- Musculoskeletal pain and rehabilitation
- Spine and Intervertebral Disc Pathology
- Shoulder Injury and Treatment
- Anesthesia and Pain Management
- Pain Management and Opioid Use
- Healthcare professionals’ stress and burnout
- Cancer Diagnosis and Treatment
- Pain Management and Placebo Effect
- Pain Mechanisms and Treatments
- Poisoning and overdose treatments
- Tendon Structure and Treatment
- Alcoholism and Thiamine Deficiency
- Plant-based Medicinal Research
- Methemoglobinemia and Tumor Lysis Syndrome
- Nausea and vomiting management
- Lymphoma Diagnosis and Treatment
- Pharmacological Effects and Toxicity Studies
- Rheumatoid Arthritis Research and Therapies
- Folate and B Vitamins Research
- Blood Pressure and Hypertension Studies
- Oral health in cancer treatment
- Head and Neck Cancer Studies
- Spinal Hematomas and Complications
- Neurological and metabolic disorders
- Neurosurgical Procedures and Complications
Naval Medical Center San Diego
2021-2025
University of Vermont
2003-2019
University of Vermont Medical Center
2014
Central Bank of Argentina
2002
In Brief this series, we examined analgesia and side effects of intrathecal morphine sulfate (ITMS) after hip knee arthroplasty over a dose range 0.0–0.3 mg. Eighty patients undergoing (n = 40) or were randomized to receive ITMS (0.0, 0.1, 0.2, 0.3 mg). A patient-controlled (PCA) device provided free access additional analgesics. Morphine use, pain relief, recorded for 24 h. Data analyzed with analysis variance linear regression. After arthroplasty, use was less in receiving mg than control...
Background Intra-articular corticosteroid (IACS) injection and peri-articular are commonly used to treat musculoskeletal conditions. Results vary by region, but most studies report short-term benefit with mixed results on long-term relief. Publications showed adverse events from single injections. Recommended effective doses were lower than those currently clinicians. Methods Development of the practice guideline for joint injections was approved Board Directors American Society Regional...
<h3>Background and Objectives</h3> Sacroiliac (SI) joint dysfunction is an important cause of mechanical low-back pain. Bipolar radiofrequency ablation has been proposed as a long-lasting treatment for pain in patients with SI who report temporary relief local-anesthetic injection into the joint. No data are available to guide technical aspects bipolar lesion creation. This study documents optimal spacing cannulae time required produce lesions by use technology. <h3>Methods</h3> Two were...
There is potential for adverse events from corticosteroid injections, including increase in blood glucose, decrease bone mineral density and suppression of the hypothalamic-pituitary axis. Published studies note that doses lower than those commonly injected provide similar benefit.
This retrospective case series of patients with refractory sacroiliac joint (SIJ) pain presents our first 77 SIJ radiofrequency ablation (RFA) procedures performed a multilesion probe. Of these, 16 (20.8%) provided no relief; 55 (71.4%) >50% relief at 6 weeks; 42 (54.5%, 95% confidence interval, 42.8%–65.8%) months; and 12 (15.6%) continued to provide 1 year. These results compare favorably those published using other RFA techniques. In conclusion, more than half received some for least...
Standard medical intervention for chronic pain may be less effective in the presence of co-occurring PTSD. Functional restoration programs (FRPs), which combine psychological interventions and progressive exercise rehabilitation, represent an alternative to standard pain. The objective current study is evaluate a FRP serving Active Duty Service Members with examine whether PTSD symptoms are associated differential treatment response.
ABSTRACT Introduction Chronic pain among active duty service members can negatively impact operational readiness and contributes to significant health care costs within military treatment facilities. Response standard medical intervention (SMI) for chronic is highly variable. The objective of the current study was examine whether mental indicators predict individual variation in response SMI a specialty clinic. Methods This retrospective observational data previously collected at Pain...
Among hypertensive patients, other risk factors for mortality and morbidity, besides blood pressure, must be considered when therapeutic decisions are done.To assess the incidence relevance of cardiovascular in a cohort patients with essential hypertension.A 1,072 treated hypertension was followed period up to 25 years. Four hundred eighty six were men 586 women, age ranged from 31 70 At entry, 56% subjects did not have any organic complications associated (stage I WHO criteria), 30% had...
Degenerative spondylolisthesis is a common back pathology in the general adult population. Patients with this condition may present for epidural steroid injection, blood patch, or analgesia. We report five patients degenerative who experienced inadvertent dural puncture during interlaminar injection attempts: four intrathecal contrast spread cerebrospinal backflow into needle and one subdural spread. be at higher risk due to stretching of dura contraction space translated spinal level. In...