Is Local Anesthetic in Cervical Epidurals Beneficial?
In this podcast episode:
Dr. Rosenblum announces postponement of November 22 Ultrasound Course.
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/
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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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!
-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
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
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)
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.
- 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)
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:
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
Follow PainExam Socially!
Podcast Episode Sponsor-
Post Vasectomy Pain Syndrome:
Dr. Rosenblum reviews Post Vasectomy Pain Syndrome
When Urology cannot help, he ponders:
Ultrasound Guided Genito Femoral Nerve Block
"LIVE" In-Person Ultrasound Training Event in NYC Nov. 22nd!
For more information about the Live In-Person Ultrasound CME Training Event, please visit:
Dec. 6 "LIVE" Ultrasound Training CME Webinar Event-
For more information about the Live Ultrasound Training CME Webinar Event, please visit:
Check Out Dr. Rosenblum in the recent Clarius Webinar!
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.
FREE Ultrasound Webinar with Clarius on Wednesday October 28th,
NEW COMPREHENSIVE ULTRASOUND COURSE FOR PAIN MANAGEMENT AND REGIONAL ANESTHESIA, Dec. 6th.
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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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!
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
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
Dr. Rosenblum Discusses:
Dr. Rosenblum ponders the value of Anecdotal Medicine and Questions the so called 'Standard of Care'
For More Educational Content and Course Go to PainExam.com/Events
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.
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!
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
Dr. Rosenblum Interviews Panamanian Pain Physician In Spanish
Subtitles on the PainExam Youtube Channel or PainExam.com/news page
Our research is focused on finding new clinical strategies to reduce chronic pain and for general pain management treatment. By carefully considering the pathology of the pain and treating the whole patient, we have been able to treat many patients with state-of-the-art therapies, including using advanced technology and modalities, that are successful in reducing or blocking pain and ...
Dr. Rosenblum discusses a recent consensus guideline on Low Platelets in the Obstetric Patient.
Justin Harvey, host of the Anesthesia Success podcast interviews Dr. Rosenblum for his podcast. Discussed in this podcast:
Business of Medicine
Preparation for COVID
The definition of Success
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.
Click Below to Preview our Newest Course
New Courses at PainExam
Dr. Rosenblum Discusses the uses and theory behind Low Dose Naltrexone for Chronic Pain and Inflammation.
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
Just what you need, another lecture on Telehealth :(
This one is short and to the point. Dr. Rosenblum also ponders the future of ultrasound training during the pandemic, black lives matter, and more!
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!
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
A Keyword Review on Nerve Entrapments and the Cervical Spine
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
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