BackTable MSK

BackTable
  • 5.0 (2)
  • MEDICINE
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BackTable MSK

BackTable MSK is for all things Musculoskeletal and Interventional; covering tools, techniques, and expert guidance. It's the meeting after the meeting.

  1. 5 HR. AGO

    BackTable Brief: Genesis 2 Trial Design and Challenges for GAE with Dr. Mark Little

    What evidence is currently available regarding the use of genicular artery embolization (GAE) for treating knee osteoarthritis? Principal investigator Dr. Mark Little discusses the GENESIS 2 trial, a large randomized controlled study aimed at assessing the outcomes of embolizing abnormal genicular arteries to reduce pain in patients with mild to moderate knee osteoarthritis. Dr. Little explains the trial’s design, methodology, and the significance of key data points such as the Knee Injury and Osteoarthritis Outcome Score (KOOS), cost-effectiveness, and quality of life measures. He also covers the materials and techniques used in both the GENESIS 1 and 2 trials, the neuropsychological tests integrated into the study, and potential geographic and anatomical challenges encountered during GAE. Dr. Little highlights the importance of high-quality research and data to support the procedure's efficacy and safety. TIMESTAMPS 00:00 - Overview of GENESIS 2 Trial 04:42 - Embolic Materials and Techniques 09:10 - Challenges in Patient Anatomy & Comorbidities 12:40 - Final Thoughts CHECK OUT THE FULL EPISODE Exploring GAE: Clinical Insights & Outcomes with Dr. Mark Little https://www.backtable.com/shows/msk/podcasts/50/exploring-gae-clinical-insights-outcomes

    15 min

  2. 12/31/2024

    BackTable Brief: Getting Started with MSK Embolizations with Dr. Mark Little

    For patients suffering from intractable pain due to knee osteoarthritis, genicular artery embolization (GAE) offers a minimally invasive treatment with potential long-term benefits. Dr. Mark Little, an interventional radiologist at Royal Berkshire NHS Foundation Trust, joins us to provide an introduction to GAE. He shares his experience with the procedure and compares it to other treatments, such as steroid injections and surgery. Dr. Little also discusses the disease process of osteoarthritis and explains how GAE targets abnormal blood vessels to reduce inflammation and alleviate pain. TIMESTAMPS 00:00 - Introduction  03:38 - Understanding Knee Osteoarthritis 06:57 - Patient Selection for GAE 08:57 - Challenges and Opportunities in GAE 12:18 - Safety and Procedure Details CHECK OUT THE FULL EPISODE Exploring GAE: Clinical Insights & Outcomes with Dr. Mark Little https://www.backtable.com/shows/msk/podcasts/50/exploring-gae-clinical-insights-outcomes

    15 min
  3. Ep. 64 Advanced Kyphoplasty Techniques with Dr. Glade Roper

    12/20/2024

    Ep. 64 Advanced Kyphoplasty Techniques with Dr. Glade Roper

    BackTable MSK

    41 min
  4. Ep. 63 Bone Tumor Ablation: Techniques and Insights with Dr. Glade Roper

    12/17/2024

    Ep. 63 Bone Tumor Ablation: Techniques and Insights with Dr. Glade Roper

    Spine metastases are often painful and can impair a patient's ability to lie flat for radiation therapy. However, radiofrequency ablation (RFA) can address the bulk of the tumor and provide significant pain relief, enabling the patient to undergo radiation therapy. In this episode of BackTable MSK, musculoskeletal radiologist Dr. Glade Roper discusses his experience with spinal tumor RFA, his role on a multidisciplinary oncology team, and key considerations when planning for ablation. --- This podcast is supported by an educational grant from: Medtronic https://www.medtronic.com/ --- SYNPOSIS Dr. Roper emphasizes that RFA should be viewed as an adjunct to radiation therapy rather than a replacement. He reviews the procedural steps for RFA and explains the basic mechanisms of the device. Additionally, Dr. Roper shares his experience with placing intrathecal pain pumps post-ablation to manage residual pain. Finally, he offers advice on patient and caregiver education, focusing on how to deliver comprehensive, easily understandable information. --- TIMESTAMPS 00:00 - Introduction 01:57 - Building Relationships with Radiation Oncologists 01:42 - Overview of Bone Tumor Ablation 06:23 - Pre-Procedural Considerations 09:13 - The Role of Pain Pumps 14:04 - Stepwise Patient Education 19:57 - Procedural Technique --- RESOURCES OPuS One Study: https://pubmed.ncbi.nlm.nih.gov/33129427/ BackTable VI Ep. 211- Extra-Spinal Augmentation & The Future of Vertebral Augmentation: https://www.backtable.com/shows/vi/podcasts/211/extraspinal-augmentation-the-future-of-vertebral-augmentation

    34 min
  5. BackTable Brief: Why Cryoneurolysis to Treat Pain? with Dr. Aron Chary

    12/10/2024

    BackTable Brief: Why Cryoneurolysis to Treat Pain? with Dr. Aron Chary

    With the breadth of minimally invasive pain management techniques that are now available, it can be challenging to sort through the options and determine the most appropriate treatment for your patient. In this BackTable Brief, Dr. Aron Chary provides an overview of cryoneurolysis and its role in interventional pain management. He describes the advantages of cryoneurolysis compared to other methods, including its potential for longer-term pain relief and unique ability to promote nerve regeneration. He also delves into procedural protocols, including the use of diagnostic nerve blocks before cryoneurolysis, and the importance of managing patient expectations and follow-up care. TIMESTAMPS 00:00 - Understanding Cryoablation for Pain 01:38 - Comparing Cryoablation with Other Modalities 04:41 - Patient Expectations and Outcomes 06:22 - Case Studies and Clinical Experiences 08:35 - Challenges in Pain Management CHECK OUT THE FULL EPISODE BackTable MSK Podcast Episode #49 Chilling Solutions: Cryoneurolysis in Clinical Practice with Dr. Aron Chary: https://www.backtable.com/shows/msk/podcasts/49/chilling-solutions-cryoneurolysis-in-clinical-practice

    15 min
  6. BackTable Brief: Building a Cryoneurolysis Service Line with Dr. Aron Chary

    11/19/2024

    BackTable Brief: Building a Cryoneurolysis Service Line with Dr. Aron Chary

    Learn how your patients might benefit from new pain management therapies. Dr. Aron Chary and host Dr. Michael Barraza discuss the role of cryoneurolysis as an emerging therapy for knee and cancer-related pain. The doctors also discuss other practical applications and evolutions of cryo treatments in both non-cancer and cancer-related pain management. TIMESTAMPS 00:00 - Introduction 05:08 - Expanding Pain Interventions 07:02 - Techniques and Procedures 09:28 - Understanding and Diagnosing Pain 11:34 - Art of Patient Workup CHECK OUT THE FULL EPISODE BackTable MSK Podcast Episode #49 Chilling Solutions: Cryoneurolysis in Clinical Practice with Dr. Aron Chary: https://www.backtable.com/shows/msk/podcasts/49/chilling-solutions-cryoneurolysis-in-clinical-practice

    14 min
  7. Backtable Brief: Effective Strategies for Managing Diabetic Neuropathy in Vascular Clinics with Dr. Blake Parsons

    11/05/2024

    Backtable Brief: Effective Strategies for Managing Diabetic Neuropathy in Vascular Clinics with Dr. Blake Parsons

    If your patients are living with painful diabetic neuropathy that is refractory to medications, spinal cord stimulation (SCS) may be an option. Dr. Dana Dunleavy interviews interventional radiologist Dr. Blake Parsons about managing diabetic neuropathy in a multidisciplinary setting and the role of SCS. They also discuss new research findings that support the use of spinal cord stimulators and their broader impact on quality of life, including reduced fall risks and improved foot sensation for patients with diabetes. TIMESTAMPS 00:00 - Understanding Diabetic Neuropathy 02:06 - Establishing a Neuropathy Clinic 06:29 - Challenges and Solutions in Patient Referrals 08:04 - Success and Future Directions CHECK OUT THE FULL EPISODE BackTable MSK Ep. 48- SCS for Neuropathy: Clinical Insights & Patient Impact with Dr. Blake Parsons: https://www.backtable.com/shows/msk/podcasts/48/scs-for-neuropathy-clinical-insights-patient-impact

    14 min
  8. Ep. 62 Exploring Intradiscal PRP for Back Pain Relief with Dr. Guilherme Ferreira Dos Santos

    10/29/2024

    Ep. 62 Exploring Intradiscal PRP for Back Pain Relief with Dr. Guilherme Ferreira Dos Santos

    How are orthobiologics transforming the back pain treatment algorithm? In this episode of BackTable MSK, host Jacob Fleming is joined by Dr. Guilherme Ferreira Dos Santos to discuss the management of lumbar pain and the role of platelet-rich plasma (PRP) injections. Dr. Santos is trained in Physical Medicine & Rehabilitation as well as Interventional Pain Medicine, and currently practices at the Hospital Clinic of Barcelona. --- SYNPOSIS Dr. Santos gives an overview of discogenic pain. Each patient case is unique, as pain can be caused by single level or multilevel disease, pure disc disease, or additional facet joint disease. Additionally, discogenic pain can affect young, active patients and typically worsens with spinal flexion. They discuss the Pfirrmann system for intervertebral disc degeneration, medial branch blocks to identify posterior column pain, the risk of disc degeneration after discography, and the rise of orthobiologic treatments such as intradiscal and facet joint PRP injections. Dr. Santos highlights important steps for PRP preparation and techniques for injection. He also gives advice for counseling patients about the timeline to pain relief, longevity of treatment effects, and options for refractory pain. Finally, Dr. Santos encourages the audience to stay tuned for the upcoming RESPINE multicenter trial results. --- TIMESTAMPS 00:00 - Introduction 02:18 - Dr. Santos’ Multicultural Experiences 08:58 - Challenges in Diagnosing and Treating Discogenic Pain 20:26 - Role of Intradiscal and Facet Joint PRP Injections 30:16 - PRP Preparation and Dosing 34:52 - Technical Aspects of Disc Treatments 42:54 - Patient Counseling 56:58 - Future Directions in Regenerative Medicine --- RESOURCES RESPINE Trial: https://ecrin.org/clinical-trials/respine Lumbar Intradiskal Platelet-Rich Plasma (PRP) Injections: A Prospective, Double-Blind, Randomized Controlled Study (Tuakli-Wosornu, 2016): https://pubmed.ncbi.nlm.nih.gov/26314234/ Clinical outcomes following intradiscal injections of higher-concentration platelet-rich plasma in patients with chronic lumbar discogenic pain (Lutz, 2022): https://pubmed.ncbi.nlm.nih.gov/35344055/

    1h 4m
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Ratings & Reviews

5
out of 5
2 Ratings

About

BackTable MSK is for all things Musculoskeletal and Interventional; covering tools, techniques, and expert guidance. It's the meeting after the meeting.

Information

  • Creator
    BackTable
  • Years Active
    2023 - 2025
  • Episodes
    80
  • Copyright
    © All rights reserved
  • Show Website
    BackTable MSK

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