Rare procedures

[interjectionreflection]

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Just curious how people learn these procedures. Also on the surface this sounds crazy but I've also never heard of this or seen this as a treatment option.

Do these people just develop these techniques and experiment on cadavers?

I believe spinal instability is a big contributor to spinal dysfunction and symptoms. Imaging can give great clues to where you have ligamentous instability. Experienced regen med docs often treat… | John Pitts

I believe spinal instability is a big contributor to spinal dysfunction and symptoms. Imaging can give great clues to where you have ligamentous instability. Experienced regen med docs often treat the Supra and interspinous ligaments (SS/IS) from posterior with flexion instability, but what...

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[DODOCSS]

CT

 

[mdo1738]

Dang I didn’t know anterior disk spaces could fap

 

[BobBarker]

He does a lot of very unusual things routinely. He is definitely confident in his anatomic knowledge and needle driving skills. I talked with him once about something he posted and he basically said he just studied the anatomy and came up with what he thought would be a safe way of doing it. Very talented, but not something for most to try to emulate.

 

[RoloTomassi]

Dang I didn’t know anterior disk spaces could fap

They get lonely sometimes, posterior disc gets all the attention

 

[au bon pain]

At least there is no insane “outcome” in that post. I was expecting to read the typical drivel:
“Patient had 10000% relief of all the body pain she ever had in her entire life and her macular degeneration also completely resolved and never came back. This procedure also allowed her dog to learn Greek.”

 

[drusso]

Pitts is the Titts. The dude is good.

 

[nvrsumr]

I would have done like a cervical disco and then fenestrated the ligament with prp

What percentage of paying patients are “nonregererable”?

 

[lobelsteve]

This has lawsuit potential. How long the line of Neurosurgeons willing to testify against any complication.
Do we really need to invent new mechanisms for pain pain, create new diagnoses just so we can treat?

 

[pinstriped1992]

A lot of regen spine docs advertise about treating the functional spinal unit. They are routinely doing PRP for facets, platelet lysate TFESIs bilateral, multilevel, plus or minus intradiscal and finally top it off with PRP into the supraspinus/intraspinus ligements and TPIs to the surrounding multifidi/superficial muscles... Shotgun approach with a 5 digit bill.

 

[Dr. Ice]

FSU is all the craze these days. Dump enough blood back there and see what happens

 

[manowar rules]

I think this guy is right that weak spinal ligaments are an underrecognized contributor to instability.
But I suspect that resistance training is a whole lot more effective than sticking a needle in one spot on a ligament.

I think procedures like these are more for the doc than the patient, gives you something new and interesting to do.

 

[MitchLevi]

Pitts is a good guy.

 

[Ducttape]

I think procedure$ like the$e are more for the doc than the patient, give$ you $omething new and intere$ting to do.

fixed it for you.

 

[lobelsteve]

 

[p1at0]

CPT?

 

[Taus]

CPT?

Cpt = $$$$$

 

[Ducttape]

if he only used local anesthetic, then he could have used 20550.

he then added ultrasound. 76942.

then used fluoro. 77003.

but in the end, no cpt code, because:

1. he used 2 imaging modalities, and only 1 is supposed to be used for billing.
2. he injected substances not covered by medicare.
3. he would get something like $156 if he billed insurance, $3000+ if he billed self-pay (assuming fluoro over ultrasound, which pays about $62 more)