Recent content by epidural man

Interesting….

Very little - not enough to hurt a nerve. If you doubt me on this, get a chicken breast - burn a lesion and post the pics here - noting that chicken will be even a larger burn than a human.

Have you guys used that Fixate suturing thing from Boston Scientific? They didn’t invent them - they bought the company that invented them. But oh my gosh, they are super cool and great. But I can’t imagine a single person ever uses them. They cost something like $700 a piece. That is an...

I do a fair amount of cooled. I hate the needles and design. Although it has improved a lot based on feedback. I do love that they FINALLY bent the probe 90deg. I also love that they gave us a side port to place the local. In my mind, all RF needles should have this.

I need someone to explain to me how placing a needle tip perpendicular to the nerve works. How does that treat the nerve? We know 100% that with standard RF needles, there is zero percent chance that the heat around the tip does any damage to the nerve. I would accept an explanation that...

Consider Reactiv8

I am guilty of this (not the profit thing...but just doing something that has a low probability of working because I don't know what else to do.)

This is a great question. No one bats an eye if you say you don’t do Kyphoplasty. No one would say a thing if you say you don’t discograms because they don’t work. But if you went to admin and said “I don’t do opioid therapy. I have found, at least in my hands, that it doesn’t work. I can’t...

I 100% disagree with this. In NO WAY is meta-analysis high quality evidence. That is like taking the top 10 Lasagnas and mixing them all together and saying that is better than the original - well maybe that isn't a great analogy but shucks...meta-analysis really suck most times.

I’ve seen it work a few times - usually with significant dystrophic changes. One guys ankle was turned in 90 degrees.

We do them at no cost to the patient

I didn't do a PEDS rotation, but I am told from chronic pain peds trained folks - that CRPS is almost always associated with dysfunction in the home.

I found this website that has been extremely helpful. https://forums.studentdoctor.net/forums/pain-medicine.132/

Toradol works as well if you squirt the stuff orally - but still give it in the muscle - seems more invasive for the patient's benefit. An hour infusion of ketamine, keep the dose low. I am 100% on board with muscle injections with lidocaine. Most of the ER visits for back pain are spasms to...

If you do regenexx training, you don’t sign an NDA?