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How's ASPN 2024?
Started by drusso
wait, i thought it was Return of the Cluneal Neuralgia...
Looks like a 4 day beach vacation charged to my HOPD overlords….
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#pns #rfa | Matthias H. Wiederholz, MD, MS | 29 comments
Superior cluneal nerve block. This and tricks. Note ideal spread of contrast at the more medial location(left image). The more lateral location (right image) needed to be repositioned due to non-ideal placement initially. See dye spread superior and inferior to the iliac crest. After...
Thanks, I added to this to my Linkedin comments.
Table - PMC
Low back pain (LBP) is encountered frequently in clinical practice. The superior and the middle cluneal nerves (SCN and MCN) are cutaneous nerves that are purely sensory. They dominate sensation in the lumbar area and the buttocks, and their ...
Superior and Middle Cluneal Nerve Entrapment as a Cause of Low Back Pain - PMC
Low back pain (LBP) is encountered frequently in clinical practice. The superior and the middle cluneal nerves (SCN and MCN) are cutaneous nerves that are purely sensory. They dominate sensation in the lumbar area and the buttocks, and their ...
Don’t even get me started on this guy![]()
#pns #rfa | Matthias H. Wiederholz, MD, MS | 29 comments
Superior cluneal nerve block. This and tricks. Note ideal spread of contrast at the more medial location(left image). The more lateral location (right image) needed to be repositioned due to non-ideal placement initially. See dye spread superior and inferior to the iliac crest. After...www.linkedin.com
Just look at his website.Don’t even get me started on this guy
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I know himJust look at his website.
did he delete your comments? I dont see it on that postThanks, I added to this to my Linkedin comments.
Table - PMC
Low back pain (LBP) is encountered frequently in clinical practice. The superior and the middle cluneal nerves (SCN and MCN) are cutaneous nerves that are purely sensory. They dominate sensation in the lumbar area and the buttocks, and their ...www.ncbi.nlm.nih.gov
Superior and Middle Cluneal Nerve Entrapment as a Cause of Low Back Pain - PMC
Low back pain (LBP) is encountered frequently in clinical practice. The superior and the middle cluneal nerves (SCN and MCN) are cutaneous nerves that are purely sensory. They dominate sensation in the lumbar area and the buttocks, and their ...www.ncbi.nlm.nih.gov
did he delete your comments? I dont see it on that post
I don't see them either.
Matthias H. Wiederholz, MD, MS on LinkedIn: Keeping with the superior cluneal neuritis theme, here is a patient with… | 12 comments
Keeping with the superior cluneal neuritis theme, here is a patient with prior lumbar fusion referred to me for PNS trial after successful diagnostic blocks… | 12 comments on LinkedIn
I think they lurk here.
Looks like they got their feelings hurt and deleted themI think they lurk here.
I think they lurk here.
It's not a coincidence.
Nice Avatar.It's not a coincidence.
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wait, are you shilling now for SI fusion or for PNS?
i like it better when you shill only for regen...
i like it better when you shill only for regen...
wait, are you shilling now for SI fusion or for PNS?
i like it better when you shill only for regen...
Just in case you missed it.
Cureus. 2024 May 31;16(5):e61471.
doi: 10.7759/cureus.61471. eCollection 2024 May.
A Comparison of the Results of Platelet-Rich Plasma Injection Versus the Results of Corticosteroid Injections in De-Quervain Tenosynovitis
Ahmed T Ashour 1, Ahmed Ashour 2, Abdelhamid H Khalaf 3, Ahmed A Marie 3, Emad A Mohamed 3Affiliations expand
- PMID: 38953060
- PMCID: PMC11215342
- DOI: 10.7759/cureus.61471
Abstract
Background: De Quervain tenosynovitis (DQT) is a condition that affects the first extensor compartment of the wrist, resulting in stenosing tenosynovitis. This work aimed to evaluate the effects of platelet-rich plasma (PRP) injection in the treatment of DQT in comparison with corticosteroid (CS) injections.Methods: This study was carried out on 40 DQT patients aged above 18 years old of both sexes, based on a combination of clinical symptoms and signs including persistent tenderness on the radial styloid, swelling on the radial styloid, positive provocative tests such as the Finkelstein test, and patients with failed medical treatment. Patients were divided into two equal groups: group I and group II. Group I was injected with PRP, and group II was injected with CS. Follow-ups were conducted at two weeks and six months.
Results: The two groups had statistically significant differences regarding the visual analog scale (VAS) and the Disabilities of Arm, Shoulder, and Hand (QuickDASH-9) score. However, complications were statistically insignificant between both groups. After injection, CS was better than PRP after two weeks, but PRP was superior to CS after six months concerning QuickDASH-9 and VAS. These differences were statistically significant.
Conclusions: CS is more effective than PRP in the short term (two weeks) and PRP is more effective in the intermediate term (six months). Both modalities are safe; however, PRP is relatively safer than CS.
Keywords: corticosteroids; de-quervain tenosynovitis; injection; platelet-rich plasma; visual analog scale.
Do you fuse the SI then Stim, or Stim then fuse?It's not a coincidence.
Do you fuse the SI then Stim, or Stim then fuse?
It's just so hard to decide...