🎙️ AnesthesiaExam Podcast & Video Show Notes

Spine Pain, Facet Syndromes, and Interventional Concepts for the Anesthesia Boards

🔥 Episode Overview

In this episode of the AnesthesiaExam Podcast, David Rosenblum delivers a high-yield, board-focused review of spine pain concepts every anesthesiologist must know:

Lumbar, cervical, and thoracic facet-mediated pain
Key anatomy and spinal innervation patterns
Medial branch blocks and radiofrequency ablation (RFA)
Important clinical correlations for anesthesia and pain boards

This episode bridges the gap between anesthesiology board knowledge and real-world interventional pain practice.

🧠 Key Topics Covered

🦴 Facet-Mediated Spine Pain

Common cause of axial back and neck pain
Mechanical pain pattern:
- Worse with extension
- Improved with flexion

🔬 High-Yield Anatomy for Boards

Dual innervation of facet joints
L5–S1 facet → L5 dorsal ramus (classic exam question)
C2–3 facet → third occipital nerve

💉 Diagnostic & Interventional Concepts

Diagnosis via medial branch blocks (MBB)
RFA for longer-term pain relief
Understanding procedural anatomy is key for:
- Regional anesthesia
- Pain procedures
- Board exams

⚡ Why This Matters for Anesthesia Boards

Even if you don’t perform interventional pain procedures, these concepts are critical for:

Spine anatomy questions
Regional anesthesia understanding
Pain management scenarios
Oral boards and OSCE-style cases

🎯 Board Prep Takeaways

Facet pain = axial, mechanical
Dual innervation = high-yield test concept
L5 dorsal ramus = commonly tested
Understand difference between:
- Radicular vs axial pain
- Facet vs discogenic pain

🎓 Anesthesia Board Prep Resources

If you're preparing for the ABA Anesthesiology boards, start here:

👉 AnesthesiaExam Board Review Platform:
https://nrappain.org

👉 Full Question Bank + Lecture Series:
https://nrappain.org

👉 Pain + Anesthesia Integrated Learning:
https://painexam.com

🏆 Why Anesthesiologists Choose NRAP Academy

Comprehensive ABA anesthesiology board prep
Integrated pain + anesthesia curriculum
High-yield MCQs and rapid review lectures
Ultrasound and regional anesthesia content
Real-world clinical correlations

🎤 Live Courses & Advanced Training

Enhance your skills beyond the boards:

Ultrasound-guided regional anesthesia courses
Pain + regenerative medicine workshops
Hands-on training for real clinical application

🔗 Connect & Learn More

🌐 NRAP Academy: https://nrappain.org
📚 PainExam: https://painexam.com
🎥 YouTube: NRAP Academy
🎓 Courses: Ultrasound + Regional Anesthesia

📢 Call to Action

If you’re serious about passing your anesthesia boards and mastering pain + regional techniques:

✅ Subscribe to the AnesthesiaExam Podcast
✅ Join the NRAP Board Review Platform
✅ Explore advanced training courses

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Phantom Limb Pain and SI Joint Dysfunction for the Anesthesia & Pain Boards 0

Mar 25, 2026

🎙️ PainExam Podcast Show Notes

Phantom Limb Pain & Sacroiliac Joint Dysfunction — High-Yield Pain Board Review

🔥 Episode Overview

In this episode of the PainExam Podcast, David Rosenblum delivers a high-yield review of two must-know topics for the ABA Pain Medicine Board Certification exam:

Phantom Limb Pain — mechanisms, risk factors, and advanced treatment strategies
Sacroiliac (SI) Joint Dysfunction — diagnosis, provocative testing, and interventional management

Whether you're preparing for the ABA, ABPM, ABIPP, or FIPP boards, or looking to sharpen your clinical practice, this episode focuses on testable concepts, real-world applications, and interventional pearls.

👉 Explore full board prep and CME: PainExam.com

🧠 Topic 1: Phantom Limb Pain — Key Points

Phantom limb pain is a neuropathic pain syndrome following amputation, driven by both peripheral and central mechanisms.

High-Yield Pearls

Caused by cortical reorganization + central sensitization
Strongly associated with pre-amputation pain
Distinct from:
- Phantom sensation (non-painful)
- Stump pain (localized)

Clinical Features

Burning, cramping, or electric pain
Perceived in the missing limb
May be triggered by stress or environmental factors

Treatment Strategies

First-line: gabapentinoids, TCAs
Advanced: ketamine, neuromodulation
Key non-pharmacologic therapy: mirror therapy

🚨 Board Pearl

Preemptive analgesia reduces the risk of phantom limb pain

🦴 Topic 2: Sacroiliac Joint Dysfunction — Key Points

SI joint dysfunction is a major cause of axial low back pain, accounting for up to 25% of cases.

High-Yield Pearls

Pain is typically:
- Unilateral
- Buttock-dominant
- Radiates to posterior thigh (rarely below knee)

Physical Exam

Positive provocative tests:
- FABER
- Gaenslen
- Thigh thrust
- Compression

👉 3 or more positive tests = high diagnostic accuracy

Diagnosis

Confirmed with image-guided intra-articular injection
Imaging alone is NOT diagnostic

Treatment

Physical therapy
SI joint injections
Lateral branch RFA
SI joint fusion (refractory cases)

🚨 Board Pearl

Diagnostic SI joint injection is the gold standard

🎯 Board Prep Takeaways

Always distinguish central vs peripheral mechanisms in neuropathic pain
Know diagnostic confirmation strategies (blocks vs imaging)
Focus on first-line vs interventional escalation pathways
Understand procedure indications for boards

🎓 Upcoming Events & Live Training

🏆 ASPN 2026 Annual Meeting

Join Dr. Rosenblum for:

Ultrasound-guided peripheral nerve blocks
Spine interventions
Regenerative medicine techniques (PRP, biologics)
Hands-on procedural training

💉 Ultrasound-Guided Regenerative Medicine Course

Learn:

PRP injection techniques
Ultrasound-guided joint and nerve procedures
Real-world workflows for integrating regenerative medicine into your practice

👉 Hosted through NRAP Academy

🎤 PainWeek 2026 Lectures

Dr. Rosenblum will be presenting on:

Precision image-guided pain procedures
Ultrasound integration in clinical practice
Regenerative medicine in interventional pain
Future directions: AI and neuromodulation

🔗 Resources

🌐 Pain Board Review: PainExam.com
🎓 Courses & CME: NRAPPain.org
📺 YouTube: NRAP Academy
🧠 Question Bank + Virtual Fellowship: Available now

📢 Call to Action

If you’re preparing for the pain boards or want to elevate your clinical skillset:

✅ Subscribe to the PainExam Podcast
✅ Join our Virtual Pain Fellowship
✅ Attend a live ultrasound or regenerative medicine course

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Epidural PRP Injections...What's the deal? 0

May 28, 2025

PRP in the Epidural Space for Radiculopathy

Brooklyn Based Pain Physician, David Rosenblum, MD known for his work publishing and teaching Regenerative Pain Medicine and Ultrasound Guided Pain Procedures hosts this podcast covering the latest and most advanced concepts in Pain Medicine.

Summary

Dr. David Rosenblum delivered a comprehensive lecture covering several key topics in pain management. He discussed his upcoming speaking engagements at PainWeek, ASPN and great upcoming meetings like the Latin American Pain Society, and other conferences. Dr. Rosenblum shared his extensive experience with PRP (Platelet-Rich Plasma) epidural injections, reviewing multiple research studies that support their efficacy. He highlighted three significant studies: a randomized control trial comparing PRP epidural injections to traditional treatments, a CT-guided epidural PRP study, and a 2025 meta-analysis comparing PRP to steroids. Dr. Rosenblum emphasized that PRP treatments are showing comparable or better results than traditional steroid injections, with potentially fewer required treatments and longer-lasting relief. He noted that while PRP is currently not covered by insurance, it represents a growing trend in 'natural' treatment approaches that patients increasingly prefer.

Chapters

Introduction and Upcoming Events

Dr. Rosenblum announced his upcoming lectures at Pain Week focusing on ultrasound and regenerative medicine, followed by presentations at the Latin American Pain Society in Chile and the New York, New Jersey Pain Conference. He mentioned the SoMeDocs online pain conference accessible through nrappain.org, and upcoming ultrasound training sessions in New York City.

PRP Epidural Research Review

Dr. Rosenblum discussed a randomized control trial involving 30 patients receiving transforaminal epidural injections. The study showed that PRP patients demonstrated significant improvements in leg pain scores at 6, 12, and 24 weeks. He noted that while the study didn't use contrast, he personally prefers using contrast diluted with saline for better visualization.

CT-Guided Epidural Study Analysis

Dr. Rosenblum reviewed a study comparing CT-guided epidural PRP versus steroid injections, questioning the necessity of CT guidance. The study included 60 patients and showed similar results between PRP and steroid groups at six weeks, though he criticized the short follow-up period, noting that PRP typically takes months to show full effects.

Meta-Analysis Discussion

Dr. Rosenblum presented a 2025 meta-analysis comparing PRP to steroids in epidural injections. The analysis included 310 patients across five RCTs, demonstrating comparable efficacy between PRP and steroid injections without increased adverse events. He emphasized that his clinical experience shows patients typically require fewer PRP injections compared to steroid treatments.

References

Wongjarupong, Asarn, et al. "“Platelet-Rich Plasma” epidural injection an emerging strategy in lumbar disc herniation: a Randomized Controlled Trial." BMC Musculoskeletal Disorders 24.1 (2023): 335.

Bise, Sylvain, et al. "Comparison of interlaminar CT-guided epidural platelet-rich plasma versus steroid injection in patients with lumbar radicular pain." European radiology 30 (2020): 3152-3160.

Muthu S, Viswanathan VK, Gangadaran P. Is platelet-rich plasma better than steroids as epidural drug of choice in lumbar disc disease with radiculopathy? Meta-analysis of randomized controlled trials. Exp Biol Med (Maywood). 2025 Feb 4;250:10390. doi: 10.3389/ebm.2025.10390. PMID: 39968415; PMCID: PMC11832311.

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Will JOURNAVX™ (Suzetrigine) appear on the Anesthesia Boards 0

Apr 17, 2025

Summary

At some point this medication may show its face on the Anesthesia boards. Whether or not Suzetrigine will appear on the Anesthesiology boards, all of us need to know about this new class of analgesic.

Brought to you by NRAP Academy, home of the AnesthesiaExam Board Prep

Here, Dr. David Rosenblum delivered a comprehensive lecture about a new pain medication called Journavx (Suzetrigine). He discussed its mechanism of action as a NAV 1.8 receptor inhibitor, its clinical applications, contraindications, and dosing guidelines. Dr. Rosenblum emphasized that this non-opioid medication represents a new class of pain management drugs with no addiction potential. He also shared information about upcoming educational events, including ultrasound courses and various pain management conferences. The lecture included detailed information about drug interactions, safety considerations, and clinical trial results comparing Journavx to placebo and hydrocodone-acetaminophen combinations. Key findings from clinical trials showed that Jornavix achieved pain relief in 119 minutes compared to 480 minutes for placebo in abdominoplasty trials, and 240 minutes versus 480 minutes in bunionectomy trials. The recommended dosing is 50mg tablets twice daily, with an initial loading dose of 100mg. While the drug showed promising results for moderate to severe acute pain management, it did not demonstrate superiority over hydrocodone in clinical trials. Important contraindications include CYP3A inhibitors, and special considerations are needed for patients with hepatic impairment or those taking hormonal contraceptives. The medication should be taken on an empty stomach, either one hour before or two hours after food, and patients should avoid grapefruit juice while on this medication.

For more infomation....

Chapters

Introduction and Upcoming Events

Dr. Rosenblum announced several upcoming events, including an ultrasound course in New York City on May 17th, 2025. He mentioned offering ultrasound and IV training for healthcare professionals, particularly nurses, ICUs, PAs, and hospital doctors. He also highlighted upcoming conferences including ASPN, Pain Week, Latin American Pain Society, New York, New Jersey Pain Congress, ASIPP, and EPA.

Introduction to Journavx (Suzetrigine)

Dr. Rosenblum introduced Suzetrigine (Journavx), a new 50mg tablet medication. He emphasized that this discussion was not sponsored by any pharmaceutical company but rather focused on educating about a new class of pain medication. He noted its potential importance as a future board examination topic.

Mechanism of Action

Dr. Rosenblum explained that Jornavx works by inhibiting the NAV 1.8 receptor. He detailed how the drug blocks sodium ions from entering pain-sensing neurons, disrupting action potential initiation and propagation. He emphasized that the drug is highly selective, binding over 31,000 times more selectively to NAV 1.8 than other NAV subtypes.

Contraindications and Drug Interactions

Dr. Rosenblum outlined various contraindications, particularly focusing on CYP3A inhibitors and inducers. He listed specific medications in each category and emphasized the importance of careful monitoring when prescribing Journavx alongside these medications.

Clinical Trial Results and Dosing Guidelines

Dr. Rosenblum presented clinical trial results showing Journavx's effectiveness in treating moderate to severe acute pain. He detailed the dosing guidelines: 50mg tablets twice daily, with an initial loading dose of 100mg. He emphasized the importance of taking the medication on an empty stomach and avoiding grapefruit juice.

Q&A

No Q&A session in this lecture

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Regenerative Pain Medicine Journal Club: Interosseous vs Intraarticular vs ESW Inejctions 0

Jun 27, 2024

Dr. Rosenblum addresses 2 Studies on this Pain Management Journal Club Podcast

Article 1:

The Treatment of Bone Marrow Lesions Associated with Advanced Knee Osteoarthritis: Comparing Intraosseous and Intraarticular Injections with Bone Marrow Concentrate and Platelet Products

Article 2:

Autologous US-guided PRP injection versus US-guided focal extracorporeal shock wave therapy for chronic lateral epicondylitis: Aminimum of 2-year follow-up retrospective comparative study

Editorial:

Dr. Rosenblum poses some important questions:

Why are regenerative therapies not covered? Why is CMS limiting trigger point injections and not paying for certain peripheral nerve blocks? Who is making the decision? Do lobbying groups or big pharma have a role?

Other Announcements from NRAP Academy:

PainExam App is ready for iphone
- Pain Management Board Prep migrated to NRAPpain.org
AnesthesiaExam Board Prep migrated to NRAPpain.org
PMRExam Board Prep migrated to NRAPpain.org

Live Workshop Calendar

Ultrasound Interventional Pain Course Registration

For Anesthesia Board Prep Click Here!

References

Alessio-Mazzola M, Repetto I, Biti B, Trentini R, Formica M, Felli L. Autologous US-guided PRP injection versus US-guided focal extracorporeal shock wave therapy for chronic lateral epicondylitis: A minimum of 2-year follow-up retrospective comparative study. Journal of Orthopaedic Surgery. 2018;26(1).

Centeno, Christopher, et al. "The treatment of bone marrow lesions associated with advanced knee osteoarthritis: comparing intraosseous and intraarticular injections with bone marrow concentrate and platelet products." Pain Physician24.3 (2021): E279.

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The Iliohypogastric Nerve: An Anatomical Review 0

Nov 27, 2023

Dr. Rosenblum reviews the anatomy of the ilioinguinal nerve and entrapment syndromes related to the nerve and its relationship to the iliohypogastric nerve.

He describes cases in which patients have a tender spot (tinel’s) over the lateral iliac crest.

Live Regenerative Medicine and Ultrasound Workshops

For up to date Calendar, Click Here!

#painboards #painfellowship #abpm #aspn #abipp #Asipp

#nans #painexam #painexampodcast #regionalanesthesia #regemed #regenerativepainmedicine #jointinjections #prppain #bmac #painqbank #uspaininjections #Usjointinjections #interventionalpain

References

https://assets.cureus.com/uploads/review_article/pdf/94743/20220610-32009-17da8fm.pdf

https://www.bizwan.com/en/index.php?view=article&id=82:proximal-entrapments-of-the-lower-extremity&catid=86&start=1

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Nerve Block Reimbursement, Genicular plus Pain Management Board Prep Webinar Oct 4 0

Sep 28, 2023

Dr. Rosenblum discusses his concerns over:

RFA of the Genicular Nerves being a non reimbursed service when the patient already had them in the past with excellent relief.

Plus a discussion on CMS policy toward Peripheral Nerve Block reimbursement limitations and documentation!

Pain Management, Anesthesiology, PMR Board Review

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!

Reference

Download this Episode

Pediatric Anesthesia Considerations in the Orthopedic Patient 0

May 17, 2023

Introduction: Providing anesthesia for pediatric orthopedic patients poses unique challenges for anesthesiologists. The approach must consider the psychological development of the child and the prevalence of respiratory infections. Pain management, management of concomitant diseases, and risk reduction for adverse events are crucial aspects of anesthetic care. This blog post will review the perioperative concerns specific to pediatric orthopedic procedures, discuss pain control methods used, and highlight anesthetic considerations for certain surgeries.

Listen to Audio via a Free Preview to our AnesthesiaExam Advanced Board Review Course or stay updated via our newsletter below

Select Pediatric Perioperative Concerns:

Upper Respiratory Tract Infections (URI): Pediatric patients presenting for orthopedic surgery with current or recent URIs pose a challenge for anesthesiologists and surgeons. Children commonly experience URIs with symptoms like a runny nose, cough, and fever. While the viral infection may reside in the nasopharynx, the lower respiratory tract remains sensitive for up to 6 weeks after URI symptoms have resolved. This increased sensitivity puts patients at risk for perioperative complications like laryngospasm, bronchospasm, and oxygen desaturation. Delaying surgery for 6 weeks after URI resolution is often impractical, as another URI is likely to occur. For elective surgery, severe symptoms and complications warrant postponing surgery, but clear nasal discharge in an otherwise healthy patient may proceed with elective surgery. Clinical decision-making becomes challenging for cases falling between these extremes. Factors such as patient age, comorbidities, prior cancellations, surgery complexity, and urgency are considered when deciding whether to postpone surgery. If elective surgery is delayed, most clinicians would wait 2 to 4 weeks after URI symptom resolution.
Anxiety in the Pediatric Patient: Pediatric patients undergoing orthopedic surgery often experience varying levels of anxiety and distress. Preoperative stressors can include unfamiliar environments, procedures, hunger, fear of pain, and separation from parents. Certain risk factors contribute to preoperative anxiety, such as ages 1 to 5 years, shy temperament, prior negative medical experiences, high cognitive levels, and parental anxiety. Unaddressed anxiety can lead to postoperative behavioral changes, including generalized anxiety, separation anxiety, aggression, and nighttime crying. It can also result in higher pain scores and increased pain medication requirements after surgery. Strategies to mitigate preoperative anxiety include presurgical preparation programs involving site visits, videos, books, and child-life interventions. Allowing parental presence during anesthesia induction can help alleviate separation anxiety. Pharmacologic interventions like oral midazolam can improve compliance and reduce negative behavioral changes in the short term.

Anesthetic Management for Orthopedic Procedures:

Anesthetic Considerations for Select Pediatric Orthopedic Surgeries: Scoliosis Surgery: Anesthetic concerns during scoliosis surgery include optimizing neuromonitoring signals, managing blood loss, preventing positioning-related injuries, and minimizing the risk of postoperative visual loss.
Pain Management: Pain control for pediatric orthopedic patients involves a multimodal pharmacologic approach to minimize opioid requirements. This approach includes non-opioid analgesics, local anesthetics, and regional anesthesia techniques. Regional anesthesia, such as peripheral nerve blocks and caudal anesthesia, is particularly valuable for postoperative pain control. Recent studies have confirmed the safety of regional anesthesia in the pediatric population.

Pediatric orthopedic surgeries present unique challenges for anesthesiologists. Effective management of preoperative anxiety, careful consideration of upper respiratory tract infections, and appropriate pain control strategies are essential for successful outcomes. Anesthesiologists must tailor their approach to the specific needs of pediatric patients undergoing orthopedic procedures to ensure their safety and well-being.

Reference

Wu JP. Pediatric Anesthesia Concerns and Management for Orthopedic Procedures. Pediatr Clin North Am. 2020 Feb;67(1):71-84. doi: 10.1016/j.pcl.2019.09.006. PMID: 31779838; PMCID: PMC7172179.

Anesthesiology Board Review Newsletter

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The MOTION Study: Minimally Invasive Lumbar Decompression 0

Mar 29, 2023

The MOTION Study: Minimally Invasive Lumbar Decompression

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!

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

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

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

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 MOTION Study: 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

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Post Herpetic Neuralgia: Interventions and Evidence 0

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

Ultrasound Guided Regional Anesthesia and Pain Medicine Tamarindo, Puerto Rico- Feb. 10, 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

Regenerative Pain Medicine Course NYC- May 13

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

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

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Ultrasound Guided Spine and Interventions- Cluneal Nerve, Stellate Ganglion, Facet, Caudal and more! 0

Jan 10, 2023

David Rosenblum, MD, creator of PainExam.com, AnesthesiaExam.com, PMRExam.com, NRAP Academy and International Pain Academy Co-Founder presents an excerpt from Grand Rounds Given on January 2, 2023 to the Metropolitan Hospital Physical Medicine and Rehabilitation Department.

Reflect on Ultrasound Guided Interventional Spine Procedures and Claim CME Credit

Agenda:

Ultrasound Guided Cluneal Nerve Blocks
Ultrasound Guided Stellate Ganglion Block
Ultrasound Guided Facet Joint Injection
Ultrasound Guided Medial Branch Blocjks
Ultrasound Guided Sacroiliac Joint Inejction
Ultrasound Guided Caudal Epidural Injections

Dr. Rosenblum offers live regional anesthesia, regenerative medicine, board review and interventional pain management CME courses in NY and around the world. For more information, go to www.NRAPpain.org or PainExam.com/events

Patients can schedule a consultation by going to www.AABPpain.com or calling: Brooklyn Office 718 436 7246 Great Neck Office 516 482 7246

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!

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CDC Opiate Prescribing Guidelines- An update by Larry Kobak Esq. 0

Dec 15, 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

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Failure of the Intrathecal Drug Delivery System: Pain and Anesthesia Board Review 0

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

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

For up to date Calendar, Click Here!

For Anesthesia Board Review, go to AnesthesiaExam.com

Reference

Delhaas EM, Huygen FJPM. Complications associated with intrathecal drug delivery systems. BJA Educ. 2020 Feb;20(2):51-57. doi: 10.1016/j.bjae.2019.11.002. Epub 2019 Dec 12. PMID: 33456930; PMCID: PMC7807963.

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Interosseous PRP for Knee OA 0

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.

Claim CME Credit

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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.

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The Glossopharyngeal Nerve Revisited 0

Oct 27, 2022

The Glossopharyngeal Nerve Revisited-

The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/VOw8zH

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