Category: Study Notes

  • Anticoagulant Guidelines for IPM

    Anticoagulant therapy can increase the risk of bleeding during interventional pain management procedures. Therefore, it is recommended to carefully assess patients receiving anticoagulant treatment prior to the procedure, and to manage their anticoagulant therapy accordingly to minimize the risk of bleeding. This anticoagulant guideline can help to ensure optimal safety and outcomes for your patients.

    Click here for the file. 

  • Prolotherapy

    Prolotherapy is a type of pain management therapy that involves the injection of dextrose (a type of sugar) and sometimes other substances into injured or painful areas of the body. It is used to treat musculoskeletal pain, such as arthritis, tendinitis, and back pain. The injections are designed to promote the growth and healing of damaged tissue, strengthening and stabilizing joints and reducing pain in the process. Prolotherapy is considered a natural alternative to surgery, and is generally safe and well-tolerated. While it is still considered an emerging therapy, many people have experienced significant pain relief from treatment, often with fewer side effects than traditional pain management approaches.

    Here is my study notes on Prolotherapy

  • Discogenic Lumbar Pain

    Discogenic lumbar pain refers to lower back pain caused by damage or injury to the intervertebral discs, which are the flexible, fibrous cushions that separate each vertebrae of the spine. Discogenic lumbar pain can occur due to degenerative changes to the discs or acute injury, leading to herniation or bulging of the disc. This can put pressure on the nerves in the spinal cord or cause inflammation, leading to pain, stiffness, weakness, and numbness in the lower back, buttocks, and legs. Discogenic lumbar pain often presents as chronic and persistent discomfort that may worsen with movement or physical activity.

    This file is a summary I made from one of the pain textbook “Evidence-based  Interventional Pain Medicine according to Clinical Diagnoses” which I would recommend to anyone interested in pain intervention. I’ve summarized the basic patophysiology, diagnosis and interventional treatment, but the book only covers rami communican block technique. I’ve had many questions asking about intradiscal radiofrequency and injections, which some journals show promising results, I might make some notes on that in the future. 

  • Sacroiliac Joint Pain Diagnosis & Interventional Pain Management

    Sacroiliac joint pain is a common cause of low back pain and can be challenging to diagnose due to its complex anatomy and variable symptoms. A thorough medical history and physical examination, imaging studies, and diagnostic injections are crucial components of a comprehensive evaluation for sacroiliac joint pain. Interventions for the diagnosis and management of sacroiliac joint pain include corticosteroid and anesthetic injections, radiofrequency ablation, and minimally invasive surgical techniques.

    I have made a basic summary for sacroiliac joint pain diagnosis and the interventional pain techniques for intraarticular injection and radiofrequency ablation.

  • The Healing Philosophy

    I read this journal article and found it gives a good insight for our practice. It takes us back to the basics to the special relationship of the doctor and patient. Please take some time to read it.