Comparing the Official Disability Guidelines (ODG) and American Society of Interventional Pain Physicians (ASIPP) Guidelines / Cervical and Lumbar Facet/ Median Nerve Blocks / Transforaminal Epidural Steroid Injections / Peripheral Nerve Injections – Hip and Knee

Tuesday
10:00 – 12:00 pm

Crystal Ballroom C
Convention Level
(Entrance to G2)


Comparing the Official Disability Guidelines (ODG) and American Society of Interventional Pain Physicians (ASIPP) Guidelines

Jesse Lipnick, MD
President Florida Society of Interventional Pain Physicians
SIMEDHealth
Gainesville, FL

Dr. Lipnick will compare and contrast two of the major guidelines that physicians and carriers use to decide if a pain management procedure is appropriate for an injured patient. Why are there multiple guidelines in the first place? What are the priorities that went into making these guidelines and why do carriers choose one over the other? Is there any evidence to support one guideline over another? How generous should the system be to the injured worker? You do not want to miss this interesting explanation of the guidelines used in striving to provide help to the injured worker.

Cervical and Lumbar Facet/ Median Nerve Blocks

Miguel de la Garza, MD, DABA, DAPM
Comprehensive Pain Management Partners
New Port Richey, FL

The injured worker may experience low back or neck pain due to injuries to the cervical and lumbar spinal facet joints. There is significant misunderstanding of how to treat these injured workers. The American Society of Interventional Pain Physicians offers published guidelines on how to treat these types of injuries utilizing cervical and lumbar facet/median nerve blocks with Radio Frequency Ablation (RFA) after diagnostic nerve blocks have been performed. This session will review these procedures, their risks and benefits, and will show a video of how they are performed on a real patient.

Transforaminal Epidural Steroid Injections

H. L. Dalton, DO, FAAPM&R, DABPM
Past President Florida Society of Interventional Pain Physicians
Medical Director, Florida Spine Specialists
Fort Lauderdale, FL

The use of epidural steroids in the treatment of spinal injuries has increased dramatically over the past decade. Understanding the techniques used and the rationale for the injection, as well as the risks involved, are important in the care of the injured worker. Learning the appropriate time for epidural injections in the continuum of care will help claims personnel plan for resolution of the claim. Finally, we will view a video demonstration of the proper technique of these nerve blocks on a real patient.

Peripheral Nerve Injections – Hip and Knee

Andrea M. Trescott, MD
Past President Florida Society of Interventional Pain Physicians St. Augustine, FL

Joint surgeries, especially total joint replacements, are a very expensive treatment, with a relatively high morbidity and mortality. There are also multiple conditions that will refer pain to the hip or leg, such as low back pathology radiating to the hip, and hip pathology radiating to the knee. In contrast, use of diagnostic injections before major surgery can be an initial test to avoid unnecessary surgeries. This session examines the benefits of such injections and will conclude with a video demonstration of the injection on a real patient.

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