecting probably 1-2% of men who get a vasectomy. Men tend to suffer in silence. Urologists tend to resist attributing the problems to the vasectomy.

I have collected several thousand links to stories that men have posted over the last few decades, describing this unfortunate disease. I would encourage you to take a look at the ones I have posted here:

https://www.reddit.com/r/postvasectomypain/wiki/timeline

There are over 720 stories that I have posted, linked to the original source, and indexed chronologically, along with story codes. I have made it my unhealthy hobby to create the best reference possible for understanding what men go through when they end up with PVPS. I post a new story every morning and have enough to keep going for many years.

The best online forum for PVPS is www.postvasectomypain.org

Good luck with your patient"

Live "In-Person" Ultrasound Guided Injection 7 CME Training Event in NYC! Nov. 22nd, 2020

Limited Seating, Register Here! https://painexam.com/events/in-person-live-ultrasound-training-november-22-nyc/

Live "Virtual" Ultrasound Guided Pain Management Injection 4 CME Training Event- Dec. 6th, 2020

Register Here! https://painexam.com/events/ultrasound-guided-interventional-pain-and-regional-anesthesia-virtual-training/

Podcast References:
https://cdn.ymaws.com/www.spineintervention.org/resource/resmgr/factfinder/FactFinder_2019_06_Annual_Do.pdf

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Follow PainExam Socially!

https://www.facebook.com/PainExam/
https://twitter.com/painexams
https://www.instagram.com/painexam/
https://www.linkedin.com/company/painexam
https://www.pinterest.com/painexam
https://www.youtube.com/user/DocRosenblum/videos

Podcast Episode Sponsor-

ztlido lidocaine patch

Nov 2, 2020

Post Vasectomy Pain Syndrome:

Dr. Rosenblum reviews Post Vasectomy Pain Syndrome
When Urology cannot help, he ponders:

Ultrasound Guided Genito Femoral Nerve Block

  • Ganglion impar
  • PRP Injection
  • Peripheral Nerve Stimulation
  • DRG Stimulation

For Ultrasound Training online go to PainExam.com/Events
For Private in person training, email Dr. Rosenblum at DRosenblum@RMCPain.com or...

"LIVE" In-Person Ultrasound Training Event in NYC Nov. 22nd!

For more information about the Live In-Person Ultrasound CME Training Event, please visit:

https://painexam.com/events/in-person-live-ultrasound-training-november-22-nyc/

Dec. 6 "LIVE" Ultrasound Training CME Webinar Event-

For more information about the Live Ultrasound Training CME Webinar Event, please visit:

https://painexam.com/events/ultrasound-guided-interventional-pain-and-regional-anesthesia-virtual-training/

Check Out Dr. Rosenblum in the recent Clarius Webinar!

Click here to Watch Now!

 

Podcast References:

http://vasectomy-lib.s3.amazonaws.com/BJU%20International%202008%20Tandon.pdf

 

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Oct 23, 2020

Consensus Statement on Facet Joints Reviewed!


Dr. Rosenblum Discusses the recent Consensus practice guidelines on interventions for lumbar facet joint pain from a multispecialty, international working group released earlier this year.

Also discussing:

FREE Ultrasound Webinar with Clarius on Wednesday October 28th,

https://clarius.com/webinar/bullseye-why-ultrasound-is-now-the-standard-for-guiding-injections/

NEW COMPREHENSIVE ULTRASOUND COURSE FOR PAIN MANAGEMENT AND REGIONAL ANESTHESIA, Dec. 6th.


https://www.eventbrite.com/e/126134807605

Podcast reference:

Cohen SP, Bhaskar A, Bhatia A, et al Consensus practice guidelines on interventions for lumbar facet joint pain from a multispecialty, international working group Regional Anesthesia & Pain Medicine Published Online First: 03 April 2020. doi: 10.1136/rapm-2019-101243

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Oct 15, 2020
Peng Blocks
 
PENG Blocks
On this Podcast episode Doctor Rosenblum discusses the Pericapsular Nerve Group Block as An Excellent Option for Analgesia for Positional Pain in Hip Fractures...
 
Dr. Rosenblum is proud to announce joining the WAPMU Faculty!
 
In addition, Dr. Rosenblum is offering a 30% discount on Sunday October 18, 2020’s Ultrasound webinar  to those who listen to the podcast.
 
 
SoMeDocs Guest Appearance!
Join tomorrow at 10:30 AM! Dr. Rosenblum will appear on SoMeDocs discussing Consulting as a Medical Professional.
https://www.facebook.com/groups/somedocs/permalink/953862511690182

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References-
Utsav Acharya, Ritesh Lamsal, "Pericapsular Nerve Group Block: An Excellent Option for Analgesia for Positional Pain in Hip Fractures", Case Reports in Anesthesiology, vol. 2020, Article ID 1830136, 3 pages, 2020. https://doi.org/10.1155/2020/1830136
Oct 8, 2020

COVID-19 and Pain Management

Dr Rosenblum discusses Medications and Immune Response. Considerations for pain patients at risk for COVID-19.

Dr. Rosenblum also discusses Peripheral Nerve Stimulation in a patient with a Spinal Cord Stimulator...

New Ultrasound Pain Management CME Webinar Event Hosted by PainExam, Set for October 18, 2020!

 

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References-
Puntillo F, Giglio M, Brienza N, et al. Impact of COVID-19 pandemic on chronic pain management: Looking for the best way to deliver care. Best Pract Res Clin Anaesthesiol. 2020;34(3):529-537. doi:10.1016/j.bpa.2020.07.001

About PainExam-

Online Pain Management Board Review for the ABA, ABPM, ASIPP and WIP FIPP MOCA and primary certification in pain management. 40 CME credits available for participation
https://www.painexam.com

Sep 25, 2020

Sickle cell disease and pain management

Dr. Rosenblum Discusses:

  • Sickle Cell Disease
  • Crisis
  • Types of Pain associated with Sickle Cell Disease
  • Opiate and non opiate management

Ultrasound Block Course

 

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Sep 16, 2020

Evidence Based Pain Management

Dr. Rosenblum ponders the value of Anecdotal Medicine and Questions the so called 'Standard of Care'

ultrasound guided pain managementFor More Educational Content and Course Go to PainExam.com/Events

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References

Moffett P, Moore G. The standard of care: legal history and definitions: the bad and good news. West J Emerg Med. 2011;12(1):109-112.

 
https://sciencebasedmedicine.org/the-role-of-anecdotes-in-science-based-medicine/
Sep 9, 2020

Dr. Rosenblum explores the issue of Post COVID Pain Syndrome!
Is it a real thing or just secondary to prolonged inactivity, anxiety and isolation?


New Ultrasound Guided Interventional Pain Course
SUNDAY OCTOBER 18, 10-2PM!

ULTRASOUND GUIDED INTERVENTIONAL PAIN MANAGEMENT COURSE

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REFERENCES

Kemp HI, Corner E, Colvin LA. Chronic pain after COVID-19: implications for rehabilitation [published online ahead of print, 2020 May 31]. Br J Anaesth. 2020;S0007-0912(20)30403-7. doi:10.1016/j.bja.2020.05.021

 
Sep 3, 2020

Dr. Rosenblum Interviews Panamanian Pain Physician In Spanish
(en Espanol)


Subtitles on the PainExam Youtube Channel or PainExam.com/news page

Aug 13, 2020

Justin Harvey, anesthesia success podcast host Dr. Rosenblum welcomes Justin Harvey to the show to discuss financial planning and COVID preparations.

Jul 29, 2020

Announcement!

Board Review Webinar

Board Review Webinar Alaa Abd-Elsayed, MD, MPH

 

Links to Alaa's Anesthsiolgy and Pain Medicine Books
 
https://www.amazon.com/s?i=digital-text&rh=p_27%3AAlaa+Abd-Elsayed&s=relevancerank&text=Alaa+Abd-Elsayed&ref=dp_byline_sr_ebooks_1

 

https://pubmed.ncbi.nlm.nih.gov/?term=abd-elsayed
 
https://www.uwhealth.org/findadoctor/profile/alaa-a-abd-elsayed-md-mph/9646
 
https://www.anesthesia.wisc.edu/index.php?title=Abd-Elsayed_Laboratory
Jul 22, 2020

passing the abpmr pain boards

 

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Jul 7, 2020

Dr. Rosenblum discusses a recent consensus guideline on Low Platelets in the Obstetric Patient. 

  • Low Platelets and Epidurals in the OB Patient
  • ASIPP Board Review Course
  • Painexam Alumni Emails
  • Congratulations to Graduates!
  • Welcome incoming Residents and Pain Fellows!

PainExam podcast low platelets in ob patient and Asipp

 

Jul 1, 2020

Justin Harvey, host of the Anesthesia Success podcast interviews Dr. Rosenblum for his podcast.  Discussed in this podcast:

Business of Medicine
Industry Affiliation
Preparation for COVID
The definition of Success

 

Justin Harvey interviews Dr. Rosenblum

Financial planning: www.apm-wealth.com

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Jun 24, 2020

Whether you did a PM&R residency without a fellowship, an ACGME Pain Fellowship or Unaccredited Pain Fellowship, this is a can't miss episode reviewing the ABIPP Exam and other opportunities available to not only learn pain medicine, but to learn the business and politics of this amazing specialty.

CSM ASiPP

 

Click Below to Preview our Newest Course

Regenerative Medicine for Spine Disease

 

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Jun 16, 2020

 

Low Dose Naltrexone for Pain

New Courses at PainExam

Ultrasound Series

Regenerative Spine Pain Course

Regenerative Medicine

Regenerative Medicine Spine Pain Course

 

Dr. Rosenblum Discusses the uses and theory behind Low Dose Naltrexone for Chronic Pain and Inflammation.

References

Debasish Hota, MD, DM, Anand Srinivasan, MD, Pinaki Dutta, MD, DM, Anil Bhansali, MD, DM, Amitava Chakrabarti, MD, DM, Off-Label, Low-Dose Naltrexone for Refractory Painful Diabetic Neuropathy, Pain Medicine, Volume 17, Issue 4, April 2016, Pages 790–791, https://doi.org/10.1093/pm/pnv009

Younger et al: The Use of Low-Dose Naltrexone (LDN) as a Novel Anti-Inflammatory Treatment for Chronic Pain. Clinical Rheumatology (2014) 33:451-459

KTojan, VroomanB.  Low-Dose Naltrexone (LDN) review of Therapeutic Utilization. Med. Sci. 2018, 6,82

Jun 11, 2020

Dr. Rosenblum interviews Amol Soin, MD, ASIPP's (American Society of Interventional Pain Physicians) incoming President.Amol Soin, MD ASIPP

  • Synergy among Pain Physicians
  • ASIPP advocating to protect pain patients & physicians
  • ABIPP Board Exam
  • Ultrasound and Regenerative Pain Courses
  • Telehealth and CMS
  • Vertebroplasty and Augmentation 

 

PainExam Ultrasound Webinar

 

 

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Jun 4, 2020

Just what you need,  another lecture on Telehealth :(

black lives matterThis one is short and to the point. Dr. Rosenblum also ponders the future of ultrasound training during the pandemic, black lives matter, and more!

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May 29, 2020

 Dr. Rosenblum discusses his plan to help his patients obtain access, maintain and grow his practice in the era of the COVID-19 pandemic. 

Coming Soon the Regenerative Medicine for Spine Disease Course!

 

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May 18, 2020

New podcast- Dr. Rosenblum discusses COVID-19 and its impact on Pain Management training programs with Lynn Kohan, MD- University of Virginia Pain Fellowship Director

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May 5, 2020

A Keyword Review on Nerve Entrapments and the Cervical Spine

  • Virtual Pain Fellowship at PainExam.com
  • Dr. Rosenblum Discusses Peripheral Stimulation of the Cluneal Nerves on a SPRINT Webinar Tonight!

Register Here!

NYSIPP Heroes Webinar

This is the registration link: https://register.gotowebinar.com/register/1439533806304538896

This is the donation link: https://ironmanfoundation.donordrive.com/index.cfm?fuseaction=donorDrive.event&eventID=702

 

 

Join us as we hear from some of front line heroes in New York as they tell us about their experiences battling Covid-19.
 
For this webinar, we are raising money for the a great charity, the Ironman Foundation, that will direct funds to those in need here in New York. We know times are tough now, but they are going to get better soon! Please reach down deep in your pockets and contribute what you can in honor of our front line heroes who have gone above and beyond their call. 

Brian Durkin, MD                                                    Sudhir Diwan, MD
President of NYSIPP                                             Executive Director of NYSIPP

 

Apr 28, 2020

Dr. Rosenblum interviews a local accupuncturist, Tae Kim about his approach to pain and immune optimization. Chinese Herbalists approaches to viral outbreaks.

Luo H, Tang QL, Shang YX, et al. Can Chinese Medicine Be Used for Prevention of Corona Virus Disease 2019 (COVID-19)? A Review of Historical Classics, Research Evidence and Current Prevention Programs. Chin J Integr Med. 2020;26(4):243–250. doi:10.1007/s11655-020-3192-6

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