BackTable MSK

By: BackTable
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  • Summary

  • BackTable MSK is for all things Musculoskeletal and Interventional; covering tools, techniques, and expert guidance. It's the meeting after the meeting.
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Episodes
  • Backtable Brief: Effective Strategies for Managing Diabetic Neuropathy in Vascular Clinics with Dr. Blake Parsons

    Backtable Brief: Effective Strategies for Managing Diabetic Neuropathy in Vascular Clinics with Dr. Blake Parsons
    Nov 5 2024
    If your patients are living with painful diabetic neuropathy that is refractory to medications, spinal cord stimulation (SCS) may be an option. Dr. Dana Dunleavy interviews interventional radiologist Dr. Blake Parsons about managing diabetic neuropathy in a multidisciplinary setting and the role of SCS. They also discuss new research findings that support the use of spinal cord stimulators and their broader impact on quality of life, including reduced fall risks and improved foot sensation for patients with diabetes. TIMESTAMPS 00:00 - Understanding Diabetic Neuropathy 02:06 - Establishing a Neuropathy Clinic 06:29 - Challenges and Solutions in Patient Referrals 08:04 - Success and Future Directions CHECK OUT THE FULL EPISODE BackTable MSK Ep. 48- SCS for Neuropathy: Clinical Insights & Patient Impact with Dr. Blake Parsons: https://www.backtable.com/shows/msk/podcasts/48/scs-for-neuropathy-clinical-insights-patient-impact
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    14 mins
  • Ep. 62 Exploring Intradiscal PRP for Back Pain Relief with Dr. Guilherme Ferreira Dos Santos

    Ep. 62 Exploring Intradiscal PRP for Back Pain Relief with Dr. Guilherme Ferreira Dos Santos
    Oct 29 2024
    How are orthobiologics transforming the back pain treatment algorithm? In this episode of BackTable MSK, host Jacob Fleming is joined by Dr. Guilherme Ferreira Dos Santos to discuss the management of lumbar pain and the role of platelet-rich plasma (PRP) injections. Dr. Santos is trained in Physical Medicine & Rehabilitation as well as Interventional Pain Medicine, and currently practices at the Hospital Clinic of Barcelona. --- SYNPOSIS Dr. Santos gives an overview of discogenic pain. Each patient case is unique, as pain can be caused by single level or multilevel disease, pure disc disease, or additional facet joint disease. Additionally, discogenic pain can affect young, active patients and typically worsens with spinal flexion. They discuss the Pfirrmann system for intervertebral disc degeneration, medial branch blocks to identify posterior column pain, the risk of disc degeneration after discography, and the rise of orthobiologic treatments such as intradiscal and facet joint PRP injections. Dr. Santos highlights important steps for PRP preparation and techniques for injection. He also gives advice for counseling patients about the timeline to pain relief, longevity of treatment effects, and options for refractory pain. Finally, Dr. Santos encourages the audience to stay tuned for the upcoming RESPINE multicenter trial results. --- TIMESTAMPS 00:00 - Introduction 02:18 - Dr. Santos’ Multicultural Experiences 08:58 - Challenges in Diagnosing and Treating Discogenic Pain 20:26 - Role of Intradiscal and Facet Joint PRP Injections 30:16 - PRP Preparation and Dosing 34:52 - Technical Aspects of Disc Treatments 42:54 - Patient Counseling 56:58 - Future Directions in Regenerative Medicine --- RESOURCES RESPINE Trial: https://ecrin.org/clinical-trials/respine Lumbar Intradiskal Platelet-Rich Plasma (PRP) Injections: A Prospective, Double-Blind, Randomized Controlled Study (Tuakli-Wosornu, 2016): https://pubmed.ncbi.nlm.nih.gov/26314234/ Clinical outcomes following intradiscal injections of higher-concentration platelet-rich plasma in patients with chronic lumbar discogenic pain (Lutz, 2022): https://pubmed.ncbi.nlm.nih.gov/35344055/
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    1 hr and 4 mins
  • Backtable Brief: Techniques for Spinal Cord Stimulator Placement with Dr. Blake Parsons

    Backtable Brief: Techniques for Spinal Cord Stimulator Placement with Dr. Blake Parsons
    Oct 22 2024
    Spinal cord stimulation can be a useful tool for treating chronic low back and leg pain. In this BackTable Brief, Drs. Dana Dunleavy and Blake Parsons discuss the specifics of implanting lumbar spinal cord stimulation. They explore patient positioning, anesthesia, needle angulation, and the importance of targeting spinal levels correlated to pain. TIMESTAMPS 00:00 - Pre-Operative Setup 02:10 - Obtaining Access and Placing Leads 05:05 - Postoperative Considerations 08:43 - Evaluation of Patient Candidacy CHECK OUT THE FULL EPISODE BackTable MSK Ep. 48– SCS for Neuropathy: Clinical Insights & Patient Impact: https://www.backtable.com/shows/msk/podcasts/48/scs-for-neuropathy-clinical-insights-patient-impact
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    12 mins

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