Ask the Experts: Vertebrogenic Pain Diagnosis and Treatment – Podcast Episode 8

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.

You can also watch the video of this webinar here.

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Materials presented in this activity have been made available by the International Pain and Spine Intervention Society for educational purposes only.