PainCast

Author: Justin

  • Diwan – Review of Evidence of Intradiscal Stem Cells

    Diwan – Review of Evidence of Intradiscal Stem Cells

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 12, 2021

    Dr. Sudhir Diwan discusses the evidence for intradiscal stem cell therapy for regenerative medicine. Platelet rich plasma (PRP), mesenchymal stem cells (MSC), and other biologics are discussed. Many of these biologics, such as exosomes and MSCs, can even be used to degenerative disc disease. Discogenic back pain can be helped with intradiscal injections of bone marrow. Research and reviews of the literature support these approaches and more.

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  • Trescot – Prolotherapy – How it works, what I need to know What are the injectates

    Trescot – Prolotherapy – How it works, what I need to know What are the injectates

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 12, 2021

    Dr. Andrea Trescot discusses prolotherapy. Specifically, she describes how prolotherapy works, what you need to know about it, what are the injectates, and what the literature says about it. She first discusses how medicine has made little to no progress in treating degenerative disc disease. She also discusses the problems of NSAIDs in the natural healing process. Prolotherapy is a way of injecting a natural irritant so that the body will trigger the heal cascade. She says ‘where’ you inject is more important than ‘what’ you inject.

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  • Stogicza – Biotensegrity in Regenerative Medicine

    Stogicza – Biotensegrity in Regenerative Medicine

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 12, 2021

    Dr. Agnes Stogicza discusses biotensegrity in regenerative medicine. This is a concept in regenerative medicine and a way of approaching the patient, so you ultimately know where to inject. Tensegrity has also been called “floating compression” by some. Biotensegrity is tensegrity that has been applied to biological systems such as the bones of the skeleton. Understanding pathology and biotensegrity can assist with the therapy and pain intervention strategies we use. Biotensegrity can help physicians get a larger picture of a patient.

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  • Hernigou – Cell Therapy in Regenerative Medicine – Efficiency on Pain

    Hernigou – Cell Therapy in Regenerative Medicine – Efficiency on Pain

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 12, 2021

    Dr. Phillipe Henrigou discusses cell therapy in regenerative medicine and efficiency on pain. The history of cell therapy in orthopedic surgery is discussed in brief. Dr. Hernigou discusses the basics of knee osteoarthritis. Mesenchymal stem cells may be a viable alternative to other more problematic strategies for this condition, as Dr. Hernigou explains in depth.

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  • Regenerative Medicine_Session 1_Q&A

    Regenerative Medicine_Session 1_Q&A

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 12, 2021

    Dr. Agnes Stogicza and Dr. Sudhir Diwan moderate questions during this Q&A from the virtual audience. Questions about regenerative medicine, such as about platelet rich plasma (PRP) are asked. Radiofrequency for medial branch combined with PRP was also a topic of interest. The evidence for exosomes in human vs animal research is also touched upon. These topics and more are discussed.

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  • Stogicza – TON, C3, C4 MB RFA Lateral Approach

    Stogicza – TON, C3, C4 MB RFA Lateral Approach

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 16, 2021

    Dr. Agnes Stogicza performs radiofrequency ablation of the third occipital nerve of the C3 and C4 medial branches in this live patient guided procedure. First, she reviews the equipment needed. The patient’s pain history is also discussed briefly. Visualization through fluoroscopy is critical to ensure proper cannula placement prior to beginning the ablation. Motor stimulation is also used to confirm proper placement. After local anesthetic is administered, the radiofrequency lesioning is performed.

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  • Day – Sacroiliac Joint Injection for Lower Back Pain

    Day – Sacroiliac Joint Injection for Lower Back Pain

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 15, 2021

    Dr. Miles Day performs a sacroiliac joint injection for lower back pain in this live patient guided procedure. This is a procedure that Dr. Day has had to refine and adjust several times over his career. A local anesthetic is used. For sacroiliac joint injections you need to be right in the middle of the joint. Needle placement is important.

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  • Luz Padilla – Lumbar Medial Branch Radiofrequency Ablation

    Luz Padilla – Lumbar Medial Branch Radiofrequency Ablation

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 15, 2021

    Dr. Maria Luz Padilla performs a lumbar medial branch radiofrequency ablation in this live patient guided procedure. After reviewing the necessary equipment, Dr. Luz Padilla begins the procedure. A local anesthetic is used. The needles are positioned, and a caudal tilt is used. A lateral view is used to verify cannula placement for the ablation. A stimulation test is used before the ablation to also verify placement. Then the ablation is performed, and Dr. Luz Padilla is sure to monitor the temperature and other parameters.

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  • Herrero – Radiofrequency Ablation of Sphenopalatine Ganglion

    Herrero – Radiofrequency Ablation of Sphenopalatine Ganglion

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 15, 2021

    Dr. Manuel Herrero performs a radiofrequency ablation of the sphenopalatine ganglion. This patient suffers from cluster headaches. After marking the entry point, Dr. Herrero prepares to his needle. He finds it helpful to go back and forth between lateral and anterior views when positioning the needle. The patient is put to sleep for the ablation. Then Dr. Miles Day takes questions for this procedure as the moderator.

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  • Day – Superior Hypogastric Plexus Block

    Day – Superior Hypogastric Plexus Block

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on November 15, 2021

    Dr. Miles Day performs a superior hypogastric plexus block in this live patient guided procedure. The patient is a 32-year-old female who has had pelvic pain for 10 years. She has had several hypogastric plexus blocks in the past, which have temporarily relieved her pain. Here, Dr. Miles Day performs another of these procedures. This is done at the anterior aspect of L5, and he uses a “gun barrel” approach. Positioning is important.

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