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Restorative Neurostimulation: a New Treatment Paradigm for Chronic Low Back Pain

 
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Contenuto fornito da UAB. Tutti i contenuti dei podcast, inclusi episodi, grafica e descrizioni dei podcast, vengono caricati e forniti direttamente da UAB o dal partner della piattaforma podcast. Se ritieni che qualcuno stia utilizzando la tua opera protetta da copyright senza la tua autorizzazione, puoi seguire la procedura descritta qui https://it.player.fm/legal.
restorative-neurostimulation-a-new-treatment-paradigm-for-chronic-low-back-pain

Around 80% of adults experience low back pain, and most are not candidates for surgery. Prentiss Lawson, Jr., M.D., and Christopher Paul, M.D., both anesthesiologists who specialize in pain medicine, discuss a promising new durable therapy for low back pain called restorative neurostimulation. Unlike existing low back pain management options, neurostimulation addresses a root cause, a weak or inactive multifidus muscle. The doctors explain the minimally invasive procedure, which involves sending electric pulses to the multifidus nerves. Learn how this treatment uniquely restores patents’ spinal stability and thereby reduces chronic pain.

  continue reading

97 episodi

Artwork
iconCondividi
 
Manage episode 405806556 series 1265341
Contenuto fornito da UAB. Tutti i contenuti dei podcast, inclusi episodi, grafica e descrizioni dei podcast, vengono caricati e forniti direttamente da UAB o dal partner della piattaforma podcast. Se ritieni che qualcuno stia utilizzando la tua opera protetta da copyright senza la tua autorizzazione, puoi seguire la procedura descritta qui https://it.player.fm/legal.
restorative-neurostimulation-a-new-treatment-paradigm-for-chronic-low-back-pain

Around 80% of adults experience low back pain, and most are not candidates for surgery. Prentiss Lawson, Jr., M.D., and Christopher Paul, M.D., both anesthesiologists who specialize in pain medicine, discuss a promising new durable therapy for low back pain called restorative neurostimulation. Unlike existing low back pain management options, neurostimulation addresses a root cause, a weak or inactive multifidus muscle. The doctors explain the minimally invasive procedure, which involves sending electric pulses to the multifidus nerves. Learn how this treatment uniquely restores patents’ spinal stability and thereby reduces chronic pain.

  continue reading

97 episodi

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Functional neurological disorder (FND) results in fluctuating control of voluntary activities. Victor Mark, M.D., explains why FND has only recently begun to be acknowledged as a neurological rather than purely psychological disorder. He discusses conditions related to FND and effective rehabilitation coordinated between neurologists, psychologists, physical therapists, and others to moderate symptoms. Learn more about the persistent misunderstandings regarding FND within the medical community, which have often created a stigma for those living with it.…
 
What is the best approach to treating substance use disorders? In part two of their discussion on substance use disorders within the health care provider population, Christopher Godlewski, M.D., and Sudheer Potru, D.O., explore the often-complementary effects of medication-assisted therapy and psychotherapeutic approaches. They urge education and empathy among providers to break down the stigma around seeking help.…
 
Just as many health care providers face substance use disorder (SUD) as the general population, yet they are more likely to conceal it due to a professional stigma. Christopher Godlewski, M.D., and Sudheer Potru, D.O., discuss how burnout and demanding work environments contribute to SUD, and how colleagues’ reluctance to intervene can delay help. Learn how peer support, resilience training, and tailored recovery plans help providers save their lives and careers.…
 
For patients with AFib, left atrial appendage (LAA) occlusion should now be part of any non-emergency cardiac operation, and surgical ablation should also be considered. Panayotis Vardas, M.D., discusses how he and colleagues from the Society of Thoracic Surgeons arrived at stronger recommendations for these procedures in their 2023 guidelines. Learn more about related surgical procedures for AFib and the directions of future research.…
 
Interventional endoscopic ultrasound, once a purely diagnostic tool, has given GI specialists a minimally invasive approach to a wide range of procedures. Ramzi Mulki, M.D., guides us through the evolution of the endoscope since the 1980s; various current uses of interventional endoscopy such as pancreas, gallbladder, bile duct, and bariatric procedures; and how AI may soon expand what multidisciplinary teams can do with endoscopic ultrasound.…
 
A new type of catheter ablation called pulsed field ablation (PA) allows for a more precise and non-heated way to treat many cases of atrial fibrillation (A-fib). Tom McElderry, M.D., discusses the advantages of PA ablation as an alternative to radio frequency and cryotherapy ablation, the most common types. Dr. McElderry was involved with clinical trials which demonstrated that PA was faster and eliminated the risk of both phrenic nerve injury and esophageal fistula. Learn more about what this technique means for the future of A-fib treatment.…
 
Almost everyone with spinal stenosis will see decreased pain and other symptoms following treatment, no matter their age. Thomas Staner, M.D., a neurosurgeon, discusses how improved imaging and a multidisciplinary approach has enhanced care for those with pain and other symptoms caused by spinal stenosis. Learn how treatments can progress from physical therapy and NSAIDs (for mild pain) to nerve blocks and lumbar laminectomy (for more severe pain).…
 
Telehealth coupled with patient-collected data is allowing doctors to manage diabetes more effectively. Anish Patel, M.D., an endocrinologist, discusses how telehealth reduces hospitalizations and readmissions, and allows doctors to personalize treatment plans based on a stream of real-time data. Learn more about how easy it can be for patients to collect their own data, which doctors are able to access remotely. Dr. Patel shares advice for physicians looking to start a telehealth practice.…
 
Metabolic dysfunction-associated steatotic liver disease (MASLD) is a new, more precise name for nonalcoholic fatty liver disease. Fernando Bril, M.D., an endocrinologist, explains how this name precisely describes the way in which fatty acids build up in the liver of patients who have insulin resistance. Learn more about the close relationship of MASLD, type 2 diabetes, and obesity. Dr. Bril reviews current screening recommendations, effective interventions, and the first approved drug for the condition.…
 
How is care improving for the three percent of U.S. children who have type 1 diabetes? Jessica Schmitt, M.D., a pediatric endocrinologist, shares encouraging developments in medical diabetes management as well as insights about accurate diagnosis and helpful lifestyle habits. Learn about new treatments on the horizon, including one medication that may delay the onset of type 1 diabetes.…
 
The prevalence of peripheral arterial disease (PAD) is surging due to cases related to diabetes. Benjamin Pearce, M.D., a vascular surgeon, discusses management of PAD by highlighting three non-operative advancements, including exercise therapy. Learn how PAD can be diagnosed using an ankle-brachial index. Dr. Pierce explains how a multi-disciplinary team manages this condition and how they intervene early to prevent chronic limb-threatening ischemia.…
 
85% of all non-melanoma skin cancers occur in the head and neck, which includes high-risk sub-units. Skin cancer is especially prevalent in the South. Harishanker Jayarajan, M.D., a head and neck surgeon, discusses the types and locations of skin lesions which warrant referral to an expert. He explains the general approach to treating head-and-neck skin cancers, as well as the modern usage of immunotherapy to shrink those lesions too dangerous to remove right away.…
 
Patients who have surgery where there is an enhanced recovery program (ERP) recover faster and more effectively. Daniel Chu, M.D., a GI surgeon, discusses the many steps included in an ERP protocol and what it takes to establish the program. He explains how a multidisciplinary team of champions progresses through four phases of implementation. Learn how an ERP also helps patients rely less on opioids during recovery.…
 
Pediatric and adolescent gynecology spans the gap between general pediatric care and adult gynecologic care. Janeen Arbuckle, M.D., speaks on her specialty in pediatric and adolescent gynecology, describing first the common conditions that warrant a visit for young women before and during adolescence. She highlights differences between the care grown women and adolescents receive, with special focus on the HPV vaccine and brith control (for managing special conditions). Dr. Arbuckle explains why creating a safe, confidential space for her young patients is so important.…
 
Substance use disorder (SUD) is a deadly disease that can affect anyone — even doctors. But certain social determinants of health and psychological trauma make some more vulnerable than others. In part 2 of their discussion on SUD treatment and recovery,Christopher Godlewski, M.D., and Sudheer Potru, D.O., discuss how doctors can account for the particular challenges in a patient’s life. Find out why telehealth may be a game changer for those lacking access to addiction recovery specialists.…
 
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