Recent content by oneforfighting

Why would it matter whether you place the grounding pad?

On the topic of ekgs…what’s the guideline for checking ekgs for TCAs? Do you all check ekgs regularly after initiating?

Agreed. Probation for not ordering an EKG? Someone doesn’t want him in business.

Do you get updates on CMS changes?

Do same except schedule f/u after MBB#2

Interesting. I read that it would make symptoms worse. Reference?

Appreciate the input everyone

Next question would be, would you do propofol for just an injection?

What do you all do for patients with significant tardive dyskinesia or choreiform movements? Does PO or IV sedation help keep them still enough to do ESI/MBBs/RFA?

I would not repeat an MRI and get a bunch of labs for mostly muscle spasms and questionable bowel issues. Increased bowel frequency without new incontinence or retention doesn’t mean much to me. Plus, this sounds like my patients who are questionable historians to begin with.

Probably facet arthropathy

Good results? Ever have issues with running into bulky facets?

Curious if you take the same approach for your lumbars

I mix bupi and lido which seems to help more although some literature says otherwise. Older patients usually do better probably because of less sensitive nerve endings overall. It’s the young ones that feel everything.

No complaints of neck weakness/drop head? I’ve always done them unilateral ever since fellowship. Thankfully they tend to last longer than lumbars for me so I can repeat yearly or so.