New ICD-10 diagnosis code for Multifidus Dysfunction

[drusso]

Thank God for this:

Mainstay Medical Announces New ICD-10 Diagnosis Code for Multifidus Dysfunction

Mainstay Medical today announced that the United States Centers for Disease Control and Prevention (CDC) has designated an International Classificatio

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[RoloTomassi]

Anyone here transitioning all RFAs to Reavtiv8?

 

[lobelsteve]

Anyone here transitioning all RFAs to Reavtiv8?
View attachment 393132

40,642.04 wsa his 2023 payments. Almost all SCS.
I added this comment to his post.

 

[cowboydoc]

Anyone here transitioning all RFAs to Reavtiv8?
View attachment 393132

Calling his co-KOLs...

 

[cowboydoc]

Anyone here transitioning all RFAs to Reavtiv8?
View attachment 393132

pro tip: If you REALLY think this will work, slap a sprint in the same location for a trial run. Really piss off your corporate kool-aid drinking cheerleader rep.

 

[Agast]

I’ve seen one pissed off Reactiv8 patient. He said it caused more pain and also got infected

 

[RoloTomassi]

Who even covers this? Medicare?

 

[drusso]

40,642.04 wsa his 2023 payments. Almost all SCS.
I added this comment to his post.

Doctors are standing by...

Effects of platelet-rich plasma injection on electrical activity and biomechanics of the erector spinae muscles in lumbar myofascial pain syndrome - PubMed

Low back pain (LBP) is a highly prevalent disease. Among the various causes of LBP, one of the most frequent is myofascial pain syndrome (MPS) which affects the spinal stabilizer muscles. The aims of this study were to compare the differences in muscular electrical activity and biomechanical...

pubmed.ncbi.nlm.nih.gov

Sci Rep. 2024 Sep 18;14(1):21738.
doi: 10.1038/s41598-024-72554-1.

Effects of platelet-rich plasma injection on electrical activity and biomechanics of the erector spinae muscles in lumbar myofascial pain syndrome​

Na Li 1 2 3, Qian Wang 4, Shaolong Ai 4, Hongchen He 4, Jiayuan He 1 2 3, Ning Jiang 5 6 7
Affiliations Expand

• PMID: 39289428
• PMCID: PMC11408725
• DOI: 10.1038/s41598-024-72554-1

This study looked at people with one-sided lower back muscle pain (myofascial pain syndrome, or MPS) and compared the muscle activity and stiffness on the painful side to the non-painful side. They used two tools—surface electromyography (sEMG) and MyotonPRO a standardized digital palpation device to measure mechanical stiffness of biological tissues—to measure muscle electrical activity and mechanical properties.
Here’s what they found:

1. Before treatment: The muscles on the painful side were more active and showed differences in how they moved and responded compared to the non-painful side. The painful muscles had higher electrical signals, which means they were overactive, but there wasn’t much difference in muscle stiffness or elasticity.
2. After treatment: After a single session of platelet-rich plasma (PRP) treatment, the muscle activity on the painful side decreased, and patients reported less pain and better movement. This showed that the PRP treatment helped reduce muscle overactivity and improve symptoms.

In summary, using sEMG and MyotonPRO can help identify muscle problems in people with MPS, and PRP treatment may be effective in reducing pain and improving muscle function.

 

[SSdoc33]

Doctors are standing by...

Effects of platelet-rich plasma injection on electrical activity and biomechanics of the erector spinae muscles in lumbar myofascial pain syndrome - PubMed

Low back pain (LBP) is a highly prevalent disease. Among the various causes of LBP, one of the most frequent is myofascial pain syndrome (MPS) which affects the spinal stabilizer muscles. The aims of this study were to compare the differences in muscular electrical activity and biomechanical...

pubmed.ncbi.nlm.nih.gov

Sci Rep. 2024 Sep 18;14(1):21738.
doi: 10.1038/s41598-024-72554-1.

Effects of platelet-rich plasma injection on electrical activity and biomechanics of the erector spinae muscles in lumbar myofascial pain syndrome​

Na Li 1 2 3, Qian Wang 4, Shaolong Ai 4, Hongchen He 4, Jiayuan He 1 2 3, Ning Jiang 5 6 7
Affiliations Expand

• PMID: 39289428
• PMCID: PMC11408725
• DOI: 10.1038/s41598-024-72554-1

This study looked at people with one-sided lower back muscle pain (myofascial pain syndrome, or MPS) and compared the muscle activity and stiffness on the painful side to the non-painful side. They used two tools—surface electromyography (sEMG) and MyotonPRO a standardized digital palpation device to measure mechanical stiffness of biological tissues—to measure muscle electrical activity and mechanical properties.
Here’s what they found:

1. Before treatment: The muscles on the painful side were more active and showed differences in how they moved and responded compared to the non-painful side. The painful muscles had higher electrical signals, which means they were overactive, but there wasn’t much difference in muscle stiffness or elasticity.
2. After treatment: After a single session of platelet-rich plasma (PRP) treatment, the muscle activity on the painful side decreased, and patients reported less pain and better movement. This showed that the PRP treatment helped reduce muscle overactivity and improve symptoms.

In summary, using sEMG and MyotonPRO can help identify muscle problems in people with MPS, and PRP treatment may be effective in reducing pain and improving muscle function.

is that the epidemic/scource of the week?

"lumbar myofascial pain syndrome"?

sigh

 

[Ducttape]

retrospective study of 24 patients. 51 levels, 102 total.

in the abstract and summaries, i see no information on whether the RFA helped with the pain.

hard to draw conclusions on a retrospective study.

suppose.... the RFA does cause atrophy, but the patient has significant improvement of pain. perhaps multifidus spasm is the primary etiology of pain, for which RFA would be appropriate?



so this needs a controlled blinded study to look at not only the muscles and atrophy but link it to pain scores.

 

[Ronin1]

Anyone here transitioning all RFAs to Reavtiv8?
View attachment 393132

I’d like to see the numbers on these guys for 64635/64636. I guarantee it’s not small

 

[drusso]

retrospective study of 24 patients. 51 levels, 102 total.

in the abstract and summaries, i see no information on whether the RFA helped with the pain.

hard to draw conclusions on a retrospective study.

suppose.... the RFA does cause atrophy, but the patient has significant improvement of pain. perhaps multifidus spasm is the primary etiology of pain, for which RFA would be appropriate?



so this needs a controlled blinded study to look at not only the muscles and atrophy but link it to pain scores.

If you told me that my multifidus atrophy was in my head, I'd be pissed...

 

[cameroncarter]

Anyone here transitioning all RFAs to Reavtiv8?
View attachment 393132

Dilemmas with denervation: to do or not to do (that is the... : PAIN

An abstract is unavailable.

journals.lww.com

Here is a nice editorial by Steve Cohen discussing this study.

 

[cowboydoc]

The real joke here is Mainstay is celebrating the new ICD 10 code essentially specific to their device, while not realizing that code makes it really fast and easy for insurance to deny coverage in masse. See also: bundled genicular blocks, SI ablation.

 

[Tboned]

The real joke here is Mainstay is celebrating the new ICD 10 code essentially specific to their device, while not realizing that code makes it really fast and easy for insurance to deny coverage in masse. See also: bundled genicular blocks, SI ablation.

So true