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AnesthesiaExam Podcast

David Rosenblum, MD, creator of AnesthesiaExam.com and ABAstagedExam.com discusses anesthesiology board prep and issues relevant to anesthesiologists.
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AnesthesiaExam Podcast
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Now displaying: Category: Anesthesiology
Mar 13, 2024
Dr. Rosenbum discusses Interventional Psychiatry, the role of Stellate Ganglion Blocks in PTSD, Ketamine Infusions for Depression, and the role of Magnesium as a co-factor in ketamine infusions.  Other Announcements from NRAP Academy:
 
Live Workshop Calendar
 
Ultrasound Interventional Pain Course Registration 
 
 
For Anesthesia Board Prep Click Here!
References
 
References
 
Górska N, Cubała WJ, Słupski J, Wiglusz MS, Gałuszko-Węgielnik M, Kawka M, Grzegorzewska A. Magnesium in Ketamine Administration in Treatment-Resistant Depression. Pharmaceuticals (Basel). 2021 May 3;14(5):430. doi: 10.3390/ph14050430. PMID: 34063604; PMCID: PMC8147622.
 
 
 
Hanling SRHickey ALesnik I, et al
Stellate Ganglion Block for the Treatment of Posttraumatic Stress Disorder: A Randomized, Double-Blind, Controlled Trial
 
Feb 28, 2024

Dr. Rosenblum interviews West Viriginia Society of Interventional Pain Physician's President Rudy Malayil, MD and discusses the upcoming WVSIPP meeting in April 2024 as well as Dr. Rosenblum's upcoming ultrasound course. 

Rudy Mathew Malayil, M.D., completed his internship in General Surgery at New York Presbyterian/Cornell Hospital in New York City, followed by residency training in Physical Medicine and Rehabilitation at New York University Medical School. Dr. Malayil further completed a Pain Medicine Fellowship at the Albert Einstein School of Medicine at the Beth Israel Medical Center Campus in New York City. 

After training he went settled in West Virginia and eventually became the president of West Virginia Society of Interventional Pain Physicians and started private practice Pain Management 360.

 
Ultrasound Interventional Pain Course Registration 
 
 
For Anesthesia Board Prep Click Here!
References
https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2023.1293358/full
Feb 8, 2024

In this episode, Garden City (long island) based Pain Physician, Dr. David Rosenblum explores Peripheral Nerve Stimulation, Biologics and Ablations for hip pain.

He reviews a case report of a 67-year-old female with a history of a mechanical fall causing injury to her lumbar spine and pelvis resulting in hip and pelvic pain is presented. The patient had hypertrophic non-union of the right iliac wing fracture and displacement of the pubic symphysis and right sacroiliac joint. Medications were not effectively managing her pain, so she sought treatment at a pain management clinic.

The patient underwent diagnostic obturator and femoral articular nerve branch injections, as well as a middle cluneal nerve steroid injection, all guided by fluoroscopy and ultrasound. She experienced improvement in her pain following these procedures. Subsequently, she had a peripheral nerve stimulator (PNS) trial and underwent implantation of leads targeting the right middle cluneal nerve and right obturator and femoral articular nerve branches.

The patient reported significant relief in both the posterior and anterior distribution of her pain. Her activities of daily living improved, and she was able to sleep without pain after the PNS implantation. The successful use of combined fluoroscopy and ultrasound in targeting the specific nerves and replicating the patient's pain distribution before permanent PNS implantation is highlighted in this case.

Additionally, the show notes mention an events calendar located at this link: https://www.nrappain.org/pages/ultrasound-course-calendar.

Upcoming Course schedule for NRAP Academy includes the following events:

  1. Ultrasound Guided Pain & Regional Anesthesia Course in New York City on February 10, 2024. This course will cover nerve blocks, joint injections, and more. Attendees will have the opportunity to scan live models after the didactic session.

  2. MSK Pain & Regional Anesthesia Course in Miami, Florida on February 18, 2024. This course will focus on ultrasound-guided nerve blocks and MSK (musculoskeletal) pain management.

  3. Ultrasound Guided Pain Course in Key West, Florida on February 23, 2024. This 4 CME (Continuing Medical Education) course will cover ultrasound-guided nerve blocks, MSK, PRP (platelet-rich plasma), BMAC (bone marrow aspirate concentrate) targets, and regional anesthesia.

  4. Regional Anesthesia and US Guided Pain Management Course in New York City on March 9, 2024. This course will provide training in ultrasound-guided interventional pain management and regional anesthesia.

  5. Ultrasound Guided IPM (Interventional Pain Management) Course in West Virginia on April 14, 2024. This course is part of the Appalachian Regional Spine and Pain Meeting and will be conducted by NRAP Academy. It will focus on interventional pain management using ultrasound guidance.

  6. Regenerative Pain Medicine Course in New York City on May 4, 2024. This course will cover PRP (platelet-rich plasma) and other regenerative pain medicine techniques.

In addition to the live training, attendees will receive bonus material including access to the On Demand Ultrasound Guided MSK Interventional Pain Management Course, a course workbook and certificate, post-course guidance and discounts, and the opportunity to join the mailing list for calendar updates.

Please note that these course details are subject to change, so it's recommended to visit the NRAP Academy website for the most up-to-date information.

Reference

Fu E, Elsharkawy H
#35977 Peripheral nerve stimulation implant for chronic post-traumatic hip and pelvic pain
Jan 24, 2024

Painexam Podcast Show Notes: Journal Club on "Ventricular Infusion and Nanoprobes Identify Cerebrospinal Fluid and Glymphatic Circulation in Human Nerves"

Special Thanks to Robert Stall, MD

Introduction:

  • Welcome to another episode of the Painexam Podcast! In today's journal club edition, we delve into a fascinating study by Dr. Joel E. Pessa on cerebrospinal fluid (CSF) circulation in human nerves.

Background:

  • The study addresses the growing evidence of CSF circulation in human nerves and its implications in various conditions encountered by plastic surgeons.
  • Conditions such as nerve transection, stretch injuries, and peripheral neuropathy may be related to dysregulation of the CSF system.

Methods:

  • Dr. Pessa and his team developed the ventricular infusion technique using buffered saline in 2017.
  • The technique was applied to eight fresh cadavers before dissecting the median nerve.
  • Fluorescent imaging and nanoprobe injections were combined with ventricular infusion in selected specimens.

Results:

  • The eight cadaver specimens (six female, two male) aged 46–97 underwent successful ventricular infusion.
  • Ventricular cannulation was performed successfully using specific coordinates.
  • Results suggest that CSF flows in neural sheaths, including pia meninges, epineurial channels, perineurium, and myelin sheaths (neurolemma).

Conclusions:

  • Ventricular infusion and nanoprobes effectively identify CSF flow in neural sheaths of human nerves.
  • CSF flow in nerves is described as an open circulatory system occurring via channels, intracellular flow, and cell-to-cell transport associated with glial cells.
  • Neural sheaths, including neurolemma, may play a role in glucose and solute transport to axons.
  • The techniques showcased in this study can be utilized in anatomic dissection and live animal models and have been extended to the central nervous system to identify direct ventricle-to-pia meninges CSF pathways.

Significance:

  • This study opens new avenues for understanding the intricate mechanisms of CSF circulation in neural tissues.
  • Plastic surgeons and researchers can benefit from these techniques in studying and addressing conditions related to CSF dysregulation in nerves.
  • The findings have implications not only for nerve-related conditions but also for broader applications in the central nervous system.

Closing:

  • Thank you for joining us on this insightful journey through Dr. Joel E. Pessa's study. Stay tuned for more engaging discussions on pain management and neurology in future Painexam Podcast episodes!

Reference

Pessa JE. Ventricular Infusion and Nanoprobes Identify Cerebrospinal Fluid and Glymphatic Circulation in Human Nerves. Plast Reconstr Surg Glob Open. 2022 Feb 17;10(2):e4126. doi: 10.1097/GOX.0000000000004126. PMID: 35198353; PMCID: PMC8856590.

Oct 12, 2023

Dr. Rosenblum reviews information he found regarding the various types of peptides that private practices are useing for healht 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!

 

Sep 11, 2023

 

Drawing from her own experience of transformation from being a burnout physician to regaining, designing, and retaining control of her physician life, Dr. Myrdalis Diaz-Ramirez created the maxAllure Mastermind. It is now her passion to help physicians who feel overwhelmed and lost in medicine to find a new path and control their lives through entrepreneurship.
She is a born and self-made entrepreneur with experience in owning different clinics which she successfully sold in the past. She has also owned other businesses, including an entertainment company. Dr. Myrdalis Díaz-Ramírez is a dual Board-Certified Anesthesiologist and Interventional Pain Management Physician. She is also a Medical Expert,
Professor, Author, Speaker, Podcaster, Entrepreneur, and Mastermind Facilitator. Through her Mastermind, physicians can transform their personal and professional lives. They have been able to define, plan, and execute a designed vision for their life and business that was once only a dream!

 

Aug 24, 2023

Dr. Rosenblum discusses posterior hip pain/buttock pain near scar after Total Hip Arthroplasty. Included in this episode:

  • Patient Testimonial re: SPRINT PNS (superior gluteal and superior cluneal nerve)
  • Superior Gluteal Nerve Anatomy
  • Hip Innervation
  • Upcoming Private and Group Ultrasound Training

Upcoming Pain Management Conferences

Course Calendar

2023

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

Oct. 28 Regional Anesthesia and Interventional Pain Medicine NYC

Nov.11 Regenerative Pain Medicine Course: NYC  

Dec. 16th Regional Anesthesia and Interventional Pain Ultrasound Training NYC

2024

Jan. 6 Regional Anesthesia and Interventional Pain Ultrasound Training NYC

For  up to date Calendar, Click Here!

Board Review

References

Pierre Laumonerie and others, Sensory Innervation of the Hip Joint and Referred Pain: A Systematic Review of the Literature, Pain Medicine, Volume 22, Issue 5, May 2021, Pages 1149–1157, https://doi.org/10.1093/pm/pnab061

Pinho, A.R.; Leite, M.J.; Lixa, J.; Silva, M.R.; Vieira, P.; Nery-Monterroso, J.; Bezerra, M.C.; Alves, H.; Madeira, M.D.; Pereira, P.A. Superior Gluteal Nerve Anatomy and Its Injuries: Aiming for a More Secure Surgical Approach of the Pelvic Region. Diagnostics 2023, 13, 2314. https://doi.org/10.3390/diagnostics13142314

Lung K, Lui F. Anatomy, Abdomen and Pelvis: Superior Gluteal Nerve. [Updated 2023 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK535408/

Aug 12, 2023

David Rosenblum, MD Garden City and Brooklyn Pain Physician, world renown for his work on the PainExam Podcast, PainExam Pain Management Board Review and NRAP Academy’s Continuing Medical Education Programs, discusses: a case of paresthesia in the upper neck realted to C3 and C4 stenosis and considers a selective nerve root block while wondering if a deep cervical plexus block would suffice.  

Rational :

  • Desire to avoid epidural due to proximity to spinal cord
  • Ultrasound approach of cervial plexus may anesthetize C3 and C4 roots and may be sufficient to do with ultrasound alone
  • Unfortunately, no data found to support this particular situation, however, it may be safe and effective if performed properly.   

Claim CME

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

Also discussed on this podcast:

The Superficial Cervical Plexus and applications for headache, neck pain, and clavicular fractures. 

Caution: Phrenic Nerve

Anatomy

The cervical plexus is a complex network of nerves located in the neck region, originating from the anterior rami (branches) of the cervical spinal nerves, specifically those stemming from the upper cervical segments (C1 to C4). This intricate network serves to provide sensory and motor innervation to various structures within the neck and surrounding areas.

The cervical plexus is positioned within a groove between the longus capitis and the middle scalene muscles in the neck. It is organized into different nerve loops and branches that radiate outwards to supply various regions. The cervical plexus can be divided into deep and superficial components, each with distinct functions and innervation patterns.

Cervical Plexus: The plexus involves nerve loops and branches that provide both sensory and motor functions. The superficial sensory branches originating from adjacent anterior spinal nerves (C2 to C4) are responsible for providing sensation to specific areas of the skin, particularly in the head, neck, and shoulder regions. These sensory branches include the lesser occipital nerve (C2, C3), great auricular nerve (C2, C3), transverse cervical nerve (C2, C3), and supraclavicular nerves (C3, C4). These nerves typically run posteriorly and then penetrate the prevertebral fascia before reaching the skin and superficial structures.

For Pain Management and Anesethesiology Board Review, go to

For the Virtual Pain Fellowship Experience, Go to:

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Ultrasound Workshops and Courses

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

Regenerative Pain Medicine Course NYC- November 11, 2023

For  up to date Calendar, Click Here!

Refereces

Kim JS, Ko JS, Bang S, Kim H, Lee SY. Cervical plexus block. Korean J Anesthesiol. 2018 Aug;71(4):274-288. doi: 10.4097/kja.d.18.00143. Epub 2018 Jul 4. PMID: 29969890; PMCID: PMC6078883. Read more!

Aug 3, 2023

ISPN Dubai 2023

David Rosenblum, MD interviews Reda Tolba, MD on the PainExam Podcast

In this episode, we delve into the realm of Pain Management in the US and the Middle East. Our international pain experts discuss the upcoming ISPN (International Society for Pain and Neuroscience) meeting in Dubai this december.

ISPN Pain Dubai Conference

 

Subscribe to the PainExam Newsletter to Receive Free Content, Discounts and Course Updates!

 

Dr. Reda Tolba, MD, chairs the Pain Management Department at Cleveland Clinic Abu Dhabi. He's internationally recognized for his contributions to Pain Medicine, boasting a wealth of experience from institutions like Wake Forest University Medical Center and Ochsner Health System.

Dr. David Rosenblum, MD, is the Director of Pain Management at Maimonides Medical Center and a driving force behind pain education platforms like PainExam.com and NRAP Academy. He's a pioneer in ultrasound-guided pain procedures, having trained thousands of physicians online and in person.

PainExam Pain Management Board Review

Tune in to hear Dr. Tolba's journey to being named Chair of Pain at Cleveland Clinic, Abu Dhabi, and his impressive academic and clinical achievements.Dr. Rosenblum, on the other hand, is known through his contributions to safe pain management protocols, and his mission to spread knowledge through podcasts and educational events.

AABP Integrative Pain Care's Dr. David Rosenblum in Garden City and LI

Patients, interested he's scheduling an appointment with Dr. Rosenblum at his Long Island or Brooklyn Locations can go to AABPpain.com or call 718 436 7246 or 516 482 7246

To learn more about their work and educational initiatives, explore NRAPpain.org and PainExam.com/events. Join us in this episode to uncover insights from these leading figures in Pain Management.

Ultrasound Training

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!

Jul 11, 2023

On this episode, Dr. Rosenblum has a chat with Premier Heritage's Greg Alerte.

Greg has over 15 years of experience helping families and small business to achieve their financial goals. As co-owner and Certified Financial Planner at Premier Heritage, he focuses on helping people to preserve and grow their wealth, and to leave a legacy for future generations to build on. Greg’s research and professional opinions, have been quoted in several financial publications, including Wall Street Journal, NerdWallet, Financial Planning magazine, and the Huffington Post. Greg’s favorite quote is by the late Mia Angelou “when you learn teach, when you get give”

For more information, Email: galerte@premier-heritage.com

David Rosenblum, MD

David Rosenblum, MD Garden City and Brooklyn Pain Physician, world renown for his work on the PainExam Podcast, PainExam Pain Management Board Review and NRAP Academy’s Continuing Medical Education Programs, discusses:

Attend and NRAP Course!

NRAP Academy's Regional Anesthesia Course

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!

 

Jun 21, 2023

David Rosenblum, MD Garden City and Brooklyn Pain Physician, world renown for his work on the PainExam Podcast, PainExam Pain Management Board Review and NRAP Academy’s Continuing Medical Education Programs, discusses:

  • Genicular Nerve Ablation with Phenol
  • The history of phenol
  • The mechanism of action
  • Indications
  • Complications
  • Clinical concerns when considering neurolysis with phenol
 
Claim CME Credit
The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/9GkVWu
References
D'Souza RS, Warner NS. Phenol Nerve Block. [Updated 2023 Jan 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. 
 
 Risso CR e tal.Chemical Ablation of Genicular Nerve with Phenol for Pain Relief in Patients with Knee Osteoarthritis: A Prospective StudyVolume21Issue4April 2021Pages 438-444
Apr 27, 2023

Practice Management Webinar: The End of the Public Health Emergency. What’s Changed and what Opportunities Remain!

Join digital health leader and Upside Health CEO Rachel Trobman and PainExam.com founder Dr. David Rosenblum in a conversation about the impact of the end of the public health emergency in May could have on your pain management practice. We'll specifically discuss the changes to telehealth and remote patient monitoring. The webinar will close with one of Upside Health's clients outlining the launch and successes of RTM in their practice and be available for Q&A.

Course Calendar

Regenerative Pain Medicine Course NYC- May 13

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

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!

For Board Prep go to www.AnesthesiaExam.com

For more questions Email Rachel Trobman at Rachel@upside.health

Apr 12, 2023
Regenerative Medicine Journal Club
 
Dr. Rosenblum reviews a case report discussing Platelet Rich Plasma Intra-discal Injection using ultrasound and fluoroscopy. The author mentions use of ultrasound to avoid the Internal jugular vein, carotid artery, phrenic nerve, esophagus and neural structures.  The author mentions mixing lidocaine with PRP and Dr. Rosenblum comments on his experience and knowledge of the technique.  Dr. Rosenblum mentions the risk of disci tis.
 
 
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!
 
Claim CME Credit
The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/wpE4BfThe CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/wpE4Bf
 
References
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 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
Mar 11, 2023
Knee Osteoarthritis and Regenerative Pain Medicine
 
Claim CME
The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/TJXGw0
 
 
Dr. Rosenblum reviews the latest evidence comparing Bone Marrow Aspirate and Platelet Rich Plasma for knee pain. He also reviews the latest publication by Di Martino et al’s study which compared Leukocyte-rich PRP vs. Leukocyte-poor PRP in the treatment of knee osteoarthritis. 
 
Upcoming Courses

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

Regenerative Pain Medicine Course NYC- May 13

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

References

El-Kadiry, A.EH., Lumbao, C., Salame, N. et al. Bone marrow aspirate concentrate versus platelet-rich plasma for treating knee osteoarthritis: a one-year non-randomized retrospective comparative study. BMC Musculoskelet Disord 23, 23 (2022). https://doi.org/10.1186/s12891-021-04910-5

 
Hede, Kris, et al. "Combined bone marrow aspirate and platelet-rich plasma for cartilage repair: two-year clinical results." Cartilage 13.1_suppl (2021): 937S-947S.
 
Anz AW, Plummer HA, Cohen A, Everts PA, Andrews JR, Hackel JG. Bone Marrow Aspirate Concentrate Is Equivalent to Platelet-Rich Plasma for the Treatment of Knee Osteoarthritis at 2 Years: A Prospective Randomized Trial. The American Journal of Sports Medicine. 2022;50(3):618-629. doi:10.1177/03635465211072554
 
 
Di Martino A, Boffa A, Andriolo L, et al. Leukocyte-Rich versus Leukocyte-Poor Platelet-Rich Plasma for the Treatment of Knee Osteoarthritis: A Double-Blind Randomized Trial. The American Journal of Sports Medicine. 2022;50(3):609-617. doi:10.1177/03635465211064303
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
Jul 26, 2022
Supply Chain Shortages in Interventional Pain Medicine -

medical supply chain shortages

The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/wVAtJK


ASRA’s Contrast Shortage Position Statement -

Facing supply chain shortages, Dr. Rosenblum review’s ASRA’s position statement on contrast administration. For the full article, click here ...

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Upcoming Events...

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


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

ultrasound training course

 Advanced Ultrasound Guided Injection Training Workshop!

Lock in Your Spot Today!

Register Now!


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

ultrasound training course

 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!
 

Podcast Resources:

Kohan L, Pellis Z, Provenzano DA, et alAmerican Society of Regional Anesthesia and Pain Medicine contrast shortage position statementRegional Anesthesia & Pain Medicine Published Online First: 17 June 2022. doi: 10.1136/rapm-2022-103830

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Jul 8, 2022
Alaa Abd Elsayed, MD on Nociception and Physiology -

Alaa_Abd_Elsayed-MD

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IPA Pain Management Board Review Course-

Dr. Rosenblum presents his friend and colleague, co-founder of the International Pain Academy, Alaa Abd Elsayed, MD.  In this podcast, Dr. Elsayed Dallas 2022 Lecture on the anatomy and physiology of nociception, Dr. Elsayed covers high yield testable material, sample multiple choice questions and pain management board preparation strategies...

Subscribe to the International Pain Academy's Newsletter

http://eepurl.com/gcRCbz


Upcoming Events...


NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC July 10th, 2022

 Advanced Ultrasound Guided Injection Training Workshop!

Lock in Your Spot Today!

Register Now!


ASPN's Annual Conference- July 14th-17th, 2022!

aspn-annual-conference
American Society of Pain and Neuroscience Annual Conference is organized by ASPN and will be held from July 14th-17th, 2022 at the Loew's Hotel in Miami Beach, FL.
 
Get Your Tickets to ASPN's Annual Conference 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!
 

Clarius Discount!

clarius handheld ultrasound scanner

Click on the following link and you can enter your credit card info, billing and shipping and your code (DARO) for 20% off!

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Podcast Resources:

-David Rosenblum, M.D.

-Alaa Abd Elsayed, M.D.

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Jun 3, 2022
Former DEA Agent, Dennis Wichern -
Former-DEA-Agent-Dennis-Wichern The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more:

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Common Sense Opiate Prescribing-

Dr. Rosenblum interviews Dennis Wichern on his career and consulting experiences...


Upcoming Events...


Advanced Pain Board Review Conference Multi Day June 10-12th, 2022

Multi-Day Advanced Pain Board Review Conference- June 10-12th, 2022

This 2/3 day intensive advanced pain board review workshop has been developed for both novices and advanced pain physicians providers who would like to further advance their skills in pain management procedures. The 3rd day is for the Advanced Ultrasound Guided Injection Training CME Course, also available via Zoom. Participants will have up to 5 hours of hands on ultrasound scanning on live models of different body habitus to learn and identify different sono‐anatomy.

Get Your Tickets to the Multi-Day Advanced Pain Board Review & Ultrasound Guided Training Workshop! Register Now!


NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC July 10th, 2022

 Advanced Ultrasound Guided Injection Training Workshop!

Lock in Your Spot Today!

Register Now!


ASPN's Annual Conference- July 14th-17th, 2022!

aspn-annual-conference
American Society of Pain and Neuroscience Annual Conference is organized by ASPN and will be held from July 14th-17th, 2022 at the Loew's Hotel in Miami Beach, FL.
 
Get Your Tickets to ASPN's Annual Conference Today!
Register Now!
 

Clarius Discount!

clarius handheld ultrasound scanner

Click on the following link and you can enter your credit card info, billing and shipping and your code (DARO) for 20% off!

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Podcast Resources:

-David Rosenblum, M.D.

-Dennis Wichern, Former DEA Agent

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May 27, 2022
Remote Patient Monitoring-

remote patient monitoring The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more:  https://earnc.me/VXzAUm


How to Implement Digital Health Tools and Billing Codes to Optimize and Grow Your Pain Practice?

The emergence of new CMS codes in the space of remote physiologic monitoring, remote therapeutic monitoring, chronic care management and more offers a unique opportunity for clinicians and practice owners to get reimbursed for bringing digital health tools into their practice. However, if not done correctly, they can increase the clinical and administrative burden and decrease the patient experience. In this webinar, industry experts will explain the details of these codes and the best ways to introduce them into your practice for optimal growth, without taking on additional burden or risk.

***This is a sponsored episode by UpSide Health***

Upcoming Events...


Advanced Pain Board Review Conference Multi Day June 10-12th, 2022

Multi-Day Advanced Pain Board Review Conference- June 10-12th, 2022

This 2-3 day intensive advanced pain board review workshop has been developed for both novices and advanced pain physicians providers who would like to further advance their skills in pain management procedures. Additional 3rd day is for the Advanced Ultrasound Guided Injection Training CME Course. Participants will have up to 5 hours of hands on ultrasound scanning on live models of different body habitus to learn and identify different sono‐anatomy.

Get Your Tickets to the Multi-Day Advanced Pain Board Review & Ultrasound Guided Training Workshop! Register Now!


NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC July 10th, 2022

 Advanced Ultrasound Guided Injection Training Workshop!

Lock in Your Spot Today!

Register Now!


ASPN's Annual Conference- July 14th-17th, 2022!

aspn-annual-conference
American Society of Pain and Neuroscience Annual Conference is organized by ASPN and will be held from July 14th-17th, 2022 at the Loew's Hotel in Miami Beach, FL.
 
Get Your Tickets to ASPN's Annual Conference Today!
Register Now!
 

Clarius Discount!

clarius handheld ultrasound scanner

Click on the following link and you can enter your credit card info, billing and shipping and your code (DARO) for 20% off!

https://store.clarius.com/collections/accessories/products/package-2-in-1-charging-station-hd

Podcast Resources:

***This is a sponsored episode by UpSide Health***

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May 20, 2022
Why You Are Still Sick?: Author Gary Kaplan D.O.-

gary kaplan MD

Integrative Medicine and Pain Management?

Dr. Rosenblum Interviews Dr. Gary Kaplan D.O....

The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more:

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Upcoming Events...


Advanced Pain Board Review Conference Multi Day June 10-12th, 2022

Multi-Day Advanced Pain Board Review Conference- June 10-12th, 2022

This 2-3 day intensive advanced pain board review workshop has been developed for both novices and advanced pain physicians providers who would like to further advance their skills in pain management procedures. Additional 3rd day is for the Advanced Ultrasound Guided Injection Training CME Course. Participants will have up to 5 hours of hands on ultrasound scanning on live models of different body habitus to learn and identify different sono‐anatomy.

Get Your Tickets to the Multi-Day Advanced Pain Board Review & Ultrasound Guided Training Workshop! Register Now!


NRAP’s Blocks and Brunch Ultrasound CME Workshop- NYC July 10th, 2022

 Advanced Ultrasound Guided Injection Training Workshop!

Lock in Your Spot Today!

Register Now!


ASPN's Annual Conference- July 14th-17th, 2022!

aspn-annual-conference
American Society of Pain and Neuroscience Annual Conference is organized by ASPN and will be held from July 14th-17th, 2022 at the Loew's Hotel in Miami Beach, FL.
 
Get Your Tickets to ASPN's Annual Conference Today!
Register Now!
 

Clarius Discount!

clarius handheld ultrasound scanner

Click on the following link and you can enter your credit card info, billing and shipping and your code (DARO) for 20% off!

https://store.clarius.com/collections/accessories/products/package-2-in-1-charging-station-hd

Podcast Resources:

-David Rosenblum, M.D.

-Gary Kaplan D.O.

New Updates-

Subscribe to the AnesthesiaExam mailing list!

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Download the PainExam Official Apps for Android and IOS Devices!

https://play.google.com/store/apps/details?id=com.painexam.android.painexam&hl=en_US

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May 3, 2022
Caudal Epidurals on Anti-thrombotics?-
tricyclics revisited Is it safe? Dr. Rosenblum takes a close look at ASIPP’s guidelines, and data discussing the risk of hematoma when performing a caudal epidural on a patient who is taking an anti-thrombotic agents and are at high risk for stopping these medications.  Also discussed, Caudal Epidural history, technique and more! 

The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/daNmJq

Upcoming Events...


ASIPP's 24th Annual Meeting- May 5th-May 7th, 2022!

advanced pain board reviewAmerican Society of Interventional Pain Physicians 24th Annual Meeting is organized by ASIPP and will be held from May 5th–7th, 2022 at the Ceaser’s Palace in Las Vegas, Nevada.

Get Your Tickets to ASIPP's 24th Annual Meeting

Register Now!


Ultrasound Experts & NRAP's Ultrasound Workshop May 14th, 2022!

ultrasound training1 day workshop for physicians of all levels who treat pain, perform regenerative medicine procedures, joint injections, and nerve blocks.

Get Your Tickets to the Advanced Ultrasound Training Workshop!

Register Now!


Live Webinar Event- May 18th, 2022! How to Implement Digital Health Tools and Billing Codes to Optimize and Grow your Pain Practice

The emergence of new CMS codes in the space of remote physiologic monitoring, remote therapeutic monitoring, chronic care management and more offers a unique opportunity for clinicians and practice owners to get reimbursed for bringing digital health tools into their practice. However, if not done correctly, they can increase the clinical and administrative burden and decrease the patient experience.

In this webinar, industry experts will explain the details of these codes and the best ways to introduce them into your practice for optimal growth, without taking on additional burden or risk.

Register Now!


Advanced Pain Board Review Conference Multi Day June 10-12th, 2022

Multi-Day Advanced Pain Board Review Conference- June 10-12th, 2022

This 2-3 day intensive advanced pain board review workshop has been developed for both novices and advanced pain physicians providers who would like to further advance their skills in pain management procedures. Additional 3rd day is for the Advanced Ultrasound Guided Injection Training CME Course. Participants will have up to 5 hours of hands on ultrasound scanning on live models of different body habitus to learn and identify different sono‐anatomy.

Get Your Tickets to the Multi-Day Advanced Pain Board Review & Ultrasound Guided Training Workshop! Register Now!


ASPN's Annual Conference- July 14th-17th, 2022!

aspn-annual-conference
American Society of Pain and Neuroscience Annual Conference is organized by ASPN and will be held from July 14th-17th, 2022 at the Loew's Hotel in Miami Beach, FL.
 
Get Your Tickets to ASPN's Annual Conference Today!
Register Now!
 

Clarius Discount!

Click on the following link and you can enter your credit card info, billing and shipping and your code (DARO) for 20% off!

https://store.clarius.com/collections/accessories/products/package-2-in-1-charging-station-hd

Podcast Resources:

Kaye AD, Manchikanti L, Novitch MB, Mungrue IN, Anwar M, Jones MR, Helander EM, Cornett EM, Eng MR, Grider JS, Harned ME, Benyamin RM, Swicegood JR, Simopoulos TT, Abdi S, Urman RD, Deer TR, Bakhit C, Sanapati M, Atluri S, Pasupuleti R, Soin A, Diwan S, Vallejo R, Candido KD, Knezevic NN, Beall D, Albers SL, Latchaw RE, Prabhakar H, Hirsch JA. Responsible, Safe, and Effective Use of Antithrombotics and Anticoagulants in Patients Undergoing Interventional Techniques: American Society of Interventional Pain Physicians (ASIPP) Guidelines. Pain Physician. 2019 Jan;22(1S):S75-S128. PMID: 30717501.

Simon JI, Caudal Epidural Steroid Injections in the Setting of Remaining on Antithrombotics: A Retrospective StudyPain Physician 2021; 24:E821-E828 • ISSN 2150-1149

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Subscribe to the PainExam mailing list

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Download the PainExam Official Apps for Android and IOS Devices!

https://play.google.com/store/apps/details?id=com.painexam.android.painexam&hl=en_US

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Apr 12, 2022
Tricyclics Revisited-

low dose naltrexone Tricyclics and Chronic Pain!
Dr. Rosenblum reviews the indications, considerations, side effects, contraindications and treatment of toxicity of these commonly used anti-depressants which are often used to treat chronic pain...

The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/Aj2gSk

Upcoming Events...


ASIPP's 24th Annual Meeting- May 5th-May 7th, 2022!

advanced pain board reviewAmerican Society of Interventional Pain Physicians 24th Annual Meeting is organized by ASIPP and will be held from May 5th–7th, 2022 at the Ceaser’s Palace in Las Vegas, Nevada.

Get Your Tickets to ASIPP's 24th Annual Meeting

Register Now!


Ultrasound Experts & NRAP's Ultrasound Workshop May 14th, 2022!

ultrasound training1 day workshop for physicians of all levels who treat pain, perform regenerative medicine procedures, joint injections, and nerve blocks.

Get Your Tickets to the Advanced Ultrasound Training Workshop!

Register Now!


Live Webinar Event- May 18th, 2022! How to Implement Digital Health Tools and Billing Codes to Optimize and Grow your Pain Practice

The emergence of new CMS codes in the space of remote physiologic monitoring, remote therapeutic monitoring, chronic care management and more offers a unique opportunity for clinicians and practice owners to get reimbursed for bringing digital health tools into their practice. However, if not done correctly, they can increase the clinical and administrative burden and decrease the patient experience.

In this webinar, industry experts will explain the details of these codes and the best ways to introduce them into your practice for optimal growth, without taking on additional burden or risk.

Register Now!


Advanced Pain Board Review Conference Multi Day June 10-12th, 2022

Multi-Day Advanced Pain Board Review Conference- June 10-12th, 2022

This 2-3 day intensive advanced pain board review workshop has been developed for both novices and advanced pain physicians providers who would like to further advance their skills in pain management procedures. Additional 3rd day is for the Advanced Ultrasound Guided Injection Training CME Course. Participants will have up to 5 hours of hands on ultrasound scanning on live models of different body habitus to learn and identify different sono‐anatomy.

Get Your Tickets to the Multi-Day Advanced Pain Board Review & Ultrasound Guided Training Workshop! Register Now!


ASPN's Annual Conference- July 14th-17th, 2022!

aspn-annual-conference
American Society of Pain and Neuroscience Annual Conference is organized by ASPN and will be held from July 14th-17th, 2022 at the Loew's Hotel in Miami Beach, FL.
 
Get Your Tickets to ASPN's Annual Conference Today!
Register Now!
 

Clarius Discount!

Click on the following link and you can enter your credit card info, billing and shipping and your code (DARO) for 20% off!

https://store.clarius.com/collections/accessories/products/package-2-in-1-charging-station-hd

Podcast Resources:

Beyond depression: Other uses for tricyclic antidepressants. Joanne Schneider, Mary Patterson, Xavier F. Jimenez

Cleveland Clinic Journal of Medicine Dec 2019, 86 (12) 807-814; DOI: 10.3949/ccjm.86a.19005

Moraczewski J, Aedma KK. Tricyclic Antidepressants. [Updated 2021 Nov 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557791/

New Updates-

Subscribe to the AnesthesiaExam mailing list!

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Apr 6, 2022
Hyaluronic Acid, Biologics and Hip Pain-

Hyaluronic-Acid-Biologics Treating Avascular Necrosis, OA and more!

Dr. Rosenblum discusses considerations for patients who suffer from hip pain related to Osteoarthritis and Avascular Necrosis. Dr. Rosenblum examines the evidence on using hyaluronic acid and regenerative therapies on the hip.  

Avascular Necrosis pathology and management  is also reviewed.

This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here:  Claim CME Here!

Upcoming Events...


ASIPP's 24th Annual Meeting- May 5th-May 7th, 2022!

advanced pain board reviewAmerican Society of Interventional Pain Physicians 24th Annual Meeting is organized by ASIPP and will be held from May 5th–7th, 2022 at the Ceaser’s Palace in Las Vegas, Nevada.

Get Your Tickets to ASIPP's 24th Annual Meeting

Register Now!


Ultrasound Experts & NRAP's Ultrasound Workshop May 14th, 2022!

ultrasound training1 day workshop for physicians of all levels who treat pain, perform regenerative medicine procedures, joint injections, and nerve blocks.

Get Your Tickets to the Advanced Ultrasound Training Workshop!

Register Now!


Advanced Pain Board Review Conference Multi Day June 10-12th, 2022

Multi-Day Advanced Pain Board Review Conference- June 10-12th, 2022

This 2-3 day intensive advanced pain board review workshop has been developed for both novices and advanced pain physicians providers who would like to further advance their skills in pain management procedures. Additional 3rd day is for the Advanced Ultrasound Guided Injection Training CME Course. Participants will have up to 5 hours of hands on ultrasound scanning on live models of different body habitus to learn and identify different sono‐anatomy.

Get Your Tickets to the Multi-Day Advanced Pain Board Review & Ultrasound Guided Training Workshop! Register Now!

 


Clarius Discount!

Click on the following link and you can enter your credit card info, billing and shipping and your code (DARO) for 20% off!

https://store.clarius.com/collections/accessories/products/package-2-in-1-charging-station-hd

Podcast Resources:

Pak, J., Lee, J. H., Jeon, J. H., & Lee, S. H. Complete resolution of avascular necrosis of the human femoral head treated with..

Andriolo, L., Merli, G., Tobar, C. et al. Regenerative therapies increase survivorship of avascular necrosis of the femoral head: a systematic review and meta-analysis. International Orthopaedics (SICOT) 42, 1689–1704 (2018).

Piccirilli E, Oliva F, Murè MA, et al. Viscosupplementation with intra-articular hyaluronic acid for hip disorders. A systematic review and meta-analysis. Muscles Ligaments Tendons J. 2016;6(3):293-299. Published 2016 Dec 21. doi:10.11138/mltj/2016.6.3.293

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Email Format

Download the PainExam Official Apps for Android and IOS Devices!

https://play.google.com/store/apps/details?id=com.painexam.android.painexam&hl=en_US

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Mar 17, 2022
Claim 1 AMA PRA Category 1 CME Credit for Listening! Claim CME Here!
 
iPACK for Knee Surgery-

ipack for knee surgery Does it make a difference?...
Dr. Rosenblum discusses use of the iPACK injection for posterior capsule knee pain in the operating room as well as in the chronic pain office and outpatient setting...

Upcoming Events...


Events: NRAP Ultrasound Workshop April 2nd, 2022!

NRAP NY- April 2nd, 2022

This 1 day intensive workshop has been developed for both novices and advanced pain physicians providers who would like to either learn the basics or further advance their skills in ultrasound guided pain procedures. Participants will have up to 5 hours of hands on ultrasound scanning on live models of different body habitus to learn and identify different sono‐anatomy.

Get Your Tickets  Advanced Ultrasound Training Workshop! Register Now!


ASIPP's 24th Annual Meeting- May 5th-May 7th, 2022!

advanced pain board reviewAmerican Society of Interventional Pain Physicians 24th Annual Meeting is organized by ASIPP and will be held from May 05 – 07, 2022 at the Ceaser’s Palace in Las Vegas, Nevada.

Get Your Tickets to ASIPP's 24th Annual Meeting

Register Now!


Ultrasound Experts & NRAP's Ultrasound Workshop May 14th, 2022!

ultrasound training1 day workshop for physicians of all levels who treat pain, perform regenerative medicine procedures, joint injections, and nerve blocks.

Get Your Tickets to the Advanced Ultrasound Training Workshop!

Register Now!


Advanced Pain Board Review Conference Multi Day June 10-12th, 2022

Multi-Day Advanced Pain Board Review Conference- June 10-12th, 2022

This 3 day intensive advanced pain board review workshop has been developed for both novices and advanced pain physicians providers who would like to either learn the basics or further advance their skills in ultrasound guided pain procedures. Additional 4th day is for the Advanced Ultrasound Guided Injection Training CME Course. Participants will have up to 5 hours of hands on ultrasound scanning on live models of different body habitus to learn and identify different sono‐anatomy.

Get Your Tickets to the Multi-Day Advanced Pain Board Review & Ultrasound Guided Training Workshop! Register Now!

 


Clarius Discount!

Click on the following link and you can enter your credit card info, billing and shipping and your code (DARO) for 20% off!

https://store.clarius.com/collections/accessories/products/package-2-in-1-charging-station-hd

Podcast Resources:

-Frush TJ, Noyes FR. Baker’s Cyst: Diagnostic and Surgical Considerations. Sports Health. 2015;7(4):359-365. doi:10.1177/1941738113520130

-Martin R, Kirkham KR, Ngo THN, et alCombination of femoral triangle block and infiltration between the popliteal artery and the capsule of the posterior knee (iPACK) versus local infiltration analgesia for analgesia after anterior cruciate ligament reconstruction: a randomized controlled triple-blinded trialRegional Anesthesia & Pain Medicine 2021;46:763-768

-Matthew E. Patterson, Jillian Vitter, Kim Bland, Bobby D. Nossaman, Leslie C. Thomas, George F. Chimento,

-The Effect of the IPACK Block on Pain After Primary TKA: A Double-Blinded, Prospective, Randomized Trial,

-The Journal of Arthroplasty, Volume 35, Issue 6,Supplement,2020,Pages S173-S177,

 -Hussain N, Brull R, Sheehy B, et alDoes the addition of iPACK to adductor canal block in the presence or absence of periarticular local anesthetic infiltration improve analgesic and functional outcomes following total knee arthroplasty? A systematic review and meta-analysisRegional Anesthesia & Pain Medicine 2021;46:713-721.

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