PainExam Podcast David Rosenblum, MD

Biologics and the Peripheral Nerve.
 
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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 (inspired by TOBI and Dr. Sudhir Diwan, Dr. Sheldon Jordon and Dr. Rikin Patel's ASIPP Lectures)  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)
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

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

Knee Osteoarthritis and Regenerative Pain Medicine
 
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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

Carpal Tunnel Syndrome
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Diagnosis, Pathophysiology, Clinical Findings and Management of the Carpal Tunnel Syndrome
 In this episode, we will be discussing Carpal Tunnel Syndrome, a common condition that affects millions of people worldwide. But before we dive into the topic, we want to tell you about a great opportunity to advance your medical knowledge through the NRAP Academy CME courses offered on our website.

Discussion on Carpal Tunnel Syndrome:

Carpal Tunnel Syndrome is a condition that occurs when the median nerve, which runs from the forearm to the hand, becomes compressed or squeezed at the wrist. This compression can lead to pain, numbness, and tingling in the hand and arm, which can be debilitating.

There are many causes of Carpal Tunnel Syndrome, including repetitive hand movements, wrist injuries, pregnancy, and medical conditions such as diabetes and thyroid disorders. Treatment options for Carpal Tunnel Syndrome range from non-invasive approaches like rest, ice, and wrist splints to more invasive treatments like surgery.

It's important to diagnose and treat Carpal Tunnel Syndrome early to prevent long-term damage to the median nerve. A proper diagnosis can be made through a physical exam and imaging tests like an electromyography (EMG) or nerve conduction study (NCS).

Don't forget to check out the NRAP Academy CME courses offered on our website, www.painexam.com/events page, to continue your medical education and enhance your patient care.


NRAP Academy Events
Hands on Training for medical professional looking to enhance your knowledge and skills in pain management? Offering courses are designed to help you stay up-to-date with the latest advances in pain management and to help you improve patient outcomes. Visit our website, www.painexam.com/events page, to learn more about the courses available and to sign up today.


References
Sevy JO, Varacallo M. Carpal Tunnel Syndrome. [Updated 2022 Sep 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448179/  
Sevy JO, Varacallo M. Carpal Tunnel Syndrome. 2022 Sep 5. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 28846321.

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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

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 Blocks Ultrasound Guided Sacroiliac Joint Injections  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!
 

Rachel Trobman, CEO of Upside Health and David Rosenblum, MD discuss updates to the 2023 Physician Fee Schedule + New Chronic Pain Management Codes, Remote Patient Monitoring and more!
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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
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!