A5037386890- Musculoskeletal pain and rehabilitation
- Spine and Intervertebral Disc Pathology
- Pain Management and Treatment
- Opioid Use Disorder Treatment
- Pain Mechanisms and Treatments
- Shoulder Injury and Treatment
- Pain Management and Opioid Use
- Anesthesia and Pain Management
- Treatment of Major Depression
- Migraine and Headache Studies
- Myofascial pain diagnosis and treatment
- Traumatic Brain Injury and Neurovascular Disturbances
- Cannabis and Cannabinoid Research
- Cardiac Arrhythmias and Treatments
- Poisoning and overdose treatments
- Spinal Hematomas and Complications
- Substance Abuse Treatment and Outcomes
- Nerve Injury and Rehabilitation
- Sympathectomy and Hyperhidrosis Treatments
- Pharmaceutical Practices and Patient Outcomes
- Pain Management and Placebo Effect
- Urinary Bladder and Prostate Research
- Intraocular Surgery and Lenses
- Telemedicine and Telehealth Implementation
- Dupuytren's Contracture and Treatments
VA Greater Los Angeles Healthcare System
2016-2025
University of California, Los Angeles
2008-2024
UCLA Health
2023
West Los Angeles College
2011-2021
United States Department of Veterans Affairs
2014-2019
VA West Los Angeles Medical Center
2012-2017
University of Santa Monica
2006
Background The past two decades have witnessed a surge in the use of lumbar facet blocks and radiofrequency ablation (RFA) to treat low back pain (LBP), yet nearly all aspects procedures remain controversial. Methods After approval by Board Directors American Society Regional Anesthesia Pain Medicine, letters were sent dozen societies, as well representatives from US Departments Veterans Affairs Defense. A steering committee was convened select preliminary questions, which revised full...
In May 2022, leadership within the U.S. Department of Veterans Affairs (VA) and Defense (DoD) approved a joint clinical practice guideline for use opioids when managing chronic pain. This synopsis summarizes recommendations that authors believe are most important to highlight.In December 2020, VA/DoD Evidence-Based Practice Work Group assembled team update 2017 Clinical Guideline Opioid Therapy Chronic Pain. The development included stakeholders conformed National Academy Medicine's tenets...
Chronic lumbosacral radicular pain is a disabling condition commonly treated with epidural steroid injections (ESIs). Extant research suggests that psychosocial factors impact clinical outcomes among patients back pain. The purpose of this study to examine the relationship between variables and post-injection intensity. Interventional management clinic. A prospective longitudinal cohort repeated within-subject measures. Assessment timepoints included pre-injection baseline, immediately...
Low back pain is a significant issue in the US Department of Veterans Affairs and Defense populations as well general population at large. This type can be distressing to those who experience its effects, leading patients seek relief their symptoms. In 2022, leadership within approved joint clinical practice guideline for management low pain. The provides evidence-based recommendations assessing managing Development included systematic evidence review, which was guided by 12 key questions. A...
Botulinum toxin type A (BoNT/A) is an approved treatment for chronic migraine and has been shown to be effective in reducing number, days, severity of headache other disorders. Whether botulinum a safe specifically post-traumatic (PTH), however, unknown. This study sought determine whether with BoNT/A improved symptoms PTH military veterans.Forty subjects were randomized receive either or saline placebo. Sixteen weeks post-treatment at return baseline severity, crossed over the medication...
It is widely accepted that the use of medical imaging continues to grow across globe as does concern for radiation safety. The danger lens opacities and cataract formation related exposure well documented in literature. However, there be controversy regarding actual dose thresholds whether these are still relevant formation. Eye safety risk involved interventional pain physician not entirely clear. Given available literature on measured interventionist, thresholds, it our current...
Posttraumatic headache is difficult to define and there debate about the specificity of 7-day onset criterion in current definition. There limited evidence available guide decision making this criterion.A nested cohort study 193 treatment-seeking veterans who met criteria for persistent attributed mild traumatic injury head, including some with delayed up 90 days post-injury, was undertaken. Survival analysis examined proportion participants reporting over time differences these proportions...
Abstract Thoracotomy pain is common after chest surgery and may result from injury to the lung pleura, intercostal muscles, costovertebral joint, or nerves. Inappropriately controlled postoperative can hinder recovery increase risk of complications such as infection, atelectasis, blood clots, development post‐thoracotomy syndrome. A number treatment options for acute are available, most which require systemic medications indwelling catheters that be contraindicated in patients on...
Background: In 2011, the Veterans Health Administration (VHA) consulted with Project ECHO (Extension for Community Healthcare Outcomes) team at University of New Mexico, Albuquerque, to reproduce their successful model within VHA. Methods: The VHA launched SCAN-ECHO (Specialty Care Access Network-Extension Outcomes), a multisite videoconferencing system conduct live clinical consultations between specialists Medical Center (hospital) and primary care providers stationed satellite CBOCs...
Background and Aims . This report demonstrates the utility of a pudendal nerve block by pulsed radiofrequency ablation (RFA) for treatment male pelvic pain urinary urgency hesitancy. Methods The patient is an 86-year-old gentleman with 30-year history hesitancy urgency. also had in area perineum but considered it secondary issue. was seen number specialists, tried various medications, underwent variety procedures to no avail. Therefore, RFA nerve. Results nerve; reported marked improvement...