Dr. Vallejo discusses the evolution of spinal cord stimulation (SCS) over the past ten years. This includes how the theory of its method of action has changed and new data on high frequency stimulation. He compares different SCS systems in terms of efficacy and patient compliance. He details how tonic and high frequency stimulation differ at the cellular level, detailing neurotransmitter release and “membrane integration”, and how improvements for SCS in the future will continue.

Dr. David Rosenblum discusses his approach in treating headaches. He explains the importance of identifying the type of headache before any treatment can be selected. He describes a case in which he performed a sphenopalatine ganglion block that resolved occipital and facial pain completely. He also explains how to block both the maxillary and mandibular branches of the trigeminal nerve.

Dr. David Rosenblum discusses the webinars and podcasts he has created to help doctors do well on board exams. He explains how different medical backgrounds can be deficient in some aspects as it pertains to physiatry. One of many examples he gives is that anesthesiologist may require further education on radiology. He has created hundreds of questions from current syllabi in several medical specialties, topics that may not have been discussed during their fellowship.

Dr. Sanford Silverman discusses the current opioid “epidemic” in this country. He has co-authored a book on this very topic, as he has experienced this opioid problem first hand as a pain management physician in Florida for twenty years. He also mentions that with ASIPP has a controlled substance management course, offered as a CME credits.