• Vertebral Compression Fracture – MRI Images

    By Chris Faubel, M.D. — This is a set of three (3) sagittal MRI images showing an L3 superior endplate vertebral compression fracture on T1-weighted, T2-weighted, and STIR images. This side-by-side set of images shows the usefulness of MRI STIR images to point out the edema associated with an acute compression fracture.

    Note the very clearly increased signal intensity on the STIR image to the right.
  • Sacroiliac Joint Injection With Fluoroscopy – Technique and Tips

    By Chris Faubel, M.D. — Explanation of how to perform a sacroiliac joint injection with fluoroscopy. Technique and tips are given. Fluoroscopic images are shown. ICD-9, ICD-10, and CPT codes are shown too.

    More obvious contrast spread up the joint line after injecting the steroid / local anesthetic mixture.
  • Acromioclavicular Joint Injection With Fluoroscopy

    By Chris Faubel, M.D. — Technique, tips, and fluoroscopic images for performing an acromioclavicular joint injection with fluoroscopic guidance.

    After injection of the steroid/local anesthetic solution.
  • Lumbar Discography

    By Chris Faubel, M.D. — Tips and technique for performing lumbar discography (discogram). Included are ICD-9, ICD-10, and CPT codes, as well as needed supplies.

    Lumbar Discography
  • Glenohumeral Joint Injection With Fluoroscopy

    Chris Faubel, M.D. — Technique and tips for performing a glenohumeral joint injection with fluoroscopic guidance. Technique, tips, and CPT codes.

    Final image.  After injection of the steroid and local anesthetic mixture.  Note the intraarticular spread.  Also note that no contrast is seen under the acromion process, which means there is not likely a full thickness rotator cuff tear.
  • Hip Joint Injection With Fluoroscopy – Technique and Tips

    Chris Faubel, M.D. — Description of the technique for performing a hip joint injection with fluoroscopic x-ray guidance for patients with osteoarthritis and other hip pathology.

    Note above that the contrast has been diluted and spread out more after the corticosteroid and local anesthetic was injected.

Conditions »

Iliolumbar Syndrome

Iliolumbar Syndrome

December 12, 2011 at 8:37 pm

By Chris Faubel, M.D. — Even though many physicians are unaware of iliolumbar syndrome, I have found it to be a relatively common cause of chronic, axial low back pain. Find out how it presents and how to best treat this condition.

  • Source: MedicineNet.com
    Carpal Tunnel Syndrome: A Review

    By Chris Faubel, MD — Comprehensive review of carpal tunnel syndrome. How is it best diagnosed? Does diagnostic ultrasound and MRI help with the diagnosis? What is the natural history if untreated? Are steroid injections better than oral steroids? What about other treatment options? Is surgery better than conservative management? Find answers to all of these questions and more.

    November 15, 2010 at 11:40 am
  • source "www.musculoskeletalnetwork.com"
    Lateral Epicondylitis

    By Azlan Tariq, D.O. — Commonly known as “tennis elbow”. What are the symptoms, diagnosis and treatment? Find out here.

    September 14, 2010 at 1:38 am
  • Image from Bioscience.org
    Testosterone Deficiency In Chronic Pain Patients Taking Opioids

    By Chris Faubel, MD — Does the chronic use of opiates/opioids/narcotics lead to testosterone deficiency? If so, how is it treated? Find out here.

    September 8, 2010 at 8:00 am

Basic Science »

Radiopaque Contrast Use In Pain Medicine

Radiopaque Contrast Use In Pain Medicine

September 2, 2011 at 12:04 am

By Chris Faubel, M.D. – Radiopaque contrast agents are essential to interventional pain physicians during fluoroscopically-guided injections. It is important to know which types of contrast are the most safe, what adverse reactions will look like, and what you can do to try to prevent adverse reactions in high-risk patients.

Electrodiagnostics »

Part of the combined sensory index.

Carpal Tunnel Syndrome – Electrodiagnostics

November 16, 2010 at 8:00 am

By Chris Faubel, MD — Learn about the electrodiagnostic information pertaining to testing for carpal tunnel syndrome.

  • 14-cm distance (around the medial malleolus)
    Setup – Medial and Lateral Plantar NCS

    By Chris Faubel, MD — Learn the electrode placement and stimulation sites for performing a medial and lateral plantar nerve conduction study (NCS). Also the CPT codes for nerve conduction studies.

    November 10, 2010 at 9:50 pm
  • Stimulate 8-cm proximal to E1 (curved line around medial malleolus)
    Setup – Tibial Motor NCS

    By Chris Faubel, MD — Learn the electrode placement and stimulation sites for performing a tibial motor nerve conduction study. Also the CPT codes for nerve conduction studies.

    November 10, 2010 at 8:08 pm
  • 14-cm distance (black to black)
    Setup – Sural Sensory NCS

    By Chris Faubel, MD — Learn the electrode placement and stimulation site for performing a sural sensory nerve conduction study. Also the CPT codes for nerve conduction studies.

    November 10, 2010 at 6:52 pm

Interventional Procedures »

VIDEO:  Knee Injection Under Fluoroscopic Guidance

VIDEO: Knee Injection Under Fluoroscopic Guidance

December 23, 2011 at 12:06 am

By Chris Faubel, M.D. — VIDEO of knee injections performed under fluoroscopic guidance. Of note is the contrast spread in a classic “mustache” shape. Also take a look at the spread into the suprapatellar bursa and the Baker’s cyst.

Orthopedic Tests »

Lachman’s Test

Lachman’s Test

February 22, 2012 at 8:05 pm

By Chris Faubel, M.D. — Description and video of Lachman’s test

  • Valgus Stress Test (of the knee)
    Valgus Stress Test (of the knee)

    By Chris Faubel, M.D. — Description and video of the Valgus Stress Test of the Knee for helping to diagnose medial collateral ligament sprain or tear.

    February 19, 2012 at 10:32 pm
  • Varus Stress Test (of the knee)
    Varus Stress Test (of the knee)

    By Chris Faubel, M.D. — Varus Stress Test (of the knee): useful in helping to diagnose lateral collateral ligament tears or sprains

    February 19, 2012 at 4:08 pm
  • Full Can Test
    Full Can Test

    By Chris Faubel, M.D. — Description and video of the Full Can Test for diagnosing supraspinatus tendinitis or tear

    December 17, 2011 at 1:19 am

Recent Posts

Topical Compounding Creams Used In Pain Management

Topical Compounding Creams Used In Pain Management

By Chris Faubel, M.D. — Topical administration of medications for pain management has become increasingly more common. Compounded creams are an safe alternative to oral medications in some cases. Listed are the most commonly used compounded drugs, their proposed mechanism of action, and various conditions they may potentially be useful in treating.

Read more ›
www.biogenesis-antiaging.com

Low-Dose Naltrexone For The Treatment of Fibromyalgia Pain

By Chris Faubel, M.D. — Summary of new research (Feb. 2013) from Stanford University shows low-dose naltrexone is effective in relieving pain, general satisfaction and mood more than placebo.

Read more ›
Alpha Lipoic Acid (ALA)

Alpha Lipoic Acid (ALA)

Alpha Lipoic Acid (ALA) is a supplement antioxidant that has been shown to help with the symptoms of diabetic peripheral neuropathy.

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Opioid Conversion Resources

Opioid Conversion Resources

By Chris Faubel, M.D. — Here is a list of opioid conversion resources for pain physicians converting a patient from one or more opioid narcotic medications to another.

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