A5006587684- Musculoskeletal pain and rehabilitation
- Spine and Intervertebral Disc Pathology
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Shoulder Injury and Treatment
- Pain Management and Placebo Effect
- Myofascial pain diagnosis and treatment
- Cancer Treatment and Pharmacology
- Statistical Methods and Inference
- Fault Detection and Control Systems
- Surgical Simulation and Training
- Health, Medicine and Society
- Pain Management and Treatment
- Gaussian Processes and Bayesian Inference
- Spinal Hematomas and Complications
- Innovations in Medical Education
- Dermatological and Skeletal Disorders
- Pain Management and Opioid Use
- Emergency and Acute Care Studies
- Monetary Policy and Economic Impact
- Shoulder and Clavicle Injuries
- Hip disorders and treatments
- Data-Driven Disease Surveillance
- Nutritional Studies and Diet
- Bone health and treatments
- Management of metastatic bone disease
Aalto University
2025
University of Michigan
2013-2023
Michigan Medicine
2017-2022
Foundation for Physical Medicine and Rehabilitation
2017
Objectives: Many patients’ chronic musculoskeletal pain is strongly influenced by central nervous system processes such as sensitization or amplification. Education about neuroscience can change beliefs but has less consistent effects on outcomes. Patients may have greater clinical benefits if the educational intervention personalized, and they evaluate various psychosocial risk factors with respect to their pain. We developed tested a brief, internet-based Pain Psychology Neuroscience (PPN)...
BACKGROUND: Low back pain is a common complaint in emergency departments (ED), where deviations from standard of care have been noted. OBJECTIVE: To relate the ordering advanced imaging and opioid prescriptions with presentation low ED. METHODS: Six hundred adults ba ck three centers were prospectively analyzed for history, examination, diagnosis, tests treatments. RESULTS: Of 559 cases onset was less than one week 79.2%; however, most had prior pain, 63.5% having warning signs potential...
Evidence-based treatments for chronic low back pain (cLBP) typically work well in only a fraction of patients, and at present there is little guidance regarding what treatment should be used which patients. Our central hypothesis that an interventional response phenotyping study can identify individuals with different underlying mechanisms their who thus respond differentially to evidence-based cLBP. Thus, we will conduct randomized controlled Sequential, Multiple Assessment, Randomized...
Background The Michigan Body Map (MBM) was developed to assess pain location in a reliable and valid manner; however, electronic formats have not been validated. This study had two aims: (1) initial validation of the form MBM (eMBM) (2) preliminary test assessing severity within body zones. Methods For first aim, 68 participants with chronic completed paper forms MBM, then underwent scripted interviews preferences among maps verbal confirmation locations. second subset (n=40) Brief Pain...
BACKGROUND: Myofascial pain is a common, but poorly understood multifactorial condition. OBJECTIVE: This study analyzed how the degree of central sensitization (nociplastic pain) can impact response to physical therapy for patients with myofascial pain. METHODS: prospective, observational cohort compared phenotyping and functional measures in 30 participants non-acute neck/shoulder girdle primary following 3-months therapy. The Fibromyalgia Survey Questionnaire Score served as surrogate...
We present the ARR2 prior, a joint prior over auto-regressive components in Bayesian time-series models and their induced $R^2$. Compared to other priors designed for times-series models, allows flexible intuitive shrinkage. derive pure extend it with exogenous inputs, state-space models. Through both simulations real-world modelling exercises, we demonstrate efficacy of improving sparse reliable inference, while showing greater inference quality predictive performance than shrinkage priors....
For patients with Marfan syndrome who present radicular low back pain, interventional spine providers should be familiar dural ectasia variable diffuse thinning of the posterior wall lumbar and sacrum. Providers carefully weigh risks benefits offering elective procedures because altered anatomy may put these at higher risk puncture. Patient selection is essential hydrostatic pressures and/or neural tension also considered as potential pain generators that not relieved by steroid injections....
D. J. Kohns, No Disclosures: I Have Nothing To Disclose. A 59-year-old woman with acute myeloid leukemia following blood stem cell transplant was treated high-dose steroids for a gastrointestinal graft-versus-host disease reaction and developed proximal weakness from steroid myopathy. The patient's inpatient rehabilitation impacted by the development of new onset left sacroiliac dysfunction. patient-focused manual medicine approach able to assist patient in maximizing their function....
Background: Patient selection plays a critical role in any interventional pain practice. Rare conditions may not always have clearly established guidelines for procedures. Ligase IV (LIG4) syndrome is rare inherited condition with wide variety of features, including radiosensitivity.. Case Report: A 36-year-old woman known history LIG4 presented an acute on chronic left L5 and S1 radiculopathy from large L5-S1 central disc herniation. In effort to minimize radiation exposure, ultrasound...
This paper investigates the benefits of internet search data in form Google Trends for nowcasting real U.S. GDP growth time through lens mixed frequency Bayesian Structural Time Series (BSTS) models. We augment and enhance both model methodology to make these better amenable with large number potential covariates. Specifically, we allow shrinking state variances towards zero avoid overfitting, extend SSVS (spike slab variable selection) prior more flexible normal-inverse-gamma which stays...
Procedure training is highly desired by residents pursuing a career in interventional pain medicine; however, the opportunities for hands-on may vary amongst residency programs various reasons. To evaluate change residents' self-perceive competence after participation novel low-cost resident spine course, as well how experience (years of training) influences over time. This article offers step-by-step details on to implement course. Residents completed pre- and post-course survey domains...
This paper extends the idea of decoupling shrinkage and sparsity for continuous priors to Bayesian Quantile Regression (BQR). The procedure follows two steps: In first step, we shrink quantile regression posterior through state art in second sparsify an efficient variant adaptive lasso, signal variable selection (SAVS) algorithm. We propose a new SAVS which automates choice penalisation specific loss-functions that are valid high dimensions. show large scale simulations our decreases bias...