Recent content by Orin

Sacroplasty but reduction/fixation would be better with the displacement. Trauma surgeons are the ones that see this more than your usual ortho folks, so sending it to a level 1 trauma center may make sense. https://www.mdpi.com/2077-0383/13/4/1101 She might be a candidate for something like...

You've increased volume. To increase the share of procedures, it's either do more unindicated procedures, find more indicated procedures, or see less patients that don't get procedures. I think analyzing your referral patterns to find more patients that you feel meet diagnostic criteria for...

64999 or small joint is appropriate. 64520 is incorrect per coding guidance from AMA CPT Assistant since 2007 but some insurers seem to let it slide. ref: American Medical Association. CPT Assistant. Issue: September 2007; Volume 17: Issue 9. Coding Communication:Surgery: Nervous System. 2007...

What did they read that as? Did it get better with steroids? It looks maybe like a vascular malformation or cancer with associated edema

Coccygeoplasty

I think the FTC interprets it to cover all, but the lawyers think they are wrong. The hospitals will fight it full heartedly. The FTC may fight it in spirit, but I don't think they're really establishing this rule for the higher paid white collar healthcare folks. I'm not betting on the...

About 50% of hospitals at non-profit, so for those it doesn't matter. VC-backed/corporate pain practices may struggle to keep physicians locked down. They'll likely be making them all physicians automatically part of the wellness policy committee to make them policy making executives...

Wasn't there a new law in FL that limited personal injury/worker comp claims? https://gouldcooksey.com/blog/understanding-the-impact-of-florida-hb-837-a-guide-to-tort-reform/

Tech is still the same They're cutting pricing relative to competitor products so more usage Supposedly some folks did push back but not sure those people are still with the company It would be a good documentary I'm not sure how they're still using their codes with the new PNS code. They say...

Smart people make mistakes too, but fair enough. I find the CRPS label gets applied quickly when you're not sure/afraid of it, but it's not clearly that in many of those cases. It does help grease the insurance wheels though. I'm seeing at least one recent cohort and systematic review study in...

I'm confused. Why are you diagnosing CRPS? Isn't it normal to have some CRPS like changes after a traumatic injury? That's a normal physiologic response to injury? Is it just the delayed swelling after your evaluation?

My general process is to tease out whether it's spontaneous or inducible pain. If it's inducible, then consider the implant problems and then focus on bone health -> biologics -> genic blocks with the usual nociceptive meds thrown in. If it's spontaneous, then consider LSB vs stimulation...

I would assume this is more likely irritation from rubbing than a true allergy if a cover didn't help. Was it the adhesive style covers you used that are kinda tight to the shield? Did you try wearing a neck gaitor style mask under it to see if a looser barrier was sufficient? Most often I see...

I've been debating trying this thread based tenotomy stuff some of these simpler tunnel releases. https://www.mayoclinic.org/medical-professionals/orthopedic-surgery/news/incisionless-ultrasound-guided-approach-for-carpal-tunnel-release/mac-20507548...

There's academics and then there's priv-ademics, but honestly, it's all the same except maybe one actually has clinical volume/experience. Academic KOLs make money off those talks via promotion metrics/honorariums/etc. Engaging in societies gets time away for promoting the academic brand...