Integrating Spravato for Depression (esketamine) into a Pain Practice. Sponsored by Big Leap Health

Unlock new, well-reimbursed services: Spravato, a needle-mover for pain practices. Discover how Spravato, an FDA-approved esketamine treatment for depression, can drive significant financial reimbursement for your practice while improving patient outcomes. Join me as I meet with Yakov Kagan, CEO and co-founder of Big Leap Health, as he highlights the clinical efficacy of Spravato, its comparison to ketamine, and its financial impact. Learn key considerations for launching—whether independently or via an MSO—and actionable steps to get started, from staff training to billing essentials. Yakov will also share insights into future developments like monotherapy developments, helping your practice stay ahead in this rapidly evolving field.

Ketamine for Cancer and Pain Management plus our Free Webinar Series! – Journal Club

In today's episode, we delve into the emerging role of ketamine in managing cancer and chronic pain. Our discussion is anchored around a comprehensive review article titled "Ketamine Use for Cancer and Chronic Pain Management," published in Frontiers in Pharmacology on February 1, 2021. This review, authored by Clayton Culp, Hee Kee Kim, and Salahadin Abdi, explores ketamine's potential as an analgesic in chronic pain conditions, particularly cancer-related neuropathic pain. Key Points from the Review Article: - Mechanism of Action: Ketamine functions as an N-methyl-D-aspartate receptor antagonist, providing analgesic effects at sub-anesthetic doses. Its ability to counteract central nervous system sensitization makes it effective in opioid-induced hyperalgesia. - Clinical Efficacy: Recent studies highlight ketamine's potential to reduce pain scores and opioid consumption, offering a promising alternative for patients with refractory pain. - Safety Profile: At lower doses used for analgesia, ketamine's safety and adverse event profile are significantly improved compared to its use as an anesthetic. - Pharmacogenomics and Interactions: The article discusses how genetic variations can affect ketamine metabolism and highlights potential drug interactions that clinicians should be aware of.

Painexam Podcast Episode Show Notes

David Rosenblum is a dedicated pain management specialist with extensive experience in treating chronic pain conditions. He is passionate about integrating various approaches to improve patient outcomes and enhance quality of life. His expertise and commitment to patient-centered care make him a trusted voice in the field of pain medicine. His NY Practice is located in Brooklyn and Garden City and through his international educaitonal platform he has attracted physicians and pateints from all over the world to seek out consultation on the latest breakthroughs in interventional pain management.

PRP vs. BMAC for Knee, Spine and Shoulder Pain- Journal Club

Episode Overview: In this episode of the PainExam Podcast, Dr. David Rosenblum, a New York-based pain physician, examines the latest research surrounding Platelet-Rich Plasma (PRP) and Bone Marrow Aspirate Concentrate (BMAC) in pain management for the knee, shoulder, and spine. Dr. Rosenblum reviews several key studies, providing insights into the efficacy of these regenerative treatments and their implications for clinical practice.

Optimizing Genicular Nerve Chemical Ablation: Insights from Dr. David Rosenblum

In this episode, we are joined by Dr. David Rosenblum, a New York-based interventional pain physician, who discusses optimizing genicular nerve chemical ablation. Dr. Rosenblum shares insights as well as his upcoming ultrasound course schedyke in New York City, focusing on regional anesthesia, interventional pain, and IV ultrasound placement. He emphasizes the significance of ultrasound in enhancing pain management procedures and the latest advancements in the field.

Multifidus Atrophy: Multifidus Stimulation, Peripheral Nerve Stimulation & Leukocyte Rich PRP

Exploring the Efficacy of Autologous Platelet Leukocyte Rich Plasma Injections in Chronic Low Back Pain & Understanding Degenerative Lumbar Spinal Stenosis In this episode, Dr. David Rosenblum discusses two significant studies related to chronic low back pain and degenerative lumbar conditions. The first study focuses on the use of autologous platelet leukocyte rich plasma (PLRP) injections for treating atrophied lumbar multifidus muscles, while the second study investigates the correlation between muscle atrophy and the severity of degenerative lumbar spinal stenosis (DLSS)

Scrambler Therapy for Neuropathic Pain: Efficacy and Mechanism of Action

Dr. Rosenblum reviews the benefits of Scrambler Therapy for CRPS and Neuropathic Pain State. What is Scrambler Therapy? Efficacy of Scrambler Therapy for Neuropathic Pain Mechanism of action of Scrambler Therapy Regenerative Pain Management Course PainExam Board Prep NRAP Academy Private Tutorials for Ultrasound Guidance and Regenerative Medicine

Using Molecular Hydrogen an Analgesic?

In a recent episode of the PainExam podcast, Dr. David Rosenblum delves into an intriguing study published in the journal Antioxidants, exploring the therapeutic potential of hydrogen-rich water (HRW) in alleviating chronic inflammatory pain and associated mood disorders in mice. The study, conducted by Santiago Coral-Pérez and colleagues from the Institut d’Investigació Biomèdica Sant Pau and Universitat Autònoma de Barcelona, presents compelling evidence supporting the analgesic, antidepressant, and anxiolytic effects of HRW.

Using_Ultrasound_for_PRP_Injections_AMETD_2024

Dr. Rosenblum serves at AMETD's 2024 Conference as faculty and discusses the safe and accurate usage of Ultrasound to Guide PRP injecitons Discussed in this lecure: Knee, Hip, Shoudler, Ligament and Tendon Targets, the ultrasound technique, the evidence for PRP and controversy. Controversy with respect to the Achilles Tendon!

New Guidelines for Corticosteroid Injections in Chronic Pain Management

This podcast is a discussion about the recent review article Use of corticosteroids for adult chronic pain interventions: sympathetic and peripheral nerve blocks, trigger point injections - guidelines from the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, the American Society of Interventional Pain Physicians, the International Pain and Spine Intervention Society, and the North American Spine Society In this episode, we dive into the recently published guidelines on the use of corticosteroid injections for managing chronic pain, developed by the American Society of Regional Anesthesia and Pain Medicine, along with several other prominent pain societies. These guidelines address the safety and efficacy of corticosteroid injections for sympathetic and peripheral nerve blocks, as well as trigger point injections.

Trigeminal Nerve Block for Cancer: Ultrasound and Flouro Approaches

Introduction Host: Dr. David Rosenblum Topic: Mandibular Division of the Trigeminal Nerve Block for Cancer Pain Management Techniques: Ultrasound and Fluoroscopic Guidance Overview Purpose: Alleviate chronic facial pain, specifically in cancer patients suffering from trigeminal neuralgia or other related conditions. Focus: Detailed discussion on the anatomy, clinical presentation, and procedural techniques for effective nerve block.

Intraosseous PRP vs Intraarticular, ESW vs PRP, Conspiracy Theory and more!

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?

Exosomes, 2 Year Pain Fellowship, Research and more with Christopher Robinson, MD PhD

Join us on this episode of the PainExam Podcast where rising star, Christopher Robinson, MD PhD discusses his upcoming paper on exosomes featuring some of the largest names in pain managment. Dr. Rosenblum also alludes to degenerative disc disease being a partially infectious podcast. Other topics discussed on this podcast: The Anesthesiology Job Market Pain Management Fellowship Duration of Pain Management Fellowships Should Pain Management be an Independent Residency?

Is Degenerative Disc Disease an Infectious Disease? The role of L-PRP. Journal Club

Journal Club:  Treating Degenerative Disc Disease with Leukocyte Rich PRP Dr. Rosenblum discusses an article written by Dr. Gregory Lutz describing Leukocyte RIch PRP's role in treating Degenerative Disc Disease and the theory that there is an infectious disease component to disc injury.  Dr. Lutz describes multiple articles, as well as anectodal experience in which bacterial infectious was demonstrated in pathological discs, and PRP was successful in alleviating symptoms, modic changes and improved clinical as well as radiographic appearance.

Iliopsoas Dry Needling for Acute Lumbar Radiculits and CMS’ Trigger Point Policy!

Dr. Rosenblum reviews an article by Dr. Reuben Ingber regarding the use of iliopsoas trigger point dry needling and therapeutic stretching in the treatement of 6 consecutive patients wiht acute lumbar radiculitis and foot drop.

Chronic Pain after Shoulder Joint Replacement: RFA Revisited

Dr. Rosenblum describes a patient with chronic shoulder pain who failed shoulder replacement, steroid injections, nerve blocks, cryotherapy, and peripheral nerve stimulation of the axillary and suprascapular nerve block. In this podcast, he discusses his perfomance of Shoulder Radiofrequency Ablation targeting the articular branches of the suprascapular nerve, axillary nerve, nerve to subscapularis and lateral pectoral nerve. Reference: https://www.asra.com/news-publications/asra-newsletter/newsletter-item/asra-news/2020/11/01/how-i-do-it-shoulder-articular-nerve-blockade-and-radiofrequency-ablation

Pain Docs Lobby for more Oversight of Independent Review Organizations

Advocating for Transparency and Oversight in Pain Management Introduction: Welcome back to Painexam, where we delve into the latest advancements and challenges in pain management. Today's episode highlights a significant advocacy effort made by leading Interventional Pain Physicians and industry experts. Summary of Lobbying Effort: On March 20, 2024, a group of widely known and respected pain physicians and industry leaders, including Drs. Sean Li, Peter Staats, Mehul J. Desai, David Reece, Hemant Kalia, and David Rosenblum, alongside industry figures Mark Stultz, Christopher Conrad, and Cecelia Ruble, visited Capitol Hill to advocate for greater oversight and transparency in independent review organizations. Despite their busy schedules, they recognized the critical need to address the 0% turnover rate in appeals for denied treatments, which disproportionately affects patients seeking alternatives to surgery and opioid medication. Importance of Transparency: The issue extends beyond pain management, impacting patients across various medical fields. While opioid therapy may seem economically favorable initially, the long-term consequences, including delayed care and medication side effects, often outweigh the costs. The group emphasized the importance of an unbiased review for accessible, cutting-edge treatments to improve patient outcomes and reduce overall healthcare expenses.

Interventional Psych and Pain? The Stellate Ganglion, Scope of Practice, Ketamine & Magnesium and more!

Dr. Rosenbum discusses Interventional Psychiatry, the role of Stellate Ganglion Blocks in PTSD, Ketamine Infusions for Depression, and the role of Magnesium as a co-factor in ketamine infusions. Other Announcements from NRAP Academy: PainExam App almost ready Pain Management Board Prep migrated to NRAPpain.org AnesthesiaExam Board Prep migrated to NRAPpain.org PMRExam Board Prep migrated to NRAPpain.org

Rudy Malayil, MD WVSIPP President, Stellate Ganglion for Hot Flashes and more!

Dr. Rosenblum interviews West Viriginia Society of Interventional Pain Physician's President Rudy Malayil, MD and discusses the upcoming WVSIPP meeting in April 2024 as well as Dr. Rosenblum's upcoming ultrasound course. Rudy Mathew Malayil, M.D., completed his internship in General Surgery at New York Presbyterian/Cornell Hospital in New York City, followed by residency training in Physical Medicine and Rehabilitation at New York University Medical School. Dr. Malayil further completed a Pain Medicine Fellowship at the Albert Einstein School of Medicine at the Beth Israel Medical Center Campus in New York City. After training he went settled in West Virginia and eventually became the president of West Virginia Society of Interventional Pain Physicians and started private practice Pain Management 360. https://pain360.org https://www.malayilmd.com

Rethinking Hip Pain: PNS, Biologics and Cryoablation

In this episode, Garden City (long island) based Pain Physician, Dr. David Rosenblum explores Peripheral Nerve Stimulation, Biologics and Ablations for hip pain. He reviews a case report of a 67-year-old female with a history of a mechanical fall causing injury to her lumbar spine and pelvis resulting in hip and pelvic pain is presented. The patient had hypertrophic non-union of the right iliac wing fracture and displacement of the pubic symphysis and right sacroiliac joint. Medications were not effectively managing her pain, so she sought treatment at a pain management clinic. The patient underwent diagnostic obturator and femoral articular nerve branch injections, as well as a middle cluneal nerve steroid injection, all guided by fluoroscopy and ultrasound. She experienced improvement in her pain following these procedures. Subsequently, she had a peripheral nerve stimulator (PNS) trial and underwent implantation of leads targeting the right middle cluneal nerve and right obturator and femoral articular nerve branches. The patient reported significant relief in both the posterior and anterior distribution of her pain. Her activities of daily living improved, and she was able to sleep without pain after the PNS implantation. The successful use of combined fluoroscopy and ultrasound in targeting the specific nerves and replicating the patient's pain distribution before permanent PNS implantation is highlighted in this case. Additionally, the show notes mention an events calendar located at this link: https://www.nrappain.org/pages/ultrasound-course-calendar.

Cerebrospinal Fluid and Glymphatic Circulation in Human Nerves: Journal Club

Introduction: Welcome to another episode of the Painexam Podcast! In today's journal club edition, we delve into a fascinating study by Dr. Joel E. Pessa on cerebrospinal fluid (CSF) circulation in human nerves.

Ultrasound Guided Nerve Blocks in the Treatment of Headaches

Exploring the Role of Ultrasound in Headache Evaluation and Treatment A Journal Club based on Dr. Andrea Trescott's article: Ultrasound for evaluation and treatment of headaches. Anaesth Pain & Intensive Care 2017;21(2):241-253.

Intra-articular & PENG Phenol Injections for Hip Pain- Journal Club

Dr. Rosenblum discusses the use of phenol injected into the pericapsular nerve group, hip joint and outcome a isolated case reports. Also discussed, phenol, its mechanism of action and a refractory case of neuralgia paresthetica. Pain from hip cancer, pain from DVT and IPACK or articular branch of the tibial nerve block discussed for knee pain. Dr. Rosenblum discusses his ultrasound training programs, the migration of the PainExam platform to the new NRAPpain.org website and offers a testimonial from a previous ultrasound course from the student who inspired this podcast.

Traumeel and Possible Use for Spine Pain

Exploring Traumeel as an Alternative for Back Pain Relief

The Iliohypogastric Nerve: Anatomy, and Entrapment Syndrome

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.

Hydroxyapatite Deposition Disease

Dr. Rosenblum discusses shoulder pain, and the pathophysiology of Hydroxyapatite Deposition Disease. He discusses personal experience with infraspinatous tendon tear, and treatments such as NSAIDs, Lidocaine patch and steroid injections of the infraspinatous tendon. Dr. Rosenblum discusses his experience with a failed suprascapular nerve block as well as evidence to support PRP injections and ethical safe care. Dr. Rosenbum also is the NRAP Academy Course director for Ultrasound, Regenerative Pain Medicine and Regional Anesthesia CME Workshops and developed online PainExam, AnesthesiaExam and PMRExam Board Reviews

Shoulder RFA: The Technique

Dr. Rosenblum reviews an ASRA Newsletter article discussing the technique, relevant anatomy and more for performing Shoulder Articular Branch Radiofrequency ablation for chronic pain.

Peptides: What’s the deal?

Dr. Rosenblum explores Peptides, the various types, usess and applications for health and wellness.

The 2024 Physician Fee Schedule and Remote Patient Care with Rachel Trobman, CEO of Upside Health.

Dr. Rosenblum and Rachel Trobman cover topics ranging from Remote Patient Care coding, acronyms, implementation, reimbursement and much more!

Coaching, Physician Masterminds and more!

Drawing from her own experience of transformation from being a burnout physician to regaining, designing, and retaining control of her physician life, Dr. Myrdalis Diaz-Ramirez created the maxAllure Mastermind. It is now her passion to help physicians who feel overwhelmed and lost in medicine to find a new path and control their lives through entrepreneurship. She is a born and self-made entrepreneur with experience in owning different clinics which she successfully sold in the past. She has also owned other businesses, including an entertainment company. Dr. Myrdalis Díaz-Ramírez is a dual Board-Certified Anesthesiologist and Interventional Pain Management Physician. She is also a Medical Expert, Professor, Author, Speaker, Podcaster, Entrepreneur, and Mastermind Facilitator. Through her Mastermind, physicians can transform their personal and professional lives. They have been able to define, plan, and execute a designed vision for their life and business that was once only a dream!

Superior Cluneal & Gluteal Nerve Stimulation

Dr. Rosenblum discusses posterior hip pain/buttock pain near scar after Total Hip Arthroplasty. Included in this episode: Patient Testimonial re: SPRINT PNS (superior gluteal and superior cluneal nerve) Superior Gluteal Nerve Anatomy Hip Innervation Upcoming Private and Group Ultrasound Training Upcoming Pain Management Conferences

David Rosenblum, MD Garden City and Brooklyn Pain Physician, world renown for his work on the PainExam Podcast, PainExam Pain Management Board Review and NRAP Academy’s Continuing Medical Education Programs, discusses: a case of paresthesia in the upper neck realted to C3 and C4 stenosis and considers a selective nerve root block while wondering if a deep cervical plexus block would suffice. Rational : Desire to avoid epidural due to proximity to spinal cord Ultrasound approach of cervial plexus may anesthetize C3 and C4 roots and may be sufficient to do with ultrasound alone Unfortunately, no data found to support this particular situation, however, it may be safe and effective if performed properly.

Reda Tolba, MD on the International Society of Pain & Neuroscience (ISPN)- Dubai 2023

ISPN Dubai 2023 David Rosenblum, MD interviews Reda Tolba, MD on the PainExam Podcast In this episode, we delve into the realm of Pain Management in the US and the Middle East. Our international pain experts discuss the upcoming ISPN (International Society for Pain and Neuroscience) meeting in Dubai this december.

Passive Income for Physicians with Greg Alerte

On this episode, Dr. Rosenblum has a chat with Premier Heritage's Greg Alerte. Greg has over 15 years of experience helping families and small business to achieve their financial goals. As co-owner and Certified Financial Planner at Premier Heritage, he focuses on helping people to preserve and grow their wealth, and to leave a legacy for future generations to build on. Greg’s research and professional opinions, have been quoted in several financial publications, including Wall Street Journal, NerdWallet, Financial Planning magazine, and the Huffington Post. Greg’s favorite quote is by the late Mia Angelou “when you learn teach, when you get give” For more information, Email: galerte@premier-heritage.com

Central Post Stroke Pain

David Rosenblum, MD Garden City and Brooklyn Pain Physician, world renown for his work on the PainExam Podcast, PainExam Pain Management Board Review and NRAP Academy’s Continuing Medical Education Programs discusses Central post-stroke pain (CPSP). Central Post Stroke Pain is a debilitating condition that affects a significant number of stroke survivors. It is characterized by persistent neuropathic pain, often described as burning, shooting, or electric shock-like sensations, in the areas of the body affected by the stroke. CPSP can significantly impact a patient's quality of life and functional recovery, making it crucial for physicians to have a comprehensive understanding of its pathophysiology.

Phenol Neurolysis and the Genicular Nerve

David Rosenblum, MD Garden City and Brooklyn Pain Physician, world renown for his work on the PainExam Podcast, PainExam Pain Management Board Review and NRAP Academy’s Continuing Medical Education Programs, discusses: Genicular Nerve Ablation with Phenol The history of phenol The mechanism of action Indications Complications Clinical concerns when considering neurolysis with phenol

Optimal Ketamine Infusion Dose for Neuropathic Pain

David Rosenblum, MD Garden City and Brooklyn Pain Physician, world renown for his work on the PainExam Podcast, Board Review and NRAP Academy’s Continuing Medical Education Programs, discusses Ketamine infusions, optimal infusion protocols and the evidence or lack of to support them.

Regional Anesthesia for Neurosurgery

In this episode, we will explore the various regional anesthesia techniques used in neurosurgery, specifically focusing on blocks for head, neck, and spinal surgeries. Segment 1: Blocks used in Head and Neck Surgeries Scalp Block: The scalp block involves blocking six nerves that provide sensory innervation to the scalp. It is performed by subcutaneous infiltration of local anesthetics (such as bupivacaine, ropivacaine, or levobupivacaine) for each nerve. Ultrasound guidance has improved the precision of block administration. The main indication for a scalp block is awake craniotomy, but it is also used in other procedures like deep brain stimulation and cranioplasty surgery. Scalp block offers advantages such as accurate neurological evaluation, pre-emptive analgesia, and hemodynamic stability during surgery. It also reduces postoperative pain, the need for rescue analgesics, and pain scores in the early postoperative period. Infraorbital Block (IOB): The infraorbital nerve block targets the infraorbital nerve, which supplies the skin and mucous membrane of the upper lip, lower eyelid, and cheek. The IOB can be performed using the classical landmark technique or ultrasound guidance. Ultrasound guidance provides real-time visualization and accurate needle placement. IOB combined with general anesthesia is beneficial for postoperative pain relief in procedures like endoscopic trans-nasal trans-sphenoidal (TNTS) approach for pituitary tumor excision. Other regional techniques like sphenopalatine ganglion block and maxillary nerve blocks have also been attempted for transsphenoidal surgeries. Trigeminal Nerve Block: Trigeminal nerve block is used for patients unresponsive to medical management of trigeminal neuralgia. Traditionally performed using the paresthesia technique, ultrasound guidance allows real-time visualization and confirmation of local anesthetic spread. Ultrasound guidance helps locate the Gasserian ganglion and visualize the trigeminal ganglion, providing a safe and radiation-free procedure for pain relief. Segment 2: Blocks used for Spinal Surgeries Cervical Plexus Block (CPB): CPB is commonly used in carotid endarterectomy (CEA) and cervical spine surgery. Different levels of CPB can be performed depending on the depth of injection. Superficial CPB involves injecting local anesthetic superficially into the deep cervical fascia. Deep CPB requires depositing local anesthetic deep to the prevertebral fascia. CPB helps in monitoring cerebral blood flow during CEA and provides postoperative pain relief. Ultrasound guidance can be used for superficial CPB, ensuring accurate needle placement and local anesthetic spread. Erector Spinae Block (ESB): ESB is used for pain control in spinal surgeries. It involves depositing local anesthetic in the plane between the erector spinae muscle and the transverse process. ESB provides effective postoperative analgesia and reduces opioid consumption. Regional anesthesia techniques play a crucial role in neurosurgery, providing effective pain relief and improving patient outcomes. Blocks like scalp block, infraorbital block, trigeminal nerve block, cervical plexus block, and erector spinae block offer numerous advantages in specific procedures. Ultrasound guidance has enhanced the precision and safety of block administration. These techniques contribute to improved surgical outcomes and patient satisfaction in neurosurgical procedures.

Prolotherapy, Ligaments, Spine and more!

Long Island and Brooklyn based Pain Physician, David Rosenblum, MD describes prolotherapy and discusses mechanism of action, evidence and protocols. Also mentioned in this podcast, Prolotherapy protocols, low dose version high dose dextrose prolotherapy, spine prolotherapy, Spine ligaments Intertransverse ligament, Ilolumbar ligament pain and more!

The Pediatric Orthopedic Patient- Perioperative Management and Pain Control

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.

Morton’s Neuroma Diagnosis Treatment and Regenerative Medicine Options

Morton’s Neuroma Diagnosis Treatment and Regenerative Medicine Options Claim CME for listening The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/7Oo1wq Dr Rosenblum discusses Morton’s Neuroma and describes typical presentation, diagnosis, treatments such as corticosteroid injection, nerve ablation, regenerative medicine and more! Morton's neuroma is a painful condition that affects the foot, specifically the ball of the foot. It occurs when the tissue surrounding the nerves leading to the toes thickens, causing intense pain, numbness, or a burning sensation.

2023 Update to CMS’ Covered Indications for Sacroiliac Joint Injection

023 Update to the Sacroiliac Joint CMS Covered Indications for SI Joint Injection Long Island Based Interventional Pain Physician, David Rosenblum, MD discusses Sacroiliac Joint Dysfunction, and CMS’s Covered Indications for Sacroiliac Joint Injection and Diagnostic Nerve Block The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/ryGmAg For Board Review, Click Here! Sacroiliac Joint Injections are considered necessary and reasonable when all of the following criteria are met: Moderate to severe low back pain primarily experienced over the anatomical location of the SI joints between the upper level of the iliac crests and the gluteal fold, AND Low back pain duration of at least three (3) months, AND Low back pain below L5 without radiculopathy, AND Clinical findings and/or imaging studies do not suggest any other diagnosed or obvious cause of the lumbosacral pain (such as central spinal stenosis with neurogenic claudication/myelopathy, foraminal stenosis or disc herniation with concordant radicular pain/radiculopathy, infection, tumor, fracture, pseudoarthrosis, or pain related to spinal instrumentation), AND At least three positive findings with provocative maneuvers: FABER, Gaenslen, Thigh Thrust or Posterior Shear, SI Compression, SI Distraction and Yeoman Tests,3,4 AND Low back pain persists despite a minimum of four weeks of conservative therapies.5

The End of the PHE: What’s Changed and What Opportunities Remain!

Practice Management Webinar: The End of the Public Health Emergency. What’s Changed and what Opportunities Remain! Join digital health leader and Upside Health CEO Rachel Trobman and PainExam.com founder Dr. David Rosenblum in a conversation about the impact of the end of the public health emergency in May could have on your pain management practice. We'll specifically discuss the changes to telehealth and remote patient monitoring. The webinar will close with one of Upside Health's clients outlining the launch and successes of RTM in their practice and be available for Q&A.

Ultrasound Guided, Flouro Confirmed: Cervical Intra-Discal PRP Injections

Dr. Rosenblum reviews a case report discussing Platelet Rich Plasma Intra-discal Injection using ultrasound and fluoroscopy. The author mentions use of ultrasound to avoid the Internal jugular vein, carotid artery, phrenic nerve, esophagus and neural structures. The author mentions mixing lidocaine with PRP and Dr. Rosenblum comments on his experience and knowledge of the technique. Dr. Rosenblum mentions the risk of disci tis.

Minimally Invasive Lumbar Decompression – The MOTION Study

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.

PRP and the Nerve, A2M and more!

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

BMAC vs. PRP (Leukocyte Rich vs Poor) for Knee Pain and Osteoarthritis

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.

Carpal Tunnel Syndrome for the Pain Boards and Your Practice

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).

Shingles and Interventional Pain: A look at the Evidence

Ultrasound Guided Cluneal Nerves and Spine Interventions

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.

2023 Physician Fee Schedule + New Chronic Pain Management Codes

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!

Larry Kobak, Esq. on CDC Guidelines: What You Need to Know!

NYSPS Legal Briefs New 2022 CDC Guidelines on OPIOID USE FOR TREATMENT OF PAIN 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.

Failure of the Intrathecal Pump- PainExam Journal Club and Board Review!

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.

Interosseous PRP Injections for Knee OA

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.

Should Degenerative Disc Disease be Treated with MSCs?

A review of the evidence David Rosenblum, MD reviews the description and evidence provided by Loibi et al in the published article referenced below. Dr. Rosenblum discusses personal experiences with treating back pain with regenerative medicine procedures. Discussed in this podcast: Patient selection Pathophysiology Environment of the disc and it’s impact on MSCs Risks and safety concerns of Intervertebral mesenchymal stem cell transplantation Pain relief and recommendations for MSC injection into the disc in patients suffering from discogenic pain

Glossopharngeal Neuralgia Revisited

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...

Treating Long COVID, Parosmia and Anosmia with Stellate Ganglion Blocks

Dr. Rosenblum reports his experience with a patient who reported long term relief of anosmia and parosmia with a unilateral stellate ganglion block. Dr. Rosenblum discusses the pathophysiology of the imbalances between the Sympathetic, parasympathetic nervous system, and feedback loops in the Neuro-immune system.

Protect and Cover your ASSets!

Is Malpractice insurance enough? Dr. Rosenblum sits down and asks Ken Falcon about protecting assets, trusts, and more. Ken is an attorney practicing in Rockville Center, NY

What You Need to Know About CMS’ New Chronic Pain Management Codes?

Dr. Rosenblum interviews PainExam Podcast Sponsor, Rachel Trobman. Rachel Trobman is a digital health executive and leader in the remote care space. Her company, Upside Health, is dedicated to transforming pain care and has helped clinicians, health systems and tens of thousands of patients through their product, Branch Health. She is actively involved in legislation surrounding remote billing codes and collaborates with the AMA, CMS and leading law firms....

SoMeDocs Founder, Dana Corriel, MD

Dr Rosenblum welcomes his friend and Colleague Dana Corriel, MD. Dana runs the Facebook group SoMeDocs and has over 40,000 followers across her platform. Her website doctorsonsocialmedia.com is a platform to help physicians network, showcase and develop their brands. Follow Dana on Facebook at SoMeDocs and get updates on all of her online and offline events and projects.

Dr. Myrdalis Diaz-Ramirez on Business, Medicine and more!

Dr. Rosenblum discusses business, coaching, work life balance and more with Dr. Myrdalis Diaz-Ramirez. To find out more about her physician coaching program, go to MaxAllure.com/PainExam

Supply Chain Shortages in Interventional Pain Medicine

Facing supply chain shortages, Dr. Rosenblum review’s ASRA’s position statement on contrast administration.

Alaa Abd Elsayed, MD on Nociception and Physiology

Dr. Rosenblum presents his friend and colleague, co-founder of the International Pain Academy, Alaa Abd Elsayed, MD. In this podcast, Dr. Elsayed Dallas 2022 Lecture on the anatomy and physiology of nociception, Dr. Elsayed covers high yield testable material, sample multiple choice questions and pain management board preparation strategies...

Former DEA Agent, Dennis Wichern –

Dr. Rosenblum interviews Dennis Wichern on his career and consulting experiences...

Remote Patient Monitoring-

How to Implement Digital Health Tools and Billing Codes to Optimize and Grow Your Pain Practice? The emergence of new CMS codes in the space of remote physiologic monitoring, remote therapeutic monitoring, chronic care management and more offers a unique opportunity for clinicians and practice owners to get reimbursed for bringing digital health tools into their practice. However, if not done correctly, they can increase the clinical and administrative burden and decrease the patient experience. In this webinar, industry experts will explain the details of these codes and the best ways to introduce them into your practice for optimal growth, without taking on additional burden or risk. ***This is a sponsored episode by UpSide Health***

Why You Are Still Sick?: Author Gary Kaplan DO

Dr. Rosenblum Interviews Dr. Gary Kaplan.

Caudal Epidurals on Anti-thrombotics?

Dr. Rosenblum takes a close look at ASIPP’s guidelines, and data discussing the risk of hematoma when performing a caudal epidural on a patient who is taking an anti-thrombotic agents and are at high risk for stopping these medications. Also discussed, Caudal Epidural history, technique and more!

Tricyclics Revisited

Dr. Rosenblum reviews the indications, considerations, side effects, contraindications and treatment of toxicity of these commonly used anti-depressants which are often used to treat chronic pain...

Hyaluronic Acid, Biologics and Hip Pain

Dr. Rosenblum discusses considerations for patients who suffer from hip pain related to Osteoarthritis and Avascular Necrosis. Dr. Rosenblum examines the evidence on using hyaluronic acid and regenerative therapies on the hip. Avascular Necrosis pathology and management is also reviewed.

iPACK for Knee Surgery-

Dr. Rosenblum discusses use of the iPACK injection for posterior capsule knee pain in the operating room as well as in the chronic pain office and outpatient setting.

Low Dose Naltrexone Revisited

Dr. Goldstein reviews his experiences using Low Dose Naltrexone to treat a variety of pain problems. Indications, dosing, side effects and anecdotal nuances discussed...

Dwight Gooden (Dr. K) 1986 World Series Champion Mets Pitcher-

Dr. Rosenblum interviews Doc Gooden on his career with the NY Mets, Yankees, the K corner, records broken, no hitters, and how athletes deal with pain and stress.

Intersection Syndrome – 1 CME Credits

Dr. Rosenblum discusses his recent patient suffering from the intersection syndrome. This rare disease was treated with a simple ultrasound guided injection...

CMS on Percutaneous Vertebral Augmentation for Vertebral Compression Fractures

The Sacroiliac Joint and CMS

Dr. Rosenblum reviews CMS's indications for the Sacroiliac joint injections and comments on cost effective pain medicine, fair and ethical implementation of CMS’s guidelines as they pertain to proper care of pain patient suffering from radicular pain as well as axial low back pain!

CMS and Peripheral Nerve Block

Taken from CMS.gov (Center for Medicare and Medicaid Services) LCD Information. Dr. Rosenblum discusses the indications, limitations for performance and reimbursement of diagnostic and therepeutic nerve blocks. Mentioned in this podcast: Occipital Nerve, Cluneal nerve, Ilioinguinal, iliohypogastrc, genitofemoral and more!

The Occipital Nerve

Dr. Rosenblum reviews the anatomy of the Greater, Lesser and Third Occipital Nerve...

Pure PRP vs. Leukocyte Rich PRP for the Intervertebral Disc

In this podcast Dr. Rosenblum reviews an article on comparing in vitro preparations of Platelet Rich Plasma on intervertebral disc stem cells..

Perineural Dexamethasone and Rebound Pain

The Interscalene Brachial Plexus Block in Shoulder Surgery...

Perioperative Pain Control in the Patient with Opioid Use Disorder

Dr. Rosenblum discusses the below article published by recent podcast guest Lynn Kohan, MD.

PRP vs PRP Plus Hyaluronic Acid, and Cost Effectives Prior to TKA

Dr. Rosenblum reviews 2 articles- - PRP in the delaying of Total Knee Arthroplasty, - PRP vs. PRP with LMW Hyaluronic acid and HMW Hyaluronic Acid

Being Prepared…

Dr. Rosenblum interviews financial planner, Greg Alerte as they discuss disability, life insurance and more!

Justin Harvey & THE PRACTICE ACCELERATOR

Thinking About Starting a Pain Practice? In the latest PainExam podcast episode Dr. David Rosenblum dissects the many intricacies of starting a pain practice with expert Justin Harvey. Everything from planning, to practice set up and infrastructure, funding or financing the venture, and much more!

An Interview with John Prunskis MD

Dr. Prunskis is the CEO/Medical Director of Illinois Pain & Spine Institute, Medical Director/Principal DxTXPain and Spine, honorary Consulate of Lithuania, Clinical Professor, Chicago Medical School, Former Presidential Appointee/Health and Human Services(HHS), co-author of "Best Practices Pain Task Force Final Report", and Twelve time winner Castle-Connoly ‘Top Doctor’. Dr. Prunskis has been invited to the White House by the Obama administration twice and the Trump administration 3 times, and has dedicated a significant amount of his time advocating for pain management patients and the physicians who take care of them.

Do Magnets Work for Pain?

After returning from ASPN in Miami, Dr. Rosenblum investigates the literature on magnets for painful disorders.Next stop NYSIPP! Our Conference discount is still valid, so enter PAINEDU for 20% Off PainExam.

PRP for Achilles Tendinopathy

Dr. Rosenblum reviews a recent article regarding the use of PRP in Achilles Tendinopathy and it's lack of benefit. This study goes against many practitioner's practices and Dr. Rosenblum delves further into the literature to explore why clinicians still consider this a viable treatment option.

The Versatile Paravertebral Nerve Block

Dr. Rosenblum discusses the Thoracic Paravertebral Nerve Block and its applications in the management of Thoracic spine pain, Abdominal Pain, Thoracic Radiculitis, Intercostal neuralgia, Rib Fractures and more!

Why Didn’t You Check Me for SMA?

Dr. Rosenblum discusses Spinal Muscle Atrophy and the recent advances in therapy for this genetic disorder.

Partnering with a Surgeon to Fight Breast Pain

Allograft in the Treatment of Post Operative Neuromas... Great Neck Based Interventional Pain Physician, David Rosenblum, MD reviews Breast Pain and Post Mastectomy Pain Syndrome. Dr. Rosenblum treats chronic breast pain, chest pain or post surgical abdominal pain and neuromas in his Brooklyn and Great Neck Pain Offices using ultrasound guidance, Neuromodulation and much more. Dr. Rosenblum discusses his collaboration with Plastic surgeon Jonathon Bank, MD and how they are working together to prevent and treat chronic post operative mastectomy pain. Dr. Rosenblum also discusses nerve allograft in the treatment of neuromas as well as targeted muscle reinnervation and sono-surgery.

Amol Soin, MD, ASIPP’s President Returns

Dr. Rosenblum and Dr. Soin discuss the behind the scenes politics and ASIPP’s: Advocacy for Pain Physicians Upcoming conference in New Orleans this June The Future of Policies and Pain Medicine Regenerative Medicine, AI and Machine Medicine

The “No Surprises” Act

Dr. Rosenblum reviews the No Surprises Act. Who is protected? How are they protected? Will this impact your practice?

High vs. Low Frequency Percutaneous Electrical Nerve Stimulation

Effectiveness of Dry Needling with PENS Dr. Rosenblum discusses a recent article in Pain Physician Journal. Also mentioned: ASPN, ASIPP, NYSIPP and the upcoming Joint WAPMU-PainExam Ultrasound Course on May 16 and tips to treat/prevent Cervicalgia related to cervical DDD.

Cervical Ultrasound Injections T Codes

The benefits of Ultrasound in Cervical Selective Nerve Root Blocks, Medial Branch blocks, and Facet Injections; discussion on why they are still considered experimental in the age of cost effective medicine. The advantages and disadvantages of performing a nerve block for anesthesia during a regenerative medicine procedure...

Journal Club- Knee OA PRP vs. Pulsed RF

Dr. Rosenblum discusses a recent article comparing PRP to Pulsed RFA. Also mentioned: - Dr. Rosenblum’s Knee OA and his own PRP experience - PainExam WAPMU Ultrasound Course- May 16 - ASIPP June 2021 in New Orleans - ASPN July 2021 in Miami - Free Clarius Ultrasound Webinar- April 26

Neuromodulation and Headache

Dr. Rosenblum discusses a recent review article on Peripheral Neuromodulation and Headaches. Meet Dr. Rosenblum at Upcoming Conferences (ASPN and ASIPP) or schedule a private Ultrasound Course in NY!

Enhancing Neuroplasticity to Augment Pain Treatments

Dr. Rosenblum reviews an article focusing on Intermittent Fasting and Glucose Administration and how it could help patients suffering from chronic pain.

Sedation and Fasting Status of Patients Undergoing Interventional Pain Management Procedures

A Review of ASIPP’s Guidelines: Dr. Rosenblum reviews ASIPP Guidelines for Sedation and Fasting Status of Patients Undergoing Interventional Pain Management Procedures with Pain Physician. Also covering, Upcoming Events: April 18th Ultrasound Course, NYC

SIS Guidelines on COVID Vaccination & Steroid Injections

Dr. Rosenblum discusses the precautions recommended by the Spine Intervention Society. Concerns addressed: How soon after a Covid vaccination can I get a steroid injection? How long after a steroid injection can I get a COVID Vaccination? Is it dangerous to get a steroid injection during the vaccination period? Does a steroid injection render the COVID Vaccination ineffective?

Dr. Rosenblum Interviews Amitabh Gulati, MD- WAPMU Faculty

Dr. Rosenblum sits down with Amitabh Gulati, MD - WAPMU Faculty, to Discuss Cancer Pain Topics.

Ginger and Muscle Pain?

Dr. Rosenblum Discusses the Effects of Ginger on Muscle Pain and Updates on the Upcoming Ultrasound Training Workshops: Ultrasound Training Event Schedule-

Dr. Rosenblum interviews Tim Deer, MD

Dr. Rosenblum sits down with Tim Deer and discusses work life balance, neuromodulation, pain management training, the American Society of Pain and Neuroscience...

Interscalene Block, Piriformis Trigger Point, & Propofol in the ED?

In preparation for this weekend's: Ultrasound Pain Course for Emergency Medicine Physicians, Dr. Rosenblum discusses two recent articles in the literature discussing Interscalene Brachial Plexus Blocks vs Propofol for anterior shoulder dislocation and Piriformis injections...

Thermo-mechanical Neuromodulation – Amy Baxter, MD

Dr. Rosenblum interviews Dr. Baxter on her thermo-mechanical neuro-modulatory pain relief platform. Amy Baxter MD FAAP FACEP is a Clinical Associate Professor in Emergency Medicine at Augusta University and the founder and CEO of Pain Care Labs, the industry leader in noninvasive pain relief solutions. She is an academic, physician and research focused entrepreneur that invented a thermo-mechanical neuro-modulatory pain relief platform. Her patents include VibraCool® Vibrational Cryotherapy to treat tendinopathies and decrease opioid use, and her disruptive Buzzy® device, which has been used to control needle pain for over 37 million needle procedures. Dr. Baxter was awarded over 2.8MM in Fast-Track SBIRs by the NIH. She also prepared and filed the FDA 510K submission for medical devices, securing the FDA expansion of the utilization to include muscle pain and cosmetic injection pain control. Dr. Baxter and Pain Care Labs were recently honored with the 2020 Tibbetts Award for Innovation for the substantial economic and social benefits the company’s pain-relieving medical devices have contributed to the United States.

The Erector Spinae Plane Block in the Emergency Department

Dr. Rosenblum preempts his upcoming Ultrasound Guided Interventional Pain Course for Emergency Medicine Physicians on February 7, 2021 with a Journal club describing the Erector Spinae Plane Block.

The Smart Appointment App… More Appointments, Less Complaints

Dr. Rosenblum interviews SmartAppt Creator, Albert Pilip, MD on his Doctor-Patient Friendly App that takes the Pain out of Scheduling Appointments.

Let’s talk Nutrition and the Cluneal Neuralgia

Dr. Rosenblum apologizes on behalf of the Pain Physicians for 2 overlooked topics that could help pain patients...

Sidharth Verma, MD & the Mubai Pain School

Dr. Rosenblum interviews Pain Physician, Dr. Sidharth Verma on his initiative the Mumbai Pain School and discusses the next Comprehensive Interventional Pain Ultrasound Webinars: -Private 1 on 1 now available in NY -Feb 7, 2020- Emergency Room Physicians -Feb 28, 20202- Pain Physicians -March- TBA Anesthesiologists

Is PRP Cost Effective? If So, At What Price?

Discussed in this episode: -Talking to patients about PRP and Biologics -Is PRP better? -Dr. Rosenblum’s management of his own knee pain -Ultrasound Training Podcast References: Bendich, I, et al. What Is the Appropriate Price for Platelet-Rich Plasma Injections for Knee Osteoarthritis? A Cost-Effectiveness Analysis Based on Evidence From Level I Randomized Controlled Trial The Journal of Arthroscopic an Related Surgery. VOLUME 36, ISSUE 7, P1983-1991.E1, JULY 01, 2020

The Reflex Sympathetic Dystrophy Association

On this Episode Dr. Rosenblum: · Interviews Jim Broatch, Executive VP and Director: jwbroatch@rsds.org and Beth Seickel bseickel45@gmail.com of the RSDSA · Discuss how the Reflex Sympathetic Dystrophy Syndrome Association is making a difference in the lives of Patients and Families affected by CRPS · NonProfit activities that the RSDSA has developed · Clinician Education and more! RSDSA Courses Below: https://rsds.org/rsdsa-pediatric-crps-accredited-online-course/ https://rsds.org/accredited-course-on-crps-for-mds-and-rns/

Is Local Anesthetic in Cervical Epidurals Beneficial?

Dr. Rosenblum announces postponement of November 22 Ultrasound Course. -Discusses RAPM article on Lidocaine in the Cervical Epidural Space -Benefits of Ultrasound for Guiding injections to treat Cervical Radiculopathy -Pitfalls of the Standard of Care

Autism and Labor Epidurals?

Dr. Rosenblum discusses JAMA’s October 2020 article that suggests an association between Labor Epidural and the diagnosis of Autism Spectrum Disorder Summary of the study Responses from other physicians Statements by the The Society for Obstetric Anesthesia and Perinatology (SOAP), the American Society of Anesthesiologists (ASA), the Society for Pediatric Anesthesia (SPA), the American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM)

Myths in Pain Medicine: Steroid Doses, Spine Surgery, Vasectomies, etc.

Dr. Rosenblum discusses a recent email (below) from a patient suffering from Post Vasectomy Pain who reached out after hearing the recent PVPS Episode of the PainExam Podcast. Also Discussed: - Myth of 3 Steroid Shots Per Year - Myth of Needing Cervical Spine Surgery to Avoid Paralysis if Rear Ended - Myth of Downplaying Surgeries like Vasectomies View the patient letter here: https://painexam.libsyn.com/myths-in-pain-medicine-steroid-doses-spine-surgery-vasectomies-etc Podcast References: https://cdn.ymaws.com/www.spineintervention.org/resource/resmgr/factfinder/FactFinder_2019_06_Annual_Do.pdf

Post Vasectomy Pain Syndrome

Dr. Rosenblum reviews Post Vasectomy Pain Syndrome When Urology cannot help, he ponders: Ultrasound Guided Genito Femoral Nerve Block -Ganglion impar -PRP Injection -Peripheral Nerve Stimulation -DRG Stimulation References: vasectomy-lib.s3.amazonaws.com/BJU%20Int…andon.pdf For Ultrasound Training online go to PainExam.com/Events For Private in person training, email Dr. Rosenblum at DRosenblum@RMCPain.com

Consensus Statement on Facet Joints Reviewed!

Dr. Rosenblum Discusses the recent Consensus practice guidelines on interventions for lumbar facet joint pain from a multispecialty, international working group released earlier this year. References: Cohen SP, Bhaskar A, Bhatia A, et al Consensus practice guidelines on interventions for lumbar facet joint pain from a multispecialty, international working group Regional Anesthesia & Pain Medicine Published Online First: 03 April 2020. doi: 10.1136/rapm-2019-101243

Peng Blocks

On this Podcast episode Doctor Rosenblum discusses the Pericapsular Nerve Group Block as An Excellent Option for Analgesia for Positional Pain in Hip Fractures... References- Utsav Acharya, Ritesh Lamsal, "Pericapsular Nerve Group Block: An Excellent Option for Analgesia for Positional Pain in Hip Fractures", Case Reports in Anesthesiology, vol. 2020, Article ID 1830136, 3 pages, 2020. doi.org/10.1155/2020/1830136

COVID-19 and Pain Management

Dr Rosenblum discusses Medications and Immune Response. Considerations for pain patients at risk for COVID-19. Dr. Rosenblum also discusses Peripheral Nerve Stimulation in a patient with a Spinal Cord Stimulator... References- Puntillo F, Giglio M, Brienza N, et al. Impact of COVID-19 pandemic on chronic pain management: Looking for the best way to deliver care. Best Pract Res Clin Anaesthesiol. 2020;34(3):529-537. doi:10.1016/j.bpa.2020.07.001

Pain Management for Sickle Cell Disease

Dr. Rosenblum Discusses: -Sickle Cell Disease -Crisis -Types of Pain associated with Sickle Cell Disease -Opiate and non opiate management References: www.ncbi.nlm.nih.gov/pmc/articles/PMC6294061/

Is the Standard of Care, Good Care? Evidence Based vs. Anecdotal Medicine

Dr. Rosenblum ponders the value of Anecdotal Medicine and Questions the so called 'Standard of Care' For More Educational Content and Course Go to PainExam.com/Events References: Moffett P, Moore G. The standard of care: legal history and definitions: the bad and good news. West J Emerg Med. 2011;12(1):109-112. https://sciencebasedmedicine.org/the-role-of-anecdotes-in-science-based-medicine/

Post COVID Pain Syndrome

Dr. Rosenblum explores the issue of Post COVID Pain Syndrome! Is it a real thing or just secondary to prolonged inactivity, anxiety and isolation? REFERENCES: Kemp HI, Corner E, Colvin LA. Chronic pain after COVID-19: implications for rehabilitation [published online ahead of print, 2020 May 31]. Br J Anaesth. 2020;S0007-0912(20)30403-7. doi:10.1016/j.bja.2020.05.021 jamanetwork.com/journals/jama/fullarticle/2768351

Interventional Pain in Panama- En Espanol!

Dr. Rosenblum Interviews Panamanian Pain Physician In Spanish (en Espanol) Subtitles on the PainExam Youtube Channel or PainExam.com/news page

Financial Planning – Justin Harvey Returns!

David Rosenblum, MD welcomes Justin Harvey, Anesthsia Success Podcast Host and Financial Planner to discuss: -Investing -Loans -Diversification -Gold -Fiduciary -Wealth Management -COVID and so much more!

Polymyalgia Rheumatica, Adhesive Capsulitis, Temporal Arteritis

David Rosenblum, MD is a Brooklyn and Great Neck Pain Physician at AABP Integrative Pain Care. For a Telehealth or In Person appointment, go to AABPPain.com or call Brooklyn 718 436 7246 Great Neck 516 482 7246

Alaa Abd-Elsayed, MD, MPH- Editor in Chief of Pain Medicine Case Reports

Announcement! Links to Alaa's Anesthsiolgy and Pain Medicine Books www.amazon.com/s?i=digital-text&…yline_sr_ebooks_1 Amazon.com: Alaa Abd-Elsayed: Kindle Store Online shopping from a great selection at Kindle Store Store. www.amazon.com pubmed.ncbi.nlm.nih.gov/?term=abd-elsayed www.uwhealth.org/findadoctor/prof…ayed-md-mph/9646 www.anesthesia.wisc.edu/index.php?tit…ed_Laboratory Abd-Elsayed Laboratory - UWSMPH - Department of Anesthesiology Our research is focused on finding new clinical strategies to reduce chronic pain and for general pain management treatment. By carefully considering the pathology of the pain and treating the whole patient, we have been able to treat many patients with state-of-the-art therapies, including using advanced technology and modalities, that are successful in reducing or blocking pain and ... www.anesthesia.wisc.edu

Preparation for the Pain Boards, Remembered Keywords!

Dr Rosenblum takes a section of his Preparation for the Pain Boards Lecture, given during the ASIPP Board Review Course and gives an informative talk describing the importance of Board Certification in Pain Management, preparation, keywords and the differences in Pass rates of the ABA, ABPM and ABIPP. The discussion is a prelude to upcoming high yield keyword based webinars for the pain boards. For more info subscribe to the PainExam Newsletter!

Low Platelets and Epidural Analgesia

Dr. Rosenblum discusses a recent consensus guideline on Low Platelets in the Obstetric Patient. -Low Platelets and Epidurals in the OB Patient -ASIPP Board Review Course -Painexam Alumni Emails -Congratulations to Graduates! -Welcome incoming Residents and Pain Fellows!

Justin Harvey interviews Dr. Rosenblum for the Anesthesia Success Podcast

Justin Harvey, host of the Anesthesia Success podcast interviews Dr. Rosenblum for his podcast. Discussed in this podcast: -Business of Medicine -Industry Affiliation -Preparation for COVID -The Definition of Success

The ABIPP Exam- What, Why and How?

ACGME Accredited Pain Fellowship or not, this is a can't miss episode reviewing the ABIPP Exam and other opportunities available to not only learn pain medicine, but to learn the business and politics of this amazing specialty.

Low Dose Naltrexone and Pain

Dr. Rosenblum Discusses the uses and theory behind Low Dose Naltrexone for Chronic Pain and Inflammation. References: Debasish Hota, MD, DM, Anand Srinivasan, MD, Pinaki Dutta, MD, DM, Anil Bhansali, MD, DM, Amitava Chakrabarti, MD, DM, Off-Label, Low-Dose Naltrexone for Refractory Painful Diabetic Neuropathy, Pain Medicine, Volume 17, Issue 4, April 2016, Pages 790–791, doi.org/10.1093/pm/pnv009 Younger et al: The Use of Low-Dose Naltrexone (LDN) as a Novel Anti-Inflammatory Treatment for Chronic Pain. Clinical Rheumatology (2014) 33:451-459 KTojan, VroomanB. Low-Dose Naltrexone (LDN) review of Therapeutic Utilization. Med. Sci. 2018, 6,82

Amol Soin, MD- Incoming ASIPP President

Dr. Rosenblum interviews Amol Soin, MD, ASIPP's (American Society of Interventional Pain Physicians) incoming President -Synergy among Pain Physicians -ASIPP advocating to protect pain patients & physicians -ABIPP Board Exam -Ultrasound and Regenerative Pain Courses -Telehealth and CMS -Vertebroplasty and Augmentation

Pandemic Ultrasound Training, and Just what you need…another Telehealth lecture :(

Dr. Rosenblum considers safe ways to conduct in person Ultrasound Training during the pandemic. Class of 2020 did not even graduate yet and life threw them a nasty curve ball. Virtual Pain Fellowship at PainExam.com open to Pain Fellows and Residents. Free Access Until July 1, 2020

The Ramp Up- Pivoting your Pain Practice

Dr. Rosenblum discusses his plan to help his patients obtain access, maintain and grow his practice in the era of the COVID-19 pandemic. Coming Soon the Regenerative Medicine for Spine Disease Course!

Lynn Kohan, MD- ASIPP, ASRA, COVID-19 and more

Dr. Rosenblum discusses COVID-19 and its impact on Pain Management training programs with Lynn Kohan, MD- University of Virginia Pain Fellowship Director

Trigger Finger and DeQuervaines Syndrome – VPF

Dr. Rosenblum discusses his collaboration with ASIPP, and mentions his upcoming Regenerative Spine Course, Trigger finger, DeQuervaine's Syndrome and has started conducting Private Online Ultrasound Zoom Sessions. For more information email DRosenblum@RMCPain.com

Peripheral Nerve Entrapments and the Cervical Spine

A Keyword Review on Nerve Entrapments and the Cervical Spine -Virtual Pain Fellowship at PainExam.com -Dr. Rosenblum Discusses Peripheral Stimulation of the Cluneal Nerves on a SPRINT Webinar Tonight! This is the registration link: register.gotowebinar.com/register/143…806304538896 This is the donation link: ironmanfoundation.donordrive.com/index.cf…ntID=702 Join us as we hear from some of front line heroes in New York as they tell us about their experiences battling Covid-19. For this webinar, we are raising money for the a great charity, the Ironman Foundation, that will direct funds to those in need here in New York. We know times are tough now, but they are going to get better soon! Please reach down deep in your pockets and contribute what you can in honor of our front line heroes who have gone above and beyond their call. Brian Durkin, MD Sudhir Diwan, MD President of NYSIPP Executive Director of NYSIPP

Tae Kim Accupuncturist- COVID-19 and Chinese Herbs

Dr. Rosenblum interviews a local accupuncturist about his approach to pain and immune optimization. Chinese Herbalists approaches to viral outbreaks. Luo H, Tang QL, Shang YX, et al. Can Chinese Medicine Be Used for Prevention of Corona Virus Disease 2019 (COVID-19)? A Review of Historical Classics, Research Evidence and Current Prevention Programs. Chin J Integr Med. 2020;26(4):243–250. doi:10.1007/s11655-020-3192-6

ASRA Fights for Pain Specialist, Virtual Pain Fellowship Live

Virtual Pain Fellowship now Live on PainExam.com or VirtualPainFellowship.com Dr Rosenblum summarizes Dr. Vescusi's efforts to help protect our specialty. NYSIPP webinar coming up. Advanced Ultrasound Course this weekend on Zoom

Sedation Rounds (Unedited)- Full Video on PainExam News Page

Click the Link to Watch the Video News Clip on PainExam News: painexam.com/sedation-rounds/

Coming soon- Virtual Pain Fellowship- ASIPP/CDC Guidelines

Dr. Rosenblum Discusses the upcoming Virtual Pain Fellowship to address gaps in education caused by the COVID-19 Crisis

Quarantine Guidelines, Who do you inject in the office? Is it safe?

NY is currently the epicenter of the American COVID-19 Pandemic, Find out what Pain Physicians, and Anesthesiologists are dealing with here first. The PainExam Podcast and NYSIPP are working non-stop to bring you the latest info to help you stay ahead... Who should do intubations? Who should Quarantine? Liability in epidural steroid injections? What will be the next mesothelioma for lawyers? Steroids during COVID-19?

Head’s Up, it’s coming…

Early lessons learned during the NYC COVID-19 Outbreak

Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Indications

Dr. Rosenblum discusses an interesting case, COVID-19 preparation for the home and the New PainExam Website!

Preparing a Pain Office for the COVID-19 Coronavirus

Dr. Rosenblum discusses measures that the CDC recommends to protect an outpatient facility, patients, and staff from the Coronavirus Pandemic. Resources: https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/guidance-hcf.html

Journal Club – Quadratus Lumborum Block for Hip Pain

Dr. Rosenblum summarizes a recent ASRA article "Anterior quadratus lumborum block analgesia for total hip arthroplasty: a randomized, controlled study"

Coronavirus, ASIPP, Interscalenes and the New PainExam

Dr. Rosenblum discusses the New PainExam and Ultrasound Course, Coronavirus, Interscalenes for Brachial Plexus Blocks and more!

Hopkin’s Bryan Marascalchi, MD on PainScored.com : The 2020 NANS PainExam Podcast Series

Dr. Rosenblum interviews Bryan Marascalchi, MD on his company PainScored -Patient self reporting -Quality of Care -Improved Reimbursement

Dawn A. Sparks, DO at the North American Neuromodulation Society

David Rosenblum, MD discusses NANS, Instagram and Pain Management in Hawaii at the 2020 North American Neuromodulation Society Meeting in Las Vegas, Nevada.

Ultrasound Course, NANS and Phantoms

North American Neuromodulation Society, Eastern Pain Association and the upcoming PainExam.com and Ultrasound Course for Pain Physicians

What is the deal with Exosomes?

Dr. Rosenblum discusses Exosomes: -Definition -Function -Studies -Potential of exosomes in the treatment of pain -FDA warnings References: www.sciencedirect.com/science/articl…04395914002085 www.ncbi.nlm.nih.gov/pubmed/30188455 sciencebasedmedicine.org/fda-warns-pu…-treatments/

INS President, Scott Woska, MD on Neuromodulation

INS President, Scott Woska, MD on Neuromodulation Scott Woska, MD- Neurosurgeon, President of the International Neuromodulation Society & NYSIPP Course Director Speaks on Neuromodulation

CPT Coding Update 2020

CPT Coding Update 2020 Dr. Rosenblum reviews the 2020 changes to coding or procedures such as Dry Needling, Genicular Nerve Blocks and Sacroiliac Joint Nerve Blocks and Ablation.

Cluneal Nerve Entrapment Syndrome

Cluneal Nerve Entrapment Syndrome Dr. Rosenblum reviews the Cluneal Nerve Anatomy and Entrapment Syndrome References: 1. Aota Y. Entrapment of middle cluneal nerves as an unknown cause of low back pain. World Journal of Orthopedics. 2016;7(3):167-170. 2. Ermis M, Yildrum D, Duraknasa M, Tanam C, Ermis O. Medial superior cluneal nerve entrapment neuropathy in military personnel; diagnosis and etiologic factors. J Back Muscul Rehab. 2011;4:137-144. 3. https://paindoctor.com/treatments/cluneal-nerve-blocks/ 4. Talu G, Suleyman O, talu U. Supeior cluneal nerve entrapment. Regional Anesthesia and Pain Medicine. 2000;25(6):648-650. 5. Wisotzky E, Cocchiarella A. Cluneal neuropathy – An underdiagnosed cause of low back pain: A case series. PM&R. 2010;2(9):73-74. 6. https://rapm.bmj.com/content/25/6/648 7. http://drmorgan.info/clinicians-corner/cluneal-nerve-entrapment/ 8. https://www.ncbi.nlm.nih.gov/pubmed/28236130

An Interview with Samual Shem, MD – ‘House of God’ author

An Interview with Samual Shem, MD - 'House of God' author Dr. Rosenblum interviews House of God author, Samuel Shem, MD on his career, philosophy, and his new book, "Man's 4th Best Hospital."

Youseff Josephson, DO speaks on Programming the Implantable Pulse Generator

Youseff Josephson, DO speaks on Programming the Implantable Pulse Generator Dr. Josephson discusses the IPG at NYSIPP

Steve Falowski, MD at NYSIPP – SCS Waveforms and More!

Steve Falowski, MD at NYSIPP - SCS Waveforms and More! The 2019 NYSIPP PainExam Podcast Series

An interview with Pain Fellow, Ashley Wong, MD

An interview with Pain Fellow, Ashley Wong, MD Dr. Rosenblum and Ashley Wong discuss Fellowships and more at NYSIPP!

NYU Director of Pain Medicine – Chris Gharibo, MD

NYU Director of Pain Medicine - Chris Gharibo, MD Dr. Rosenblum catches up with his former mentor at NYSIPP to discuss fellowship, training and the future of Pain Management

The Tarsal Tunnel Syndrome – Tibial Neuropathy Pain Management

The Tarsal Tunnel Syndrome - Tibial Neuropathy Pain Management A review of the Tarsal Tunnel Syndrome: Presentation, Diagnosis and Management. References: Peripheral Nerve Surgery, Edited by Dr Thomas Wilson and Dr Lynda J-S Yang. Pt 91-95

Genicular Nerve Anatomy Revisited

Genicular Nerve Anatomy Revisited Journal Club - RAPM Accuracy of fluoroscopic-guided genicular nerve blockade. Reference: rapm.bmj.com/content/44/10/950

The FDA and Regenerative Medicine Products

A Summary of the FDA's stance on PRP, BMAC, SVF, Amnio and more! References: https://www.stemcures.com/simplified-fda-stem-cell-guidelines-for-lower-back-pain-and-joint-pain-treatment https://www.dallasprpandstemcell.com/fda-confirms-that-whartons-jelly-products-are-biologic-drugs-must-be-registered-as-such/

Pelvic Pain due to Maternal DES Exposure

Dr. Rosenblum discusses an interesting case of pelvic pain secondary to DES exposure. References: en.wikipedia.org/wiki/Diethylstilbestrol#Lawsuits www.onhealth.com/content/1/pelvic_pain_causes Abdelghani M., Rabie M. (2019) Ganglion Impar. In: Abd-Elsayed A. (eds) Pain. Springer, Cham https://www.sciencedirect.com/science/article/abs/pii/S0009926009003237 https://www.sciencedirect.com/topics/neuroscience/ganglion-impar

Burning Mouth Syndrome and the Sphenopalatine Ganglion Block

Burning Mouth Syndrome and the Sphenopalatine Ganglion Block References: https://www.nidcr.nih.gov/sites/default/files/2017-12/burning-mouth-syndrome.pdf Binfalah M, Alghawi E, Shosha E, Alhilly A, Bakhiet M. Sphenopalatine Ganglion Block for the Treatment of Acute Migraine Headache. Pain Res Treat. 2018;2018:2516953. Published 2018 May 7. doi:10.1155/2018/2516953 https://rarediseases.info.nih.gov/diseases/5974/burning-mouth-syndrome

PRP and Biologics – A Look at the Data

Leukocyte Rich PRP vs. Pure PRP and more! References: ASIPP Guidelines Antonio Marmotti,1,2 Roberto Rossi,1 Filippo Castoldi,1 Eliana Roveda,3 Gianni Michielon,3 and Giuseppe M. Peretti3,4, PRP and Articular Cartilage: A Clinical Update Yiqin Zhou, Jianying Zhang, Haishan Wu, MaCalus V. Hogan & James H-C. Wang The differential effects of leukocyte-containing and pure platelet-rich plasma (PRP) on tendon stem/progenitor cells - implications of PRP application for the clinical treatment of tendon injuriesStem Cell Research & Therapy

Steven Johnson’s Syndrome, Carbamazepine, Fetal Pain Perception

New podcast reviewing hot keywords such as: Steven Johnson's Syndrome, Carbamazepine, Fetal Pain Perception. References: en.wikipedia.org/wiki/Carbamazepine en.wikipedia.org/wiki/Stevens%E2%…Johnson_syndrome en.wikipedia.org/wiki/Prenatal_pe…on#Prenatal_pain

Trigger Finger

Dr. Rosenblum reviews Trigger Finger References: en.wikipedia.org/wiki/Trigger_finger

Turf Wars!

Overlapping Specialties with Pain Management

Ozone for Pain Management

Dr. Rosenblum delves into this commonly used therapy abroad.

The PECS Block and Serratus Anterior Plane Block

The PECS Block and Serratus Anterior Plane Block Reference: www.nysora.com/regional-anesthes…tus-plane-blocks/ Thomas M, Philip FA, Mathew AP, Jagathnath Krishna KM. Intraoperative pectoral nerve block (Pec) for breast cancer surgery: A randomized controlled trial. J Anaesthesiol Clin Pharmacol. 2018;34(3):318–323. doi:10.4103/joacp.JOACP_191_17 Moon EJ, Kim SB, Chung JY, Song JY, Yi JW. Pectoral nerve block (Pecs block) with sedation for breast conserving surgery without general anesthesia. Ann Surg Treat Res. 2017;93(3):166–169. doi:10.4174/astr.2017.93.3.166

Pulsed Radiofrequency Revisted

Join a Dr. Rosenblum as he discusses this review article on this controversial procedure. References: Chua NH, Vissers KC, Sluijter ME. Pulsed radiofrequency treatment in interventional pain management: mechanisms and potential indications-a review. Acta Neurochir (Wien). 2011;153(4):763–771. doi:10.1007/s00701-010-0881-5

The LASER in Pain Management

Do LASERs work in Pain Management? References: MOJ Orthop Rheumatol. Author manuscript; available in PMC 2016 Jun 9. Published in final edited form as: MOJ Orthop Rheumatol. 2015; 2(5): 00068. EFFICACY OF LOW REACTIVE-LEVEL LASER THERAPY FOR PAIN ATTENUATION OF POSTHERPETIC NEURALGIA Osamu Kemmotsu, et al. キーワード: LLLT, GaAlAs laser, Double blind test, Pain clinic, PHN on postherpetic neuralgia ジャーナルフリー 1991 年 3 巻 2 号 p. 71-75

Medical Marijuana – The Great Debate

Alexander Weingarten MD, James Arul MD, Grace Forde MD and Fabienne Saint-Preux MD argue the Pros and Cons of Medical Marijuana

Ketamine for Chronic Pain – The Great Debate

The Great Debate: Ketamine for Chronic Pain at the NY State Pain Society. Featuring Ali Guy, MD and Abishek Achar, MD vs. Romanth Waghamarae, MD and Shayna Sanguinetti, MD

Problem Based Learning – Jaw Pain and Tinnitus

Problem Based Learning - A 57 year old male presents with neck pain, jaw pain and tinnitus lasting for 16 months...

Minimally Invasive vs. Conventional Surgery for Lumbar Spinal Stenosis

An intense debate between Merritt Kinon, MD, Adam Nasser, MD, Rohit Verma, MD, and Kenny Susanto, MD at the NY State Pain Society Annual Meeting 2019

Prolotherapy – Does it work?

A review of prolotherapy an dthe evidence to support it. Special Thanks to Editor, Baruch Kim, DO of BestDocz.com References: en.wikipedia.org/wiki/Prolotherapy#Technique Dextrose Prolotherapy for Knee Osteoarthritis: A Randomized Controlled Trial David Rabago, MD, Jeffrey J. Patterson, DO, Marlon Mundt, PhD, Richard Kijowski, MD, Jessica Grettie, BS, Neil A. Segal, MD, MS, and Aleksandra Zgierska, MD, PhD Ann Fam Med May/June 2013 vol. 11 no. 3 229-237

Cognitive Behavioral Therapy with Ron Lelito, PhD

A Cognitive Behavioral Therapy lecture by Ron Lelito, PhD at the New York State Pain Society.

Larry Kobak, DPM and Lawyer on Opiate Prescribing at NYSPS Conference

Dr. Lawrence F. Kobak, DPM, Esq., is Senior Counsel in Frier Levitt’s Healthcare Department, working in the Uniondale, New York office. Prior to joining Frier Levitt, Larry was a partner at Kern, Augustine, PC, and at Abrams, Fensterman, Eisman, Greenberg, Formato & Einiger, LLP where he was director of the firm’s Office of Professional Medical Conduct (OPMC) and Office of Professional Discipline (OPD) Defense. Larry has extensive experience representing physicians in connection with licensure issues, as well as successfully defending physicians before Medical Boards, OPMC, OPD investigations, as well as Medicare Fraud, Fraud & Abuse, Hospital Actions, RAC Audits, Medicare Audits, OIG Fraud, Health Care Fraud, Medical Audits, and Health Plan Billing Audits. As a licensed Podiatrist prior to becoming an attorney, he served as the international president of the Academy of Ambulatory Foot and Ankle Surgery. Larry is a fellow of the Academy of Ambulatory Foot and Ankle Surgery, Diplomate of the American Board of Podiatric Surgery, Ambulatory Division, Diplomate of the American Board of Quality Assurance and Utilization Review Physicians, Diplomate of the American Academy of Pain Management, and Diplomate of the American Institute of Foot Medicine. For more information: lkobak@frierlevitt.com 516.222.2400

Nicholas Bacher on Pain Management Exposure in Medical Schools

Dr. Rosenblum and medical student Nicholas Bacher discuss the paucity of pain management education in medical school.

An Interview with Peter Lascarides, MD

Building a Pain Practice, Marketing Promoting and more with Peter Lascarides, DO, The Treasurer of the Executive Committee of the EPA.

NYSIPP President – Ed Rubin, MD

An Interview with NYSIPP President and Pain Physician Ed Rubin, MD Discussed: -Surviving a DEA Audit -Ketamine Infusions -Building a Pain Practice

An Interview with Neel Mehta, MD – Director of the Weill Cornell Pain Management Center

Neel D. Mehta, M.D., is the Director of the Weill Cornell Pain Management Center and an Assistant Professor of Clinical Anesthesiology at Weill Cornell Medical College. He also serves as a Co-Director of the Center for Comprehensive Spine Care, Medical Director of 14 South Amenities Unit, and Advisory Board Member to the Patient Experience Task Force and Integrative Medicine Center. He is a Director-at Large-of the New York Society of Interventional Pain Physicians and President-Elect of the Eastern Pain Association.

Giving First! An Interview with Baruch Kim, MD

Dr. Baruch Kim obtained his undergraduate degree in Psychology at Stony Brook University with a simple desire to study the "human mind." At Stony Brook University, he participated in conducting a research study in human memory. He has extensive experiences in teaching his peers and students including a self-developed course in Rapid Reading, Optimization of Human Memory, Mid Mapping, as well as his online Chemistry Series and many others. Dr. Kim finished his medical school in New York, completed his internship in Michigan. He then moved back to New York to join his residency program at the Rusk Rehabilitation of NYU Langone Health, where he has been serving as an administrative chief resident. Dr. Kim will soon begin his journey in pain medicine at the ACGME-Accredited Pain Management Fellowship Program at NYU. Dr. Kim has featured in the newsletter at NYU on multiple occasions with his institutionwide projects in patient safety. Has contributed to improving the interpretation service at NYU Tisch, NYU Langone Orthopedic Hospital and NYU Brooklyn Hospital for all physicians. He also made official institutional guides (tutorial animations) on how to report patient safety events at three hospital sites, and how to perform the IPASS (handoff). He has also created tutorial animations on High Reliability Organization for all house staff at NYU with his sincere dedication to supporting "the culture change" in patient safety. At the beginning of his PGY 4 year, he was nominated by NYU residency program and the Association of Academic Physiatrists as an ACGME Review Committee member of his field. Dr. Kim has numerous leadership positions on a regional, and national level. He is currently serving as the secretary of the executive committee of Eastern Pain Association, co-chair of the Korean American Medical Residents and Fellows, national chapter, resident chair of social communication committee of the New York Society of Physical Medicine and Rehabilitation, and quite a few other positions. He manages multiple websites and many social media accounts for medical organizations and national leaders/physicians. He is a founder of BestDocz.com and also a brand strategist for Samuel Shem for his new book, Man's 4th Best Hospital (sequel to the House of God) which is to be released in November 2019.

Yu Chiu, MD and RegenMed101

Dr. Rosenblum interviews Yu Chiu, MD about his involvement in the Eastern Pain Association and his new podcast RegenMed101

Post Dural Puncture Headache

Diagnosis, pathophysiology and management of the Post Dural Puncture Headache.

Back to the OR and ASRA’s Review Article on Lower Extremity Nerve Blocks

Dr. Rosenblum discusses his return to Anesthesia, and the latest review article on Regional Anesthesia. Reference: Lower extremity regional anesthesia: essentials of our current understanding Tran DQ, Salinas FV, Benzon HT, Neal JM 2019;44:143-180.

Anterior Cutaneous Nerve Entrapment Syndrome

A review of this commonly overlooked disorder. Citation: Sheila Clarke, Saravanakumar Kanakarajan, Abdominal cutaneous nerve entrapment syndrome, Continuing Education in Anaesthesia Critical Care & Pain, Volume 15, Issue 2, April 2015, Pages 60–63, https://doi.org/10.1093/bjaceaccp/mku016

The ASIPP Guidelines on Biologics in Pain Medicine

Dr. Rosenblum reviews Key Points in the 2019 ASIPP's Biologics in Pain Medicine Guidelines. Pain Physician 2019; 22:S1-S74 • ISSN 1533-3159

The Present and Future of Pain Management & More!

David Rosenblum, MD and Gary Schwartz, MD discuss: -Practice Management- missed phone calls -The Erector Spinae Plane Block -The Future of Pain Medicine -ER Admissions for Lumbar Radiculopathy -Cervical Ultrasound Injection -Dr. Schwartz's involvement and support of ASRA and much more!

An Interview with Sudhir Diwan, MD: NANS 2019 Conference Series

Join Dr. Rosenblum as he sits down with Sudhir Diwan to discuss: -Regenerative Medicine -Private Practice -Sacroiliac Joint -PRP -and More!

An Interview with Patent Attorney Jason Rosenblum

Dr. Rosenblum interviews his brother, Patent Attorney, Jason Rosenblum. Discussed in this podcast: -Copyright vs. Trademark -Infringement and Penalties -Protecting your Inventions and Ideas -Steps to Patenting your Products

Burst Stimulation with Jonathan Carlson, MD

Dr. Rosenblum interview Jonathan Carlson, MD about his cutting edge work. Discussed in this podcast: -Burst DR -Latest research -Impact on affect with Burst Stimulation -Physician Directed, Industry Independent Research -Opiate Utilization across the world

DRG, PNS, and Regenerative Therapies

Dr. Rosenblum interviews Dr. Hunter Discussed in this Podcast: -Dorsal Root Ganglion Stimulation -Peripheral Nerve Stimulation -Regenerative Therapies -Research in a Private Pain Practice

Running a Truly Integrative Pain Practice with Jayen Patel, MD

Join Dr. Rosenblum as he connects with his old colleague Jayen Patel, MD and discusses: Multidisciplinary Private Pain Practice Integrating Addiction Medicine Bringing a gun to work Regenerative Medicine

Neuromodulating Headaches with Dr. Mark Burish

Dr. Rosenblum interviews Neurologist and Pain Physician Dr. Mark Burish (Memorial Hermann Texas Medical Center.) Interview at the North American Neuromodulation Society's Annual Meeting in Las Vegas. Discussed in this podcast: -Occipital Nerve Stimulation -Vagal Nerve Stimulation -Supraorbital Nerve Stimulation

Peripheral Nerve Stimulation with Dr. Erik Shaw

Dr. Rosenblum discusses peripheral nerve stimulation, research, psychology and more at NANS 2019 in Las Vegas. -T Codes for Ultrasound Injections -Opiate Double Standards -Legislators ignorance of what Pain Physicians do

Telehealth and Telemedicine in Pain Management

Dr. Rosenblum discusses Telehealth and a CMS document located at PainExam.com

Depositions and Inheriting a Patient on High Dose Opiates

Dr. Rosenblum and Dr. Schwartz Discuss ASRA, NANS as well as depositions and handling the patient on high dose opiates.

MILD vs. Epidural Steroid Injection in Lumbar Spinal Stenosis

Epidural Steroid Injection vs. the MILD Procedure in Lumbar Spinal Stenosis. Meet Dr. Rosenblum at NANS this January in Las Vegas. References: "A Double‐blind, Randomized, Prospective Study of Epidural Steroid Injection vs. The mild®Procedure in Patients with Symptomatic Lumbar Spinal Stenosis", Lora L. Brown MD Coastal Orthopedics and Sports Medicine, Bradenton, Florida, U.S.A. First published: 25 January 2012 https://doi.org/10.1111/j.1533-2500.2011.00518.x

Getting Accepted and Preparing for a Pain Management Fellowship

Dr. Rosenblum and Dr. Benett Discuss: -Getting accepted to an Interventional Pain fellowship as an Anesthesia Resident -Preparing for Pain Management fellowship -How many procedures should we let the residents do? -How long should a pain fellowship be? -What type of pain job should I take? Pain? Anesthesia? or Combined? -Do Pain Doctors Save Lives?

Discography

Dr. Rosenblum Reviews Discography and Discogenic Pain An Update of the Systematic Appraisal of the Accuracy and Utility of Discography in Chronic Spinal Pain Pain Physician 2018; 21:91-110 Laxmaiah Manchikanti, MD, Amol Soin, MD, Ramsin M. Benyamin, MD, Vijay Singh, MD, Frank JE Falco, MD, Aaron K. Calodney, MD, Vahid Grami, MD, MPH, and Joshua A. Hirsch, MD

ABPM Review – Pain and Personality Disorders

ABPM Outline and Keyword Review focusing on helping Pain Physicians pass the Board Examination. This weeks topic is Personality Disorders and Pain. References: Clin Neurosci. 2012 Jan; 9(1): 10–14. Published online 2012 Jan. PMCID: PMC3280073 PMID: 22347686 Chronic Pain Syndromes and Borderline Personality Randy A. Sansone, MD and Lori A. Sansone, MD https://www.nimh.nih.gov/health/topics/borderline-personality-disorder/index.shtml Pain Volume 26, Issue 2, August 1986, Pages 181-197 Male and female chronic pain patients categorized by DSM-III psychiatric diagnostic criteria David A.Fishbain, Myron Goldberg, B. Robert Meagher, Renee Steele Hubert Rosomoff.

Neuropathic Pain Update

Current definition and review of drug treatment. Reference: Aust Prescr. 2018 Jun; 41(3): 60–63. Published online 2018 Jun 1. doi: [10.18773/austprescr.2018.022] PMCID: PMC6003018 PMID: 29921999

SPACE – Are Opiates Effective in Chronic Knee, Hip and Back OA

Effect of opioid vs. nonopioid medications on pain-related function in patients with chronic back pain, or hip or knee osteoarthritis pain. The SPACE Randomized Clinical Trial References: Erin E. Krebs, MD, MPH; Amy Gravely, MA; Sean Nugent, BA; et al Agnes C. Jensen, MPH; Beth DeRonne, PharmD; Elizabeth S. Goldsmith, MD, MS; Kurt Kroenke, MD; Matthew J. Bair; Siamak Noorbaloochi, PhD JAMA. 2018;319(9):872-882. doi:10.1001/jama.2018.0899

Neuromodulation

Dr. Rosenblum reviews recent advances and guidelines in neuromodulation.

Pudendal Neuralgia – Journal Club

The Pudendal Nerve Block for Pudendal Neuralgia - To give steroid or not? Reference: BJOG: An International Journal of Obstetrics & Gynaecology. Adding corticosteroids to the pudendal nerve block for pudendal neuralgia: a randomised, double‐blind, controlled trial JJ Labat T Riant et al First published: 27 July 2016 https://doi.org/10.1111/1471-0528.14222

HIV Related Pain

Dr. Rosenblum reviews considerations, guidelines and other pertinent info with respect to managing pain in the HIV patients. References: Canadian Journal of Anaesthesia September 1992, Volume 39, Issue 7, pp 724–730 "Pain syndromes in HIV infection" -- 2017 HIVMA of IDSA Clinical Practice Guideline for the Management of Chronic Pain in Patients Living With HIV R Douglas Bruce Jessica Merlin Paula J Lum Ebtesam Ahmed Carla AlexanderAmanda H Corbett Kathleen Foley Kate Leonard Glenn Jordan Treisman Peter Selwyn Clinical Infectious Diseases, Volume 65, Issue 10, 30 October 2017, Pages e1–e37,

The Bullshit Detector

Dr. Rosenblum gets personal with his background and how it relates to sifting through the lies. How to weed out drug seekers and malingerers. How Fidel Castro influenced your Board Prep?

The Advanced Beneficiary Notice

Dr. Rosenblum explains the ABN, how and when to use it. 12 Month Discount for PainExam.com - Enter 12MONPE at checkout.

Adverse Drug Reactions in Elderly

Dr. Rosenblum returned from a the fantastic PainWeek conference and reviews, editorializes the PainWeek Journal Article. 2019 Examinee- 12 Month PainExam Discount Enter Coupon Code: 12MONPE

Fentanyl for the Boards!

Fentanyl, its uses, misuses, pharmacodynamics and more! Reference: https://en.wikipedia.org/wiki/Fentanyl

Morphine – Back to Basics

Everything you wanted to know about Morphine! Reference: https://en.wikipedia.org/wiki/Morphine

Congenital Pseudoarthrosis

Dr. Rosenblum describes Congenital Pseudoarthrosis of the Tibia and the pain associated with the illness. Reference: https://www.sciencedirect.com/science/article/pii/S1877056811001885

Percutaneous Endoscopic Discectomy: A Review

Dr. Rosenblum describes the Percutaneous Discectomy: Outcomes, Techniques and more! References: - “A COMPARATIVE STUDY OF FUNCTIONAL OUTCOME OF CONVENTIONAL DISCECTOMY WITH PERCUTANEOUS ENDOSCOPIC DISCECTOMY” - Clinical outcomes after percutaneous transforaminal endoscopic discectomy for lumbar disc herniation: a prospective case series | Neurosurgical Focus, Vol 40, No 2 - Unsuccessful Percutaneous Endoscopic Lumbar Discectomy: A Single-Center Experience of 10 228 Cases

Ketamine for Chronic Pain Guidelines

Dr. Rosenblum reads and reviews ASRA's Chronic Pain Guidelines and provides a commentary. References: http://journals.lww.com/rapm/Fulltext/20…ravenous.11.aspx

Bertolotti’s Syndrome, Bamboo Spine, Ankylosing Spondylitis

Dr. Rosenblum reviews Bertolotti Syndrome, ankylosing spondylitis and the Bamboo Spine. Also discussed this episode, Anderson lesions, lumbarization and sacralization.

The Venous Air Embolism

Dr. Rosenblum discusses the Venous Air Embolism on the AnesthesiaExam Podcast References Diagnosis and Treatment of Vascular Air Embolism Marek A. Mirski, M.D., Ph.D.; Abhijit Vijay Lele, M.D.; Lunei Fitzsimmons, M.D.; Thomas J. K. Toung, M.D. Anesthesiology 1 2007, Vol.106, 164-177. doi:

Epidural Steroid Injection in First Trimester

Dr. Gary Schwartz and Dr. Rosenblum discuss management of a patient with an Acute Disc Herniation.Is an epidural steroid safe in pregnancy?What medications can be used to treat pain? Class B medications?

Buerger’s Disease and an Opiate Scam Letter

Part 1, Dr. Rosenblum and Dr. Schwartz discuss a case of a patient with a painful ischemic toe related to Buerger's Disease. Part 2, Dr. Rosenblum finds a fraudulent letter from an internist who is asking for validation. You should listen to this!

To Sedate or Not Sedate… An AnesthesiaExam Podcast

Join Dr. Rosenblum and Dr. Schwartz as they discuss whether or not to sedate for pain procedures, and which procedures they avoid sedating.

Cervical Facet Plane Block

Dr. Rosenblum describes a new procedure - The Cervical Facet Plane Block. Also included: -Ultrasound Guided Selective Nerve Root Block in the Cervical spine. -Ultrasound Guided Medial Branch Nerve Root Block

Physician Side Gigs

Resyndication of the AnesthesiaExam Podcast Dr. Rosenblum Discusses Side Gigs and gives advices. - Getting Started - Mailers - Legal consultants- JHRlegal.com

What’s the Deal with Fioricet?

Fioricet, Regalan and Triptans in the Management of Migraines. Enter ASRA18 at PainExam for 20% off (until June 1, 2018) References: Ann Emerg Med. 2011 May; 57(5): 475–82.e1. https://en.wikipedia.org/wiki/Fioricet https://en.wikipedia.org/wiki/Metoclopramide

ASRA 2018 Guidelines

New Podcast on ASRA 2018 Guidelines on Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications. -Aspirin use during spinal cord stimulator trial -Serotonin reuptake inhibitors and bleeding risk -Herbal and Dietary Supplements and bleeding risk References: ASRA 2018 Guidelines Enter ASRA18 at checkout 20% off PainExam.com, AnesthesiaExam.com, and PedsAE.com (Valid until June 1, 2018)

Assessing the RA Patients for Anesthesia

Rheumatoid Arthritis and Anesthesia for the Boards

Adductor Canal Block & Genicular Nerve Block – A Review

David Rosenblum, MD discusses complications, anatomy and indications of the adductor canal saphenous nerve block and genicular nerve block with or without rhizotomy. References: https://www.nysora.com/ultrasound-guided-saphenous-subsartoriusadductor-canal-nerve-block http://www.indianjpain.org/article.asp?issn=0970-5333;year=2013;volume=27;issue=1;spage=36;epage=40;aulast=Harshe

Hip RFA Article Summarized and The Opiate Handoff and Fumble!

Dr. Rosenblum gives and opinion and description of his approach to a challenging case referred to his practice. Also, ASRA Review article of Radiofrequency of the Hip summarized. Radiofrequency Procedures to Relieve Chronic Hip Pain. An evidence-based narrative review. Regional Anesthesia and Pain Medicine. Volume 43 (1) january 2018 pp. 72-83

Running Anesthesia at an ASCS

Dr. Reet Lawhon is the runs the anesthesiology services at Brooklyn Surgical Center. He is an experienced Regional Anesthesiologist and has private practice as well as academic experience. Discussed in this podcast... Dr. Rosenblum says the C word on audio..... Cancelitis- When to cancel a surgical case? Presurgical Testing Sedation for GI CMS- Change in Anesthesia units for colonoscopy Employment by Produralists Chronic Poststernotomy Pain. Incidenc, Risk Factors, Treatments, Prevention and the Anestheisologist's Role. Kleiman AM, Sanders DT, Nemergut EC, , Huffmyer JL. Regional Anesthesia and Pain Medicine. Volume 42, number 6, November - December 2017 pp 698--708 See more at http://www.PainExam.com

Post Sternotomy Pain – Summary of RAPM Review Article

Dr. Rosenblum summarizes a Regional Anesthesia and Pain Medicine Article Chronic Poststernotomy Pain. Incidenc, Risk Factors, Treatments, Prevention and the Anestheisologist's Role. Kleiman AM, Sanders DT, Nemergut EC, , Huffmyer JL. Regional Anesthesia and Pain Medicine. Volume 42, number 6, November - December 2017 pp 698--708 See more at http://www.PainExam.com

Medical Immersion and Volunteer Trip to Costa Rica

An interview with Cedric Hodgman and Martina Kaiser of UBELONG. Discussion on the upcoming Costa Rican Medical Volunteer and Immersion Trip. See more at http://www.PainExam.com

ABN and Strontium in Pain Management

Advanced Beneficiary Notice for Pain Management Strontium - Hot ABPM Pain Keyword! See more at http://www.PainExam.com

The Digital Pain Doctor

Dr. Rosenblum briefly discusses changes to US healthcare since President Obama's Affordable Care Act came around. Dr. Rosenblum also discusses how to leverage your email list and other online opportunities. See more at http://www.PainExam.com

MACRA, MIPS and Meaninful Use, Oh My!

Warning, the subjects of this podcast are MACRA and MIPS Government Policy. Side effects of listening to this lecture include: -Boredom -Misery -Desire to quit medicine -Suicidal Ideation (Don't do it, call me first!) See more at http://www.PainExam.com

CMS Executive Summary on Opioid Use Disorder

David Rosenblum, MD summarizes CMS' Outreach and Education document on the opioid misuse strategy. To view the full article, please visit: https://www.cms.gov/Outreach-and-Education/Outreach/Partnerships/Downloads/CMS-Opioid-Misuse-Strategy-2016.pdf

Should I do an Anesthesiology Fellowship?

Dr. Rosenblum interviews David Blumenkranz, MD about fellowship, contract negotiation and more!

Regional Anesthesia vs. Pain Management Fellowship; Sphenopalatine Ganglion Block!

Dr. Rosenblum and resident Marc Dany, MD discuss career paths. Regional Anesthesia vs. Pain Management.Pharmaceutical marketing techniques and the sphenopalatine ganglion also discussed.

Does Hypnosis Work?

Dr. Rosenblum summarizes an article that reviews controlled prospective trials of hypnosis for the treatment of chronic pain. Reference: Gary Elkins,1 Mark P. Jensen, and David R. PattersonHypnotherapy for the Management of Chronic PainInt J Clin Exp Hypn. 2007 Jul; 55(3): 275–287.

Opiate Witch Hunt and Dealing with Unexpected Cancers on Routine Pain Imaging

Dr. Rosenblum opens up about troubling findings on MRIs in apparently healthy patients. Also, he discusses his feelings about opiate prescribing and changing attitudes towards pain management physicians. Pain physicians interested in learning more about stem cells should contact Dr. Rosenblum via email DRosenblum@QBazaar.com

Myasthenia Gravis and Anesthesiology Concerns

For those of you still practicing anesthesiology, I thought this brief review may be useful. Pain physicians interested in learning more about stem cells should contact Dr. Rosenblum via email DRosenblum@QBazaar.com

Stem Cells for Knee Pain- Does it work?

A discussion with Lou Ezrick, PT and patient who received Bone Marrow Aspirate for his knee pain. Lou describes his pain, treatment, and response to stem cell derived from bone marrow aspirate. Lou is currently 80% better and is very active. He is currently working full time managing his physical therapy practice, Evolve Physical Therapy in Brooklyn. Pain physicians interested in learning more about stem cells should contact Dr. Rosenblum via emailDRosenblum@QBazaar.com

Marketing your Regenerative Pain Practice

Dr. Rosenblum interviews Anthony about his approach to marketing his interventional and regenerative pain practice. Dr. Rosenblum performs Stem Cell Injections and PRP to help his patients who wish to avoid the side effects associated with steroid injections and opiate medications.

Methemoglobinemia

Methemoglobinemia may be induced by a variety of drugs including local anesthetics.

Esophageal Cancer

A taste of this high yield original podcast that will definitely get you thinking

ABA Pain Exam Content Outline Topic

Dr. Rosenblum discusses the ABA Pain Exam's Content Outline and focuses on Cultural topics, Disparities in Pain Management between countries, AIDS, PTSD and the stellate ganglion block.

CDC Guidelines for opiate prescribing

Dr. Rosenblum discusses the CDC's Guidelines for Opiate Prescribing.

Acromioclavicular Joint Pathology

Not often asked on the Pain Boards, but this is a good one to know.

Difficult Cancer Case

Dr. Rosenblum opens up about a difficult patient in his pain practice who suffers from lymphedema, arm pain, chest pain and neck pain radiating to the supraclavicular fossa

Lower Back Pain Guidelines from the American College of Physicians

ACLS Update as of February ’17

David Rosenblum, MD reviews the latest changes (as of feb. 2017) to ACLS protocols.

Breast Pain- Mastalgia for the Pain Boards

A discussion about Mastalgia and Cyclic Breast Pain for the Pain Boards

Tarsal Tunnel Syndrome and Patellofemoral Pain Syndrome

David Rosenblum, MD gives and in depth review of the tarsal tunnel syndrome and patellofemoral syndrome for your practice and board review.

How To Study For The ABPM

David Rosenblum, MD goes through the list of topics covered on the ABPM exam and tips on the best way to prepare.

Medical Marijuana for Pain

Medical Marijuana-A basic overview for Pain Docs and Pain Patients

Knobology and Lower Extremity US Nerve Blocks- Grand Rounds

Lower Extremity Nerve Block for Pictures, go to Algo-Sonic.com

Amniotic Fluid Membrane Injections

Dr. Rosenblum discusses why and how he made the leap from anesthesiology to pain management. He also covers how using ultrasound guided imaging from anesthesiology helps him to be a better pain management specialist.

Tietze Syndrome for the Pain Boards

David Rosenblum, MD specializes in Pain Management and is the Director of Pain Management at Maimonides Medical Center and AABP Pain Managment

Cervical Spondylotic Myelopathy for Pain Management Physicians

Dr. Rosenblum discusses the evaluation and management of Cervical Spondylotic Myelopathy

Evaluation and Management Services for Pain Physicians

Dr. Rosenblum discusses CMS E and M Coding Guidelines

Greater Trochanteric Bursitis for the Pain Boards

Dr. Rosenblum discusses the evaluation and management of Greater Trochanteric Bursitis

Total Hip Arthroplasty

Dr. Rosenblum discusses the evaluation and management of hip pain after Total Hip Arthroplasty

Pain Journal Club- The Straight Leg Raise

David Rosenblum, MD specializes in Pain Management and is the Director of Pain Management at Maimonides Medical Center and AABP Pain Managment

The Piriformis Syndrome

Dr. Rosenblum Discusses the management and treatment of the Piriformis Syndrome

Femoral Neuropathy and Lateral Femoral Cutaneous Neuralgia

Dr. Rosenblum Discusses the management and treatment of Femoral Neuropathy

Hip Osteoarthritis for the Pain Boards

Dr. Rosenblum Discusses the management and treatment of Hip Osteoarthritis

The Stellate Ganglion Block- RSD and PTSD

David Rosenblum, MD specializes in Pain Management and is the Director of Pain Management at Maimonides Medical Center and AABP Pain Managment

Phrenic Nerve Block- A case report

Chronic post operative pain, abdominal pain, phrenic nerve block, the splanchnic nerve block and the TAP Block all discussed.

Multiple Sclerosis- Considerations for the Pain Boards

Multiple Sclerosis, ALS and Muscular Dystrophy.More useful for Anesthesia and PMR Boards, but still a good Review

Lumbar Degenerative Disc Disease

Dr. Rosenblum Discusses the management and treatment of Lumbar Degenerative Disc Disease.

Thoracic Radiculopathy for the Pain Boards

Dr. Rosenblum Discusses the management and treatment of Thoracic Strain, Radiculopathy and Botox

Thoracic Compression Fractures for the Pain Boards

Dr. Rosenblum Discusses the management and treatment of Thoracic compression fractures

Ulna Neuropathy and DeQuervain’s Lecture

Dr. Rosenblum Discusses Ulna Neuropathy Discussed Here: Cubital Tunnel Syndrome, Premium Podcast Episode also features DeQuervain's Tenosynovitis lecture

Radial Neuropathy for the Pain Boards and your Practice

Dr. Rosenblum Discusses Radial Neuropathy Discussed Here: Radial nerve palsy, radial nerve compression, EMG epicondylitis

Median Neuropathy for the Pain Boards and your Practice

Dr. Rosenblum Discusses Median Neuropathy

Elbow Pain – For the Pain Boards and your Practice

Dr. Rosenblum Discusses Elbow Pain Discussed Here: RA, SLE, OA, Epicondylitis, Gout, Pseudogout, Primary elbow arthritis

Opiates in Renal Failure

Discussed in this Podcast: Renal Failure Morphine Fentanyl Codeine Buprenorphine Oxycodone Alfentanil

The Job Market for Anesthesia Residents

Dr. Rosenblum interviews Dr. Paul about the process of obtaining a job in the age of the Affordable Care Act.

Ultrasound to Enhance your Practice – Practice Management Series

Dr. Rosenblum discusses why and how he made the leap from anesthesiology to pain management. He also covers how using ultrasound guided imaging from anesthesiology helps him to be a better pain management specialist.

Trigeminal Neuralgia for the Pain Boards

Dr. Rosenblum discusses atypical opiate analgesics, such as tramadol and tapentadol

Opioid Induced Constipation

Dr. Rosenblum summarizes a recent article published on opioid induced constipation.

An Interview with resident Garo DerParghesian, MD

Anesthesia resident Garo DerParghesian, MD discusses resident life, anesthesiology, subspecialties and his intent to go into Pain Management.

Pelvic Pain for the Pain Boards

Dr. Rosenblum gives a brief overview of pelvic pain.

Social Media in Marketing a Medical Practice

Dr. Rosenblum and QBazaar.com, LLC, Marketing Director, Claire Flanagan, discuss the new social media landscape as it pertains to the business of medicine.

Fibromyalgia

Claire Flanagan reviews Fibromyalgia and diagnostic criteria.

Phantom Limb Pain

Dr. Rosenblum discusses the management of Phantom Limb Pain

Sacroiliac Joint Pain and Piriformis Syndrome

Dr. Rosenblum reviews diagnosis, eitology, and treatment of SI joint and Piriformis Syndrome.

Board Prep Ambush!

Dr. Rosenblum gives a mock oral exam to Dr. John on his first day of the pain rotation. Topics discussed include the work up, diagnosis and treatment of neck, shoulder and upper extremity pain after a motor vehicle accident.

ASRA Guidelines for Pain Procedures Part 3

In this third episode reviewing the 2015 guidelines, Dr. Rosenblum summarizes and quotes ASRAs latest Guidelines for Patients who are on anticoagulants and are planning to undergo pain procedures.

Securing your Office

Rey Soto of FRS Management discusses Cyber Security in a medical office, Hipaa, omnibus ruling with David Rosenblum, MD.

ASRA 2015 Guidelines Part 2

In this second episode reviewing the 2015 guidelines, Dr. Rosenblum summarizes and quotes ASRAs latest Guidelines for Patients who are on anticoagulants and are planning to undergo pain procedures.

2015 ASRA Anticoagulant and Procedure Guidelines

Dr. Rosenblum summarizes and quotes ASRAs latest Guidelines for Patients who are on anticoagulants and are planning to undergo pain procedures.

Suprascapular Nerve Block for Cervical Radiculitis?

Dr. Rosenblum and Dr. Durrani discuss their upcoming ASRA poster and paper taking a retrospective look at patients who presented with cervical radiculitis. Patients who would have otherwise received a Cervical Epidural Steroid injection, received a Suprascapular Nerve Block.

ICD 10, Its here

PainExam.com is proud to announce, we have just passed 10,000 downloads!!! On this Podcast ICD 10 Preparation Full Version with all of the details to prepare you for the new system

Osteoarthritis and Anklyosing Spondylitis

A review of Osteoarthritis and Ankylosing Spondylitis for the the Pain Practitioner.

Rheumatoid Arthritis

Dr. Rosenblum discusses Rheumatoid Arthritis

Acute Low Back Pain Diagnosis and Management

Acute Back Pain Diagnosis MRI, CT scan, Bone Scintigraphy, X rays, Comorbid psychological illness, substance abuse, Cauda equina syndrome

Overview of Low Back Pain

Dr. Rosenblum gives a preview of his Premium Low Back Pain Board Review Podcast

Cardiologic considerations in Pain Management

David Rosenblum, MD interviews EP Cardiologist Ron Shnitzer, MD

Extraoral, Intraoral and Non-Neuropathic Facial Pain

Dr. Rosenblum Reviews Non-neuropathic Orofacial Pain and the treatment of TMJ, Trigeminal Neuralgia

Orofacial Pain and Cervicogenic Headache

Dr. Rosenblum Reviews Orofacial Pain and the Cervicogenic Headache

Abdominal Pain: Somatic Vs Visceral

Dr. David Rosenblum and Dr. Gary Schwartz discuss 2 interesting abdominal pain cases

An Interview with a Pain Nurse – Darlene Saberito, RN

David Rosenblum, MD interviews Pain Management Nurse, Darlene Saberito Read more at http://painexam.libsyn.com/page/4/size/25#kVtPgzoYtbOK4wFs.99

Migraine Headaches- A Brief Introduction

A free review of Migraine Headaches for the pain boards and your practice.

Pain Jobs vs. Anesthesia Pain Jobs

Dr. Rosenblum interviews Dr. Schwartz of AABP Pain Management

TMJ Disorder, Headaches, and Facial Pain

Dr. Rosenblum interviews Michael Steinberg, DDS, author of Inside Job The World's Leading Dentists Reveal the Secrets to Total Body Health From the inside out!

Physical Medicine and Rehabilitation for the Pain Boards

Dr. Rosenblum reviews rehab and physical therapy modalites to treat pain.

Postherpetic Neuralgia- Pain Management

David Rosenblum, MD discusses diagnosis, pathology, prevention and treatment of Postherpetic Neuralgia.

Diagnosis and Physical Exam: Shop Talk with Ofir Isaac, DPT

Dr. Rosenblum and Dr.Isaac discuss the Mckenzie medthod, diagnosing and treating sacroiliac joint pain, lumbar radiculitis,and other painful disorders.

Pain Scales

A review of the various Pain scales used to measure pain. Podcast includes, VAS, VRS, McGill, Pain Questionnaire, FACES, FLACC, etc.

Obesity and Chronic Pain

Dr. Rosenblum quotes and comments on a fantastic review article on Obesity and Chronic Pain.

Jump to ICD-10

Dr. Rosenblum reviews Steve Berman's (Anesthesia Business Consultants) presentation and goes over changes that may impact your practice due to the implementation of the ICD-10.

Atypical Opiate Analgesics

Dr. Rosenblum discusses atypical opiate analgesics, such as tramadol and tapentadol

Anticoagulation Part 2, Pregnancy and Herbal Supplements

A continuation of last weeks discussion on the ASRA guidelines for the performance of neuraxial procedures in patients, pregnant women and those with drug induced coagulopathy. Also discussed, herbal supplements and their influence over the clotting pathways.

Local Anesthetic Toxicity and Anticoagulation Guidelines

Dr. Rosenblum discusses ASRA's guidelines to Local anesthetic toxicity and anticoagulation guidelines for patients undergoing neuraxial anesthesia.

Opiate Conversions and Scheduling

This podcast reviews various drug scheduling classifications, Tramadol, opiate conversions and therapeutic uses. For more information, go to PainExam.com, and look out for future podcasts and audiophiles for Pain Management Board Preparations. References DEA website Benzon HT Essentials of Pain Medicine and Regional Anesthesia Package insert- Tramadol

Protecting your turf!

After teaching ultrasound guided nerve blocks at the AIUM conference in Orlando, Dr. Rosenblum discusses ultrasound guided pain management performed by Pain physicians and emergency room doctors.

Ultrasound in Pain Medicine

Dr. Rosenblum, gives a brief overview of the utility of ultrasound in pain medicine. TAP, suprascapular nerve, occipital nerve block under ultrasound guidance all reviewed and advantages discussed.

Choosing an EMR

This is the first podcast dedicated to building and growing your pain practice. Dr. Rosenblum describes what to look for in an EMR, and how to avoid expensive mistakes when it comes time to choose the right one. Most of the advice can be applied to any practitioner in any state who struggles with changing over to an electronic medical record. Once again, stay tuned, for more podcasts dedicated to Pain Management Board Review and Managing a Practice.

Pharmacology for the Interventional Physician

This is a review of medications for the interventional pain physician.

Complex Regional Pain Syndrome (CRPS)

A review of the work up and management of Complex Regional Pain Syndrome

Suprascapular, Intercostal and Paravertebral Nerve Blocks

A review of the suprascapular, intercostal and paravertebral nerve blocks. A preview of Dr. Rosenblum's course on the ultrasoung guided suprascapular, intercostal and paravertebral nerve blocks at the 2015 AIUM conference in Orlando.

Acute Pain Management

The podcast describes causes of acute pain, its assessment, and treatment options. Some of the items reviewed include: Local Anestetics Gabapentin Tramadol Tapentadol Epidural, nerve blocks and infusion rates. References: Canadian Journal of Anesthesia 51: 986-989 Anesthesia and Analgesia 2004; 98:1-3 Drug Package inserts