In episode 11, our experts covered your questions on:

• Which vascular structures, nerves, and musculoskeletal structures are best visualized with US?
• Which interventional procedures can be performed with greater efficacy and safety with US guidance?
• Which procedures can be performed exclusively with US guidance, and which benefit from hybrid fluoroscopic/US modalities?
• What are the best ways for pain physicians to get up to speed on utilizing US?
• What tips can help those already utilizing US take their skills to the next level?

Your expert panel for this December 5, 2024 webinar included:

• Lauren A. Chambers, DO, of the University of Rochester Medical Center in Rochester, New York, who also serves on the IPSIS Ultrasound Committee; and

• Jonathan Kirschner, MD, of the Hospital for Special Surgery in New York, New York, who also serves IPSIS as Chair of the Ultrasound Committee.

The panel is moderated by Michael Furman, MD, MS, Fellowship Director at OSS Health, who also serves on the IPSIS Board as a Member-at-Large.

Listen on the go — make "Ask the Experts" your new go-to podcast! Besides the video, an audio download is also available here.

© 2024 International Pain and Spine Intervention Society – All Rights Reserved Materials presented in this activity have been made available by the International Pain and Spine Intervention Society for educational purposes only.

In episode 11, our experts covered your questions on:

• Which vascular structures, nerves, and musculoskeletal structures are best visualized with US?
• Which interventional procedures can be performed with greater efficacy and safety with US guidance?
• Which procedures can be performed exclusively with US guidance, and which benefit from hybrid fluoroscopic/US modalities?
• What are the best ways for pain physicians to get up to speed on utilizing US?
• What tips can help those already utilizing US take their skills to the next level?

Your expert panel for this December 5, 2024 webinar included:

• Lauren A. Chambers, DO, of the University of Rochester Medical Center in Rochester, New York, who also serves on the IPSIS Ultrasound Committee; and

• Jonathan Kirschner, MD, of the Hospital for Special Surgery in New York, New York, who also serves IPSIS as Chair of the Ultrasound Committee.

The panel is moderated by Michael Furman, MD, MS, Fellowship Director at OSS Health, who also serves on the IPSIS Board as a Member-at-Large.

Listen on the go — make "Ask the Experts" your new go-to podcast! Besides the video, an audio download is also available here.

© 2024 International Pain and Spine Intervention Society – All Rights Reserved Materials presented in this activity have been made available by the International Pain and Spine Intervention Society for educational purposes only.

Watch the members-only free Post Residency Roadmap Q&A webinar designed to help you find and secure your optimal interventional pain medicine fellowship and find out:

• What are the secrets to building an unstoppable candidacy for an Accreditation Council for Graduate Medical Education (ACGME)-accredited fellowship?
• How do residents best position themselves for North American Spine Society (NASS)-recognized Interventional Spine and Musculoskeletal Medicine (ISMM) fellowships?
• To what degree are participating in research, publishing papers, and presenting at conferences important to successful fellowship applications?
• What critical moves should you be making if applying this season, next season, in two years?
• How do successful fellows prepare for the interview cycle?
• How do you know which fellowship is right for you?

Your panel includes:

• Heidi Chen, MD, an Attending Spine Physiatrist at Vanderbilt University Medical Center and Assistant Professor of PM&R at Vanderbilt University Medical School in Nashville, Tennessee, who completed a NASS-recognized fellowship at OSS Health in York, Pennsylvania and serves IPSIS on the Early Career Council Executive Committee;
• Qing Zhao Ruan, MD, an Attending Interventional Pain Physician, Anesthesiologist at Providence VA Medical Center, who completed an ACGME-accredited fellowship at Weill Cornell Medicine, New York Presbyterian Hospital, in New York, New York; and
• Kevin Vu, MD, who is currently in an ACGME-accredited pain medicine fellowship at Brigham and Women’s Hospital in Boston, Massachusetts and also serves IPSIS on the Early Career Council as an Ambassador.

The panel is moderated by Christopher Robinson, MD, PhD, who is currently in an ACGME-accredited pain medicine fellowship at Brigham and Women’s Hospital in Boston, Massachusetts and also serves IPSIS on the Early Career Council Executive Committee.

© 2024 International Pain and Spine Intervention Society – All Rights Reserved Materials presented in this activity have been made available by the International Pain and Spine Intervention Society for educational purposes only.

In episode 10, our experts covered your questions on:

• What does the latest research tell us about knee, shoulder, and hip joint denervation?
• What protocol is recommended for identifying and treating pain with knee and other joint denervations
• Should we consider denervation before or after joint replacement, peripheral stimulation, or orthobiologic therapy in our protocol?
• Which modality provides the most effective image guidance – fluoroscopy or ultrasound – and can or should they be combined?
• Do enhanced lesioning treatments utilizing cooled radiofrequency, bipolar, and or multi-tined radiofrequency probes improve outcomes?
• Is phenol neurolysis comparable to radiofrequency denervation, and if so, what phenol volume and concentration should be used?
• Are hip and shoulder denervation comparable to knee denervation on a risk vs benefit basis?

Your expert panel for this October 10, 2024 webinar included:

• Christine Hunt, DO, MS, of the Mayo Clinic in Jacksonville, Florida, who also serves IPSIS as Vice-Chair of the Evidence Analysis Committee; and
• Ameet Nagpal, MD, MS, MEd, MBA, of the Medical University of South Carolina College of Medicine, who also serves IPSIS as Chair of the Guidelines Committee.

The panel was moderated by Michael Furman, MD, MS, Fellowship Director at OSS Health, who also serves on the IPSIS Board as a Member-at-Large.

Episode 10 Show Notes: These are the abstracts referenced by our experts.

• Anatomical Study of the Innervation of Anterior Knee Joint Capsule: Implication for Image-Guided Intervention
• Cooled Radiofrequency Ablation of the Articular Sensory Branches of the Obturator and Femoral Nerves using Fluoroscopy and Ultrasound Guidance: A Large Retrospective Study
• Genicular nerve radiofrequency ablation for the treatment of chronic knee joint pain: a real-world cohort study with evaluation of prognostic factors
• Radiofrequency ablation of the hip: review
• Shoulder Ablation Approaches
• Terminal Sensory Articular Nerve Radiofrequency Ablation for the Treatment of Chronic Intractable Shoulder Pain: A Novel Technique and Case Series

You can also watch the video of this webinar here.

© 2024 International Pain and Spine Intervention Society – All Rights Reserved
Materials presented in this activity have been made available by the International Pain and Spine Intervention Society for educational purposes only.

In episode 10, our experts covered your questions on:

• What does the latest research tell us about knee, shoulder, and hip joint denervation?
• What protocol is recommended for identifying and treating pain with knee and other joint denervations
• Should we consider denervation before or after joint replacement, peripheral stimulation, or orthobiologic therapy in our protocol?
• Which modality provides the most effective image guidance – fluoroscopy or ultrasound – and can or should they be combined?
• Do enhanced lesioning treatments utilizing cooled radiofrequency, bipolar, and or multi-tined radiofrequency probes improve outcomes?
• Is phenol neurolysis comparable to radiofrequency denervation, and if so, what phenol volume and concentration should be used?
• Are hip and shoulder denervation comparable to knee denervation on a risk vs benefit basis?

Your expert panel for this October 10, 2024 webinar included:

• Christine Hunt, DO, MS, of the Mayo Clinic in Jacksonville, Florida, who also serves IPSIS as Vice-Chair of the Evidence Analysis Committee; and
• Ameet Nagpal, MD, MS, MEd, MBA, of the Medical University of South Carolina College of Medicine, who also serves IPSIS as Chair of the Guidelines Committee.

The panel is moderated by Michael Furman, MD, MS, Fellowship Director at OSS Health, who also serves on the IPSIS Board as a Member-at-Large.

Episode 10 Show Notes: These are the abstracts referenced by our experts.

• Anatomical Study of the Innervation of Anterior Knee Joint Capsule: Implication for Image-Guided Intervention
• Cooled Radiofrequency Ablation of the Articular Sensory Branches of the Obturator and Femoral Nerves using Fluoroscopy and Ultrasound Guidance: A Large Retrospective Study
• Genicular nerve radiofrequency ablation for the treatment of chronic knee joint pain: a real-world cohort study with evaluation of prognostic factors
• Radiofrequency ablation of the hip: review
• Shoulder Ablation Approaches
• Terminal Sensory Articular Nerve Radiofrequency Ablation for the Treatment of Chronic Intractable Shoulder Pain: A Novel Technique and Case Series

Listen on the go — make "Ask the Experts" your new go-to podcast! Besides the video, an audio download is also available here.

© 2024 International Pain and Spine Intervention Society – All Rights Reserved Materials presented in this activity have been made available by the International Pain and Spine Intervention Society for educational purposes only.

In episode 9, our experts covered your questions on:

• How do you recognize, diagnose, and treat symptomatic hypersensitivity reactions to contrast media?
• How do you prevent repeat hypersensitivity reactions with a proper history?
• How do you discuss pretreatment for patients with known hypersensitivity reactions?
• Which iodinated contrast media should we consider?
• When should gadolinium-based contrast media be considered?
• What are appropriate contrast media concentrations and volumes?
• How should you manage procedures when there are iodinated contrast media shortages?

Your expert panel for this August 6, 2024 webinar included:

• Past President Timothy Maus, MD, a Mayo Clinic Professor Emeritus of Radiology, and moderator of the Case Review Community; and
• Christin A. Tiegs-Heiden, MD, of the Mayo Clinic in Rochester, Minnesota.

The panel was moderated by Michael Furman, MD, MS, Fellowship Director at OSS Health, who also serves on the IPSIS Board as a Member-at-Large.

You can also watch the video of this webinar here.

Episode 9 Show Notes: These are the abstracts referenced by our experts.

• The American College of Radiology Manual on Contrast Media
• The Use of Contrast Agents in Interventional Pain Procedures: A Multispecialty and Multisociety Practice Advisory on Nephrogenic Systemic Fibrosis, Gadolinium Deposition in the Brain, Encephalopathy After Unintentional Intrathecal Gadolinium Injection, and Hypersensitivity Reactions

© 2024 International Pain and Spine Intervention Society – All Rights Reserved
Materials presented in this activity have been made available by the International Pain and Spine Intervention Society for educational purposes only.

In episode 9, our experts covered your questions on:

• How do you recognize, diagnose, and treat symptomatic hypersensitivity reactions to contrast media?
• How do you prevent repeat hypersensitivity reactions with a proper history?
• How do you discuss pretreatment for patients with known hypersensitivity reactions?
• Which iodinated contrast media should we consider?
• When should gadolinium-based contrast media be considered?
• What are appropriate contrast media concentrations and volumes?
• How should you manage procedures when there are iodinated contrast media shortages?

Your expert panel for this August 6, 2024 webinar included:

• Past President Timothy Maus, MD, a Mayo Clinic Professor Emeritus of Radiology, and moderator of the Case Review Community; and
• Christin A. Tiegs-Heiden, MD, of the Mayo Clinic in Rochester, Minnesota.

The panel was moderated by Michael Furman, MD, MS, Fellowship Director at OSS Health, who also serves on the IPSIS Board as a Member-at-Large.

Listen on the go — make "Ask the Experts" your new go-to podcast! Besides the video, an audio download is also available here.

Episode 9 Show Notes: These are the abstracts referenced by our experts.

• The American College of Radiology Manual on Contrast Media
• The Use of Contrast Agents in Interventional Pain Procedures: A Multispecialty and Multisociety Practice Advisory on Nephrogenic Systemic Fibrosis, Gadolinium Deposition in the Brain, Encephalopathy After Unintentional Intrathecal Gadolinium Injection, and Hypersensitivity Reactions

© 2024 International Pain and Spine Intervention Society – All Rights Reserved Materials presented in this activity have been made available by the International Pain and Spine Intervention Society for educational purposes only.

IPSIS members are invited to unlock this free introductory set, which includes the modules:

Ultrasound-Guided Spine Care and Relationship to IPSIS Guidelines
Ultrasound Principles and Technical Aspects 
Ultrasound-Guided Shoulder Injections

Then, when you're ready, use your special member pricing to unlock:
Core Curriculum: Ultrasound-Guided Interventions of the Spine and Masqueraders (Basic),
Core Curriculum: Ultrasound-Guided Interventions of the Spine and Masqueraders (Advanced), 
or the all-inclusive full Core Curriculum: Ultrasound-Guided Interventions of the Spine and Masqueraders set.

© 2019, 2023, 2024 International Pain and Spine Intervention Society – All Rights Reserved Materials presented in this activity have been made available by the International Pain and Spine Intervention Society for educational purposes only. We reserve all rights to such material.

*Continual membership is expected to access the modules in your member profile.

Watch the free Post Fellowship Guide webinar on securing the “right” contract and nailing that first critical year as an attending interventional pain medicine physician.

• What are the real factors you should be weighing to identify your ideal path to attending physician?
• When should new attending physicians tell their department/chair “no” — and what questions should always be answered with “yes”?
• How do successful new attending physicians avoid burnout?
• What regrets do attending physicians have that make them wish for a “do-over” first year?

Your panel includes:

• Heidi Chen, MD, an Attending Spine Physiatrist at VUMC/Assistant Professor of PM&R at Vanderbilt University Medical School in Nashville, who completed a fellowship at OSS Health in York, Pennsylvania;
• Max Epstein, MD, an Interventional Spine Physiatrist and Instructor in Physical Medicine & Rehabilitation at Spaulding Rehabilitation/Massachusetts General Hospital, who completed a fellowship at the University of Utah Hospital; 
• Guilherme Ferreira Dos Santos, MD, a Senior Specialist and Pain Medicine Clinical Lead at the Hospital Clínic de Barcelona, who completed a fellowship at the Department of Anesthesiology and Pain Medicine, University of Toronto; and
• Amrita Prasad, MBBS, a Physiatrist and Pain Physician working in private practice in Queensland, Australia, who completed a pain fellowship with the Faculty of Pain Medicine, at the Australia New Zealand College of Anaesthetists.

The panel is moderated by IPSIS Early Career Council Chair, Alexandra Fogarty, MD, a fellow at Massachusetts General Hospital/Harvard Medical School in Boston, who also serves on the IPSIS Board as an Early Career Physician; and Christopher Robinson, MD, PhD, an anesthesiology resident at Beth Israel Deaconess Medical Center.

© 2024 International Pain and Spine Intervention Society – All Rights Reserved Materials presented in this activity have been made available by the International Pain and Spine Intervention Society for educational purposes only.

Jump right to the section of Episode 8 that you want to explore:

• 03:40    What history suggests a vertebrogenic pain source?
• 06:10    Which exam findings suggest a vertebrogenic pain source?
• 11:10    What imaging and diagnostic tests can identify or rule out a vertebrogenic pain source?
• 17:38    What procedures are indicated for patients with modic changes?
• 22:00    Should other pain sources be considered/ruled out before treating vertebrogenic pain?
• 24:00    Is there a role for discography?
• 25:30    What roles do Schmorl's nodes play?
• 26:10    What other types of treatments are available for vertebrogenic pain?
• 32:20    How do you select patients when MRIs demonstrate multiple spinal pathologies and Modic changes?
• 39:30    What would you see on follow up MRI?
• 41:00    Should bone density screening be done for all patients?
• 43:30    What is the maximum recommended patient age for these procedures? What is the average age?
• 46:00    What procedures are indicated with Modic changes at L2/3?
• 44:07    What is the neuroanatomy of the discovertebral junction?
• 48:10    How do you use MRIs for pre-op planning?
• 51:55    What procedures are indicated in the setting of lumbar scoliosis and Modic changes?
• 55:05    What type of anesthesia should be used for these procedures?
• 56:00.   What is the incidence of post procedural neuritis or other nerve related pathology?
• 58:40    Final Words     

Your expert panel for this June 4, 2024 webinar included:

• Ryan Reeves, MD, of Spine Team Texas in Southlake, Texas; and
• Past President Matthew Smuck, MD, of Stanford University in Redwood City, California.

The panel was moderated by Michael Furman, MD, MS, Fellowship Director at OSS Health, who also serves on the IPSIS Board as a Member-at-Large.

Listen on the go — make "Ask the Experts" your new go-to podcast! Besides the video, an audio download is also available here.

© 2024 International Pain and Spine Intervention Society – All Rights Reserved Materials presented in this activity have been made available by the International Pain and Spine Intervention Society for educational purposes only.