On this Episode Dr. Rosenblum:· Interviews Jim Broatch, Executive VP and Director: jwbroatch@rsds.org and Beth Seickel bseickel45@gmail.com of the RSDSA· Discuss how the Reflex Sympathetic Dystrophy Syndrome Association is making a difference in the lives of Patients and Families affected by CRPS· NonProfit activities that the RSDSA has developed· Clinician Education and more!
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/
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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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://jamanetwork.com/journals/jamapediatrics/article-abstract/2771634
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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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
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:
Check Out Dr. Rosenblum in the recent Clarius Webinar!
Podcast References:
http://vasectomy-lib.s3.amazonaws.com/BJU%20International%202008%20Tandon.pdf