Nov 14, 2024
In this episode, we are joined by Dr. David Rosenblum, a New York-based interventional pain physician, who discusses optimizing genicular nerve chemical ablation. Dr. Rosenblum shares insights as well as his upcoming ultrasound course schedyke in New York City, focusing on regional anesthesia, interventional pain, and IV ultrasound placement. He emphasizes the significance of ultrasound in enhancing pain management procedures and the latest advancements in the field.
Dr. Rosenblum references an article from The Korean Journal of Pain discussing the optimization of genicular nerve chemical ablation. Key takeaways include:
Discussion on Knee Pain Management
• ArticlebyAndresRochaRomero:
• Discussion on knee pain targeting genicular nerve ablation.
• Co-authored by Tony Ng and King K Stanley Lam.
• Published in Korean Journal of Pain.
• Highlights differences in pain management practices outside the
U.S.
Other Points on Genicular Nerve Chemical Ablation discussed
Phenol ablation being used more internationally vs. radiofrequency ablations.
Considerations for more extensive targeting of genicular
nerves:
• Importance of the median branch of the nerve to the vastus
intermedius. • Expansion of targeting to include 6 nerves, not just
3.
• Anatomical variations require different approaches.
Recommendations and Observations
• Importance of considering patient-specific anatomy and pain. • Repeat procedures and rehabilitation:
• Concerns about bio intensity and fascia integrity.
• Emphasizes muscle strengthening exercises to support knee.
• CRPS Considerations:
• Elderly patients may develop CRPS post-knee replacement.
• Importance of lumbar sympathetic block in diagnosis and
treatment.
Dr. David Rosenblum, MD is an interventional pain physician based in New York City. With extensive experience in pain management techniques, Dr. Rosenblum is dedicated to advancing the field through education and innovative practices. He is particularly focused on the integration of ultrasound technology into pain management procedures.
Dr. Rosenblum's upcoming ultrasound courses are CME supported, monthly hands on workshops to give clinicians experience with ultrasound imaging to identify targets for nerve block joint injection, soft tissue injection and more..
• Monthly IV Ultrasound Course in Manhattan:
• Ideal for nurses, PAs, anesthesiologists, ER docs.
• Provides practice with phantoms, short lecture on IV ultrasound.
• Offers CME credits.
• Ultrasound Courses:
• Held one Saturday a month, mostly in New York, but travels if
needed. • Upcoming dates: December 21st, January 11th in
Manhattan.
• Presentation Invitation at Pain Expo in Dubai: April 26-27. •
• Next LAPS conference in September in Chile.
Upcoming Opportunities and Closing Remarks
Dr. Rosenblum encourages attending his ultrasound courses and conferences.
Mention of upcoming conferences in ASPN inMiami, Pain Expo in Dubai, and LAPS inChile.
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The podcast aims to support pain management professionals.