PainCast

Tag: Cryoanalgesia

  • Infrapatellar Saphenous Nerve

    Infrapatellar Saphenous Nerve

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on April 18, 2022

    Andrea Trescot, MD, demonstrates cryoanalgesia (cryo) for several pain conditions on a cadaver at a World Institute of Pain (WIP) workshop in Miami, FL. Dr. Trescot mainly discusses performing cryo on the infrapatellar saphenous nerve for knee pain. She also discusses other applications including relieving pain from knee replacements, deep vein thromboses (DVTs), diabetic neuropathy, and phantom limb pain. She discusses the different nerves that are targeted for the different applications.

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  • Knee Osteoarthritis and Total Knee Replacement

    Knee Osteoarthritis and Total Knee Replacement

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    Published on December 18, 2020

    Join Andrea Trescot, MD, as she covers the ins and outs of cryoneuroablation to manage knee pain. She presents the indications for cryotherapy and explains the underlying mechanisms behind this technique. Dr. Trescot also gives her perspective on why the use of cryoneuroablation is resurging and why it’s a good idea to pair this technique with ultrasound.

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  • A Conversation About Cryoanalgesia

    A Conversation About Cryoanalgesia

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on September 25, 2020

    Dr. Andrea Trescot discusses the benefits and challenges of cryoanalgesia with Dr. Standiford Helm. Among the topics they cover are the benefits of cryoablation for intractable pain, the use of cryoanalgesia before surgery to reduce post-operative pain, and a large study on the use of cryoablation to help resolve phantom limb pain. The doctors conclude their conversation with a discussion of the challenges associated with getting insurance companies to reimburse providers.

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  • Fire and Ice

    Fire and Ice

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on April 29, 2020

    Dr. Andrea Trescot provides a comprehensive review of axonal ablation methods, including thermal lesioning (RFA), “cooled” RF, pulsed RF (none leasioning RF), and cryo-neuroablation. She discusses the mechanisms and effects of each type, with a particular emphasis on the efficacy and safety of cryo-neuroablation for treatment of peripheral neuropathy.

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  • Plantar Fascia

    Plantar Fascia

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on March 31, 2020

    Dr. Brian Allen shows us his technique of using cryoanalgesia to treat pain of the plantar fascia on a cadaveric foot. He explains the initial incision, probe placement, and freezing times. Dr. Allen also explains why cyroanalgesia is a less invasive and much safer than surgery.

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  • The Benefits of Cryoanalgesia

    The Benefits of Cryoanalgesia

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on March 13, 2020
    Dr. Andrea Trescot describes her preference for using cryoanalgesia rather than radiofrequency ablation for treating peripheral neuropathy. She explains how cryoablation leaves the axonal architecture undamaged, which makes this procedure safer than thermal ablation. Dr. Trescot details the use of the Epimed PainBlocker®, which includes freezing time and iceball formation. She includes her recommendation for diagnostic injections and also mentions the cases where ablating mixed nerves, motor with sensory, is warranted.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1488298613118{margin-top: -20px !important;}”]

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  • Morton’s Neuroma

    Morton’s Neuroma

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on February 18, 2020
    Dr. Brian Allen demonstrates how he treats a Morton’s neuroma in his office using cryoanalgesia on a cadaveric foot. He explains his palpation method, probe entry into the intertarsal area, and the freezing/defrosting times (cycle). Dr. Allen also talks about blanching prevention and why he never uses stimulation to locate the neuroma.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1488298613118{margin-top: -20px !important;}”]

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  • Cryoanalgesia for Lower Limb Pain

    Cryoanalgesia for Lower Limb Pain

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on February 25, 2020
    Dr. Andrea Trescot explains proper technique for cryoanalgesia for infrapatellar saphenous neuralgia. She discusses CRPS, the misunderstood reasons for the syndrome, and why cryoanalgesia is an effective treatment. Dr. Trescot also details other neuralgias commonly seen in the thigh and leg.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1488298613118{margin-top: -20px !important;}”]

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  • Lumbar Cryoablation

    Lumbar Cryoablation

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on June 21, 2019

    Dr. Orlando Florete demonstrates how to properly perform cryoablation of the medial branch for lumbar facet pain using a cadaver. He shows the correct probe placement using fluoroscopy, explains the importance of sensory and motor stimulation to assure accurate and safe freeze, and details the freezing and defrost cycles.

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  • Nerve Entrapment Syndromes

    Nerve Entrapment Syndromes

    [vc_row css=”.vc_custom_1517939115140{padding-right: 20px !important;padding-left: 20px !important;background-color: #fbfbfb !important;}”][vc_column][vc_column_text]Published on October 12, 2018

    Dr. Andrea Trescot gives a slide presentation on nerve entrapment syndromes. She explains the pathophysiology at both the cellular and the anatomical level. She explains the importance of a detailed history and physical exam to obtain an accurate diagnosis of the nerve(s) involved. Dr. Trescot then lectures on techniques to treat many neuropathies she commonly encounters.

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