I have a tricare patient with facet mediated lumbar pain, wants PRP for the discs. Can anyone advise me of a few phsyicians doing this procedure regularly to make my life easier when someone is determined to have it done?
PRP spine…?
- Thread starter Drd105
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you have a patient you are saying you've diagnosed with facet mediated pain.
the patient is asking for a treatment for their disc.
why even entertain that request?
did you do mbb to rule out facets…to confirm your suspicion and possibly shut the patient up?
If so then punt him/her anywhere else.
Send them to Greg lutz, his pricing alone will scare that patient straight
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if they are only interested in PRP for discs - or any such unique and specific treatment that you do not offer - then it is best to send them on their way. you arent going to change their mind.
they could google regenexx or centeno...
they could google regenexx or centeno...
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Done several intradiscal PRP injections including 1 this week. It doesn't work.
It also doesn't work in the facet joints.
It also doesn't work in the facet joints.
lol, why are you doing them if they don’t work
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Colleague's request and good procedural experience for fellows.
Why don’t you just tell your colleague that it doesn’t work and do something that, idk, really works…like intracept …🤦🏽♂️
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How much does he charge?
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Because in their own experience they think it works and I'm not going to undermine my colleagues' decision-making.
Sometimes I'm the doc making the decisions, sometimes I'm the guy doing the procedure.
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Ah, the joy of academics...
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Someone is fixin to get sent to re-education camp!
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I've done PRP in one facet joint (severe L5-S1 facet OA s/p L3-5 fusion), after doing ESI, RFA, SIJ. Hated this guy. Despised him. Saw his name on my schedule and I'd get super annoyed. Total psychopath with delusional ideas about life in general. Wouldn't let me leave the exam room.
Saw him one time after that PRP injxn and he had no more complaints. Haven't seen him since.
He's either (1) better, (2) tired of my failures and has found himself a new doctor or he's (3) dead.
Saw him one time after that PRP injxn and he had no more complaints. Haven't seen him since.
He's either (1) better, (2) tired of my failures and has found himself a new doctor or he's (3) dead.
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KOL!
Thanks everyone - I told him no one anywhere around here is doing that and I would ask around - but you’re right I shouldn’t have offered that. I’m sure he won’t call back. But if he does I asked around and will rec generic second opinion. And then he can move on to that and then third, etc.
ive had plenty of success with facet prp too(including myself)....not sure what baron is doing. I havent done intradiscal in awhile.....usually the things i do before intradiscal work, so they dont get to that point.
tell that to Regenexx.
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I’d love to see the real world regenexx data. All their “studies “ are in house.
I don’t fully trust regenexx at this point
