SI Joint - a ruler to space out your burn...

[oreosandsake]

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http://www.youtube.com/watch?v=-PIK-Q2NpKw

 

[bedrock]

A ruler, wow. Another pointless medical device.

 

[painstop]

So you would use the same ruler on Michael Jordan and Mini-Me if they both have sacroiliitis...sounds stupid

 

[Mister Mxyzptlk]

Obviously never heard of Simplicity probes.

When I do the prognostic blocks I just use the bony landmarks. It's not rocket science finding the foramina and the sacral ala. Why would I need a plastic block with holes in it?

Look at how many people are in the room. Do y'all wears gowns for this like in the video? I wear gloves but no hat or mask, give a little IV midaz and fentanyl, and do the whole thing with one RN in my office.

This is insane. He's lucky he works under the umbrella of a Famous Name Brand institution.

 

[Ligament]

Paul Dreyfuss designed the Epsilon sacral lateral branch rulers for use with the Baylis SInergy system, which are very useful although I admit hating performing this procedure as it is boring as hell and takes a long time.

 

[bedrock]

Paul Dreyfuss designed the Epsilon sacral lateral branch rulers for use with the Baylis SInergy system, which are very useful although I admit hating performing this procedure as it is boring as hell and takes a long time.

do you guys still do S3? I thought he had proposed that you only need to do L5, S1, S2?

 

[lobelsteve]

Im still partial to the Stryker bipolar lesion. 2 probes placed 7mm apart and you cook whatever is between them.

 

[PinchandBurn]

Im still partial to the Stryker bipolar lesion. 2 probes placed 7mm apart and you cook whatever is between them.

👍👍

 

[Ligament]

do you guys still do S3? I thought he had proposed that you only need to do L5, S1, S2?

Dr. Dreyfuss no longer does S3, and he created the procedure.

I still do out of superstition.

 

[clubdeac]

Was just informed at a billing conference that bipolar lesioning can only be coded under unlisted

 

[lobelsteve]

Was just informed at a billing conference that bipolar lesioning can only be coded under unlisted

At S2 and S3 i agree with you. Peripheral nerve other vs 64999free.

At S1 it is considered the lateral branch going to the L5-S1 Z-joint. Cooking is cooking. Laser, RF thermal, RF bipolar, open cautery. Chemodenervation has its own code, but heat is heat.