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Physical Medicine and Rehabilitation Clinics of North America

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https://www.readbyqxmd.com/read/29173669/preface
#1
EDITORIAL
Carlos E Rivera
No abstract text is available yet for this article.
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29173668/foreword
#2
EDITORIAL
Santos F Martinez
No abstract text is available yet for this article.
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29173667/ultrasound-guided-interventions-of-the-cervical-spine-and-nerves
#3
REVIEW
Ke-Vin Chang, Wei-Ting Wu, Levent Özçakar
High-resolution ultrasound (US) enables prompt depiction of muscles, tendons, ligaments, and peripheral nerves. It seems to be the best imaging modality for guiding perineural injections. The most complicated neurovascular network of the musculoskeletal system surrounds the cervical spine; so injection to that region is never an easy task. This article elaborates the regional anatomy and the use of US scanning and guidance for cervical interventions; for example, cervical root, superficial cervical plexus, stellate ganglion, cervical medial branch, greater occipital nerve, and third occipital nerve...
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29173666/lumbar-epidural-steroid-injections
#4
REVIEW
Carlos E Rivera
Lumbar epidural steroid injections under fluoroscopic guidance are used very commonly for the treatment of low back and lower extremity radicular pain. These procedures have been shown to be effective for pain relief in the short term and are relatively safe. The indications, evidence, and safety considerations for 2 different techniques-namely, interlaminar and transforaminal-are discussed.
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29173665/peripheral-nerve-radiofrequency-neurotomy-hip-and-knee-joints
#5
REVIEW
Liza Hernández-González, Carlos E Calvo, David Atkins-González
Intra-articular hip and knee pain is a common cause of physical and psychosocial disability. Many conservative treatment options provide only short-term relief. Recent research studies have shown improvement in pain and function with minimal complications after radiofrequency neurotomy of the hip and the knee, especially in patients who have failed conservative treatment or are not surgical candidates. More quality research studies are needed to establish the efficacy and safety of these procedures in patients with refractory hip and knee pain...
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29173664/ultrasound-for-lumbar-spinal-procedures
#6
REVIEW
Michelle Chi, Allen S Chen
Ultrasonography has become an increasingly valuable and promising tool for performing image-guided spine interventions. The increase in the use of ultrasound utilization has led to more studies evaluating ultrasound-guided interventional spine procedures in comparison to fluoroscopy and computed tomography. Several studies have investigated the use of ultrasound for lumbosacral pain management procedures with favorable outcomes.
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29173663/lumbosacral-transitional-segments-an-interventional-spine-specialist-s-practical-approach
#7
REVIEW
Michael B Furman, Brady Wahlberg, Eduardo J Cruz
The presence of a lumbosacral transitional vertebrae (LSTV) should prompt a more detailed preprocedural evaluation of the vertebral column to accurately determine spinal levels. An LSTV should prompt the use of corroborating intraprocedural imaging to verify morphology. The most important factors in treating lumbosacral transitional segments are communication among treating physicians to ensure segmental enumeration consistency and associated appropriate patient treatment.
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29173662/image-and-contrast-flow-pattern-interpretation-for-attempted-epidural-steroid-injections
#8
REVIEW
Michael B Furman, Anthony A Cuneo
Fluoroscopically guided, contrast-enhanced epidural steroid injections (ESIs) are frequently performed for radicular symptoms. Interventionalists performing these procedures should have a thorough and detailed understanding of spinal anatomy to safely and effectively deliver the desired injectate to the targeted site. Being able to differentiate epidural from nonepidural contrast flow is vital as is recognizing flow to undesired locations. This article summarizes the characteristics that distinguish between ideal epidural flow patterns and nonideal subarachnoid, intradural, and other suboptimal contrast flow patterns...
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29173661/sacroiliac-joint-interventions
#9
REVIEW
David A Soto Quijano, Eduardo Otero Loperena
Sacroiliac joint (SIJ) pain is an important cause of lower back problems. Multiple SIJ injection techniques have been proposed over the years to help in the diagnosis and treatment of this condition. However, the SIJ innervation is complex and variable, and truly intra-articular injections are sometimes difficult to obtain. Different sacroiliac joint injections have shown to provide pain relief in patients suffering this ailment. Various techniques for intraarticular injections, sacral branch blocks and radiofrequency ablation, both fluoroscopy guided and ultrasound guided are discussed in this paper...
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29173660/safety-and-complications-of-cervical-epidural-steroid-injections
#10
REVIEW
Byron J Schneider, Simone Maybin, Eric Sturos
Serious neurologic complications following cervical transforaminal epidural steroid injections (CTFESI) and cervical interlaminar epidural steroid injections (CILESI) have been reported. For CILESI, this is caused by aberrant needle placement or space-occupying lesions, such as hematoma or abscess. For CTFESI, this is caused by embolic infarct when inadvertent intra-arterial injection of particulate steroids has occurred. Multiple safety techniques are used to mitigate the risk of these serious complications...
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29173659/radiofrequency-denervation-of-the-cervical-and-lumbar-spine
#11
REVIEW
Jessica Arias Garau
Facet or zygapophysial joint pain is commonly seen in the aging population. Interventional procedures, such as facet joint nerve blocks, facet intraarticular injections, and radiofrequency denervation, are used for the diagnosis and treatment of axial spinal chronic neck and low back pain. The focus of this article is to understand how radiofrequency denervation works in the cervical and lumbar spine and to be able to properly select appropriate patients who might benefit from this safe and effective procedure...
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29173658/prolotherapy-for-the-thoracolumbar-myofascial-system
#12
REVIEW
Bradley D Fullerton
Prolotherapy has focused on entheses as a key source of chronic low back pain, even without clear diagnosis of enthesopathy. Treatment has traditionally been guided by anatomic knowledge and careful palpation. This article integrates ultrasonographic diagnosis of fascial injury with examination findings taught in traditional prolotherapy technique. Thoracolumbar fascial anatomy and biotensegrity theory are used to explain patient presentation and response to treatment at these pathologic findings. Detailed case reports provide proof of concept for the 60-year history of prolotherapy in the treatment of chronic low back pain...
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29173657/sonographic-guide-for-botulinum-toxin-injections-of-the-neck-muscles-in-cervical-dystonia
#13
REVIEW
Bayram Kaymak, Murat Kara, Eda Gürçay, Levent Özçakar
Intramuscular botulinum toxin (BoTX) injection is the first-line treatment of cervical dystonia. Poor treatment outcomes and some side effects, however, have been reported after BoTX applications. One of the most important reasons is incorrect localization of the needle during toxin injections. Without imaging, it is impossible to verify precise needle positioning in the proper muscle. Ultrasound has been recommended because of its high capability in illustrating most of the neck muscles. This review article discusses how ultrasound imaging can be used to scan/access neck muscles, mainly from the perspective of BoTX injections...
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29173656/cervical-epidural-steroid-injection-techniques-and-evidence
#14
REVIEW
Lawrence McLean House, Kevin Barrette, Ryan Mattie, Zachary L McCormick
Cervical epidural steroid injections are a common treatment of cervical radicular pain. Important safety considerations include attention to the possibility of spinal cord infarction and spinal epidural hematoma. When appropriate, radiographic, technical, and pharmacologic principals are used, these procedures are relatively safe. Cervical epidural steroid injections are effective for the short-term treatment of radicular pain. More rigorously designed clinical outcomes studies of both cervical interlaminar and transforaminal epidural steroid injections are needed...
February 2018: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031350/preface
#15
EDITORIAL
David A Soto-Quijano
No abstract text is available yet for this article.
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031349/aging-with-grace-dignity-and-courage-a-mission-for-physical-medicine-and-rehabilitation
#16
EDITORIAL
Santos F Martinez
No abstract text is available yet for this article.
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031348/foreword
#17
EDITORIAL
Thomas E Strax, Martha Sprowles
No abstract text is available yet for this article.
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031347/rehabilitation-needs-of-the-elder-with-traumatic-brain-injury
#18
REVIEW
Manuel F Mas, Amy Mathews, Ekua Gilbert-Baffoe
The incidence of traumatic brain injury (TBI) in older adults is increasing. As the expected life expectancy increases, there is a heightened need for comprehensive rehabilitation for this population. Elderly patients with TBI benefit from rehabilitation interventions at all stages of injury and can achieve functional gains during acute inpatient rehabilitation. Clinicians should be vigilant of unique characteristics of this population during inpatient rehabilitation, including vulnerability to polypharmacy, posttraumatic hydrocephalus, neuropsychiatric sequelae, sleep disturbances, and sensory deficits...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031346/aging-with-spinal-cord-injury-an-update
#19
REVIEW
Joel E Frontera, Patrick Mollett
The 2016 National Spinal Cord Injury Statistical Center's Spinal Cord Injury (SCI) Facts and Figures reports approximately 17,000 new cases yearly, approximately 54 cases per million. The past 40 years has brought a significant change in patterns of injury. The average age has increased from 29 years in the 1970s to approximately 42 years currently; it is believed it has plateaued. Aging persons with SCI may have a higher risk of developing other medical complications. Studies report a perceived improvement in quality of life among persons with SCI with age, influenced by psychological, medical, and environmental factors...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031345/rehabilitation-needs-of-the-elderly-patient-with-cancer
#20
REVIEW
Jesuel Padro-Guzman, Jennifer P Moody, Jessica L Au
Physiatrist taking care of the geriatric patient with cancer should be able to manage an array of conditions that might present from diagnosis throughout completion of treatments and beyond. The elderly cancer population is at greater risk of functional impairments. The physician should anticipate changes in clinical status and must adjust rehabilitation goals accordingly. Treatment options and rehabilitation goals should be tailored to help maximize quality of life in these patients.
November 2017: Physical Medicine and Rehabilitation Clinics of North America
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