A5053423519- Shoulder Injury and Treatment
- Spine and Intervertebral Disc Pathology
- Spinal Hematomas and Complications
- Musculoskeletal pain and rehabilitation
- Anesthesia and Pain Management
- Nerve Injury and Rehabilitation
- Tendon Structure and Treatment
- Peripheral Nerve Disorders
- Knee injuries and reconstruction techniques
- Orthopedic Surgery and Rehabilitation
- Pain Mechanisms and Treatments
- Pain Management and Treatment
- Cleft Lip and Palate Research
- Injury Epidemiology and Prevention
- Heterotopic Ossification and Related Conditions
- Mobile Health and mHealth Applications
- Bone and Joint Diseases
- Tracheal and airway disorders
- Clinical practice guidelines implementation
- Social Media in Health Education
- Cerebral Palsy and Movement Disorders
- Craniofacial Disorders and Treatments
- Stroke Rehabilitation and Recovery
- Healthcare Systems and Public Health
- Total Knee Arthroplasty Outcomes
University of Utah
2020-2025
Johns Hopkins University
2024-2025
Johns Hopkins Medicine
2024-2025
University of California, Los Angeles
2022
Evaluate the effectiveness of genicular nerve radiofrequency ablation (GNRFA) for chronic knee pain using Patient-Reported Outcomes Measurement Information System Global Health, Physical Health score (PROMIS-GH-PH). Patients who underwent GNRFA at a tertiary academic center were identified by CPT code query and contacted consent. Demographic, clinical, procedural characteristics collected from electronic medical record participants with baseline PROMIS-GH-PH scores. Outcome data standardized...
Abstract Background Genicular nerve radiofrequency ablation (GNRFA) is an effective treatment for chronic knee pain. However, there has been minimal investigation of real-world, long-term outcomes and factors that predict success after GNRFA. Objectives To evaluate the effectiveness GNRFA pain in a real-world population identify predictive factors. Methods Consecutive patients who underwent at tertiary academic center were identified. Demographic, clinical, procedural characteristics...
Background Obstructive sleep apnea (OSA) involves repeated episodes of upper airway obstruction during sleep. Patients with cleft palate (CP) are at higher risk for OSA due to craniofacial anatomical differences. We aimed characterize the prevalence and identify factors in patients CP. Methods retrospectively reviewed CP over a 20-year period. Our primary outcome was diagnosis confirmed by polysomnography. Data extracted included patient demographics, congenital syndromes, Pierre Robin...
Conventional treatment for alveolar cleft repair is done using autologous iliac crest bone graft (ABG). However, this method may not be ideal in all patients. Analysis of the efficacy a mixture demineralized matrix (DBX), morphogenic protein (rhBMP-2), and freeze-dried chips (FDBC) as an alternative was performed.
Abstract Background While many factors influence decisions related to the timing between mastectomy and flap-based breast reconstruction, there is limited literature comparing postoperative complications immediate (IBR), delayed (DIBR), (DBR) reconstruction modalities. Using National Surgical Quality Improvement Program (NSQIP), we sought compare complication rates of each modality. Methods The NSQIP 2010–2020 database was queried for patients who underwent free flap reconstruction. Cases...
Cervical medial branch radiofrequency ablation (CMBRFA) is effective when patients are selected by dual blocks (MBBs). SIS guidelines recommend 100% pain improvement after comparative MBBs before CMBRFA; however, our prior investigation showed similar outcomes in those a lesser strict paradigm.
To evaluate the effectiveness of cervical transforaminal epidural steroid injection (CTFESI) for treatment unilateral radicular pain. Single-group prospective cohort study. Outcomes included ≥50% reductions in Numeric Rating Scale (NRS) arm pain, ≥30% Neck Disability Index (NDI-5) improvement, health-related quality life (EQ-5D), global improvement (PGIC), personal goal achievement (COMBI), Chronic Pain Sleep (CPSI), and healthcare utilization at one, three, six, 12 months. Data analysis...
Genicular radiofrequency neurotomy (GRFN) is an effective treatment for a subset of individuals with chronic knee pain. Previous studies demonstrate that Medicare and Medicaid beneficiaries report worse outcomes following various interventional procedures compared commercially insured patients.
Abstract Introduction Heterotopic ossification (HO) and aberrant scar formation are pathologic wound healing processes that may occur after burns. Hypertrophic scars in up to 70% of burn patients can negatively affect quality life. HO is characterized by the development osseous lesions soft tissue occurs about 3.5% patients, causing significant pain delays rehabilitation. Burns incite a prolonged systemic inflammatory response involving innate adaptive immune mediators, this process has been...
Abstract Introduction During post-burn hypermetabolism, tachycardia is considered a compensatory response to sustain cardiac output and oxygenation essential organs. Although heart rate variability predicts mortality in burn patients, many centers lack access non-invasive measurement methods. We hypothesized that trend the first 48 hours of admission (measured via vital signs monitor) could predict patients. Methods performed retrospective review 128 patients treated for burns with TBSA ≥...
Purpose: Over half of patients can experience pain following amputation due to neuropathic from neuromas, tangles regenerating axons that produce spontaneous aberrant signals. This be debilitating and many amputees resort chronic opioid consumption. Targeted muscle reinnervation (TMR) regenerative peripheral nerve interface (RPNI) are novel interventions used prevent symptomatic neuromas. Our objective was assess whether who underwent TMR or RPNI at primary reported less pain, use, greater...
Background: This study aims to evaluate the readability, quality, and reliability of online resources about peripheral nerve surgeries determine if they meet recommended literacy standards. Methods: We analyzed a total 137 surgery website by performing Google search using terms “nerve transfer,” repair,” graft,” decompression,” “neurolysis,” “targeted muscle reinnervation,” “regenerative interface,” “vascularized denervated target.” The reading level text was assessed Simple Measures...
No study has evaluated the relationship between contrast dispersion patterns and outcomes after fluoroscopically guided cervical transforaminal epidural steroid injection (CTFESI).Determine whether predict pain functional CTFESI.Secondary analysis of data collected during two prospective studies CTFESI for treatment refractory radicular pain. Contrast visualized by true anteroposterior (AP) projections CTFESIs were categorized flow: 1) completely external to lateral border neuroforamen (zone...
Thoracic transforaminal epidural steroid injections (TFESIs) are procedures performed for the treatment of thoracic spine pain (TSP). The literature on these interventions is sparse.