Nate Clements, MD
@NDClementsMD
Family man | Interventional Pain Doc | Trained @UTHealthSA || @uofumedicine alum | Utah Jazz | Utah Utes | Views are my own
Today, a physician working at the same productivity level is stuck with $32.36 per RVU—which means, adjusted for inflation, they’re effectively making HALF of what they used to. Think about that: same work, half the pay. Meanwhile: Hospitals get sweetheart site-of-service…
Question for my #painmedicine and interventional spine colleagues and friends. Does anyone have recommendations on high yield conferences for nurse practitioners and PA’s? @JayKarriMD @doctdeer @drdesaimd @Ryan_S_DSouzaMD @jonhagedornmd @Sympathy4TheDr
Totally agree @ScottPritzlaff patient safety should be first
🚨 @CMSGov changes to trigger point injections jeopardize patient well-being. Ultrasound now deemed investigational, posing risks during procedures. Cost containment measures overlook safety and limit access to non-opioid care! @ASPN_PainNeuro @NANS_ION @ASRA_Society @IPSISMed
Utes with the masterclass on blowing a game by holding the ball on offense.
Unfortunate when a systematic review on a specialty topic has no authors with actual experience managing the nuances of the treatment being evaluated and then extrapolates conclusions beyond the scope of the relevant PICOS. lnkd.in/g-4hFk6m
Methodological gaps in Traeger et al's Cochrane review invalidate its conclusion that spinal cord stimulation is "probably not effective" for low back pain. AAPM members respond with a commentary: @PainMedJournal Article: academic.oup.com/painmedicine/a… Podcast: tinyurl.com/3dszhz3n
Evidence-based consensus guidelines on patient selection and trial stimulation for spinal cord stimulation therapy for chronic non-cancer pain bit.ly/3nRrtss #anesthesia #SCS #chronicpain @harshamd5 @dr_tinadoshi @NarouzeMD @ASRA_Society @dr_rajgupta @ESchwenkMD
Updating my chart for knee osteoarthritis treatments. Agree? Disagree? What would you change/modify? What treatments would you add? #orthotwitter
Save this images! Axial and sagittal lumbar MRI views, showing normal anatomy. From my favorite book: Khanna, MRI Essentials for the Spine Specialist (chapter 4). YouTube education: youtube.com/channel/UC6A5C… #LumbarMRI #MRI #backpain #PainPhysician
1) A whistle stop tour looking at the prognosis of some of the common spinal conditions we encounter. *Note this will vary considerably & is dependent on so many factors*
Serratus Anterior Plane Block: youtu.be/5UAtyigWU84 Potentially blocks the lateral cutaneous branches of the intercostal nerves from T2 to T7-9, depend on the position and volume of LA, intercostobrachial nerve, long thoracic nerve, and thoracodorsal nerve.
Intercostal nerve block and ablation has many indications in acute and chronic pain management. Learn and enjoy: youtu.be/MWW3tfnhUaw #chronicpain #nerveblock #regionalanesthesia #IntercostalNeuralgia #shingles #painmanagement
A procedure that is seemingly straightforward, with many different approaches/variations. Always interesting compare notes. Anyone similarly placing steroid in both join & bursa? @ErekLatzkaMD @ZachBailowitzMD @WBerriganMD?
As a MSK Rad Hydrodilatation for adhesive capsulitis is one of the most gratifying procedures, seeing a patient with chronic pain & stiffness smile after getting instant relief and mobility is the best! A 🧵 on Hydrodilatation #radres #radtwitter #MedTwitter #FOAMrad #FOAMed
Misconceptions are common regarding viability of medial branches (and need for RFA) in the context prior lumbar fusion. academic.oup.com/painmedicine/a… @UofU_PMR @UofUOrtho @vumcpmr @AaronYangMD @HurleyMDPhD @PainMedJournal #Spine #pain #radiofrequency #MedTwitter @MedEdBot
academic.oup.com
Considerations for Lumbar Medial Branch Nerve Radiofrequency at Spinal Motion Segments Adjacent to...
Abstract. Instrumented lumbar spinal fusion is common and results in biomechanical changes at adjacent spinal segments that increase facet load bearing. Th
🆕ASRA Pain Medicine guidelines for perioperative management of patients using #cannabis @ShaliniShahMD @ESchwenkMD @rakesh6282 @garyschwartzmd @ASRA_Society @ASALifeline @APSForg @painmednews rapm.bmj.com/content/early/…
As a Cardiologist, here are some of the biggest mistakes I see patients make. 🧵👇 /1
Timothy Deer, MD, shared some of his new research on neuromodulation pain relief at the American Society of Pain and Neuroscience 2022 annual conference. painmedicinenews.com/Multimedia/Art… @ASPN_PainNeuro @doctdeer
Pain management relevant neurology examination #4 In the past 2 posts I covered radiculopathic pain. Now let us learn about mono-neuropathy. Finding the nerve(s) responsible for pain open many treatment options! YouTube education: youtube.com/channel/UC6A5C…
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