Recent content by RoloTomassi

Not sure if this translates to better burn but I get stronger twitch with pedicle shadow

Don't take online comments to heart

Yes, our new patient paperwork office policy that they sign states that carrying an outstanding balance for x number of days is ground for termination of physician patient relationship

Doubt your local needle could reach on a TF no matter how hard you hubbed it. 25/27 g not likely to cause anyway

Looks like that would be lateral to 6' on the pedicle, don't see how that would puncture dura

Same exact thing happened to me years ago, managed the same, too. I was more scared than the patient. He thought the RFA needles were zapping him, which in a way they were.

I start with AP no oblique, no tilt. Most the time I get it going very inferior tip, medial line. If spread isn't linear, I CLO 10-15 deg, try again. If spread still isn't linear, I do far CLO mid-joint. David Lee technique paper. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9423991/ It took...

B. But C isn't bad

Stabbing pain in the butt is commonly radic. Distal symptoms usually improve first

I tell them the nerve location is variable and it's not uncommon to miss the nerve, especially if they responded to MBBs. Most are very receptive to trying again, as it is the least invasive of their options.

I've done it without great success. Steroid and PRP. Same technique as Baron. Oblique, walk into the fracture line. Usually a callous that holds contrast like pseudojoint. If RFA was done right with good depth, Intracept if Modic.

Keep track of patients you order MRIs on and make sure they follow through. Then make sure they come back for MRI f/u. Make sure procedure patients always have f/u for next step of plan. Track no shows (office and procedure) and make sure they reschedule. These are all points of potential loss...

That's the most appropriate way but a lot of times it won't pay so inject both SC and GI, bill for just small joint.

They are going to crank out knee injections in an ASC? That's got OIG investigation written all over it Ha! I'm from there

Ideally but you could probably get away with 0.35. My RT has that thickness, Xenolite 800 NL. It's really light.