• Auto-Resorption of Lumbar Disc Herniation

    By Chris Faubel, M.D. — MRIs one year apart showing resorption of a large lumbar disc herniation. This is spontaneous resorption of the disc without any surgical intervention.

    Auto-Resorption of Lumbar Disc Herniation
  • Fibrolipoma of the Filum Terminale

    By Chris Faubel, M.D. — A lipoma or fibrolipoma of the filum terminale is a somewhat uncommon (4-6%) and usually incidental, asymptomatic finding on MRIs of the lumbar spine.

    Fibrolipoma of the Filum Terminale
  • Bertolotti’s syndrome – Atypical Cause of Low Back Pain

    By Chris Faubel, M.D. — Bertolotti’s syndrome is an atypical cause of axial low back pain or buttock pain caused by a transitional lumbar vertebrae with a large transverse process that either fuses with the sacrum (sacral ala) or ilium, or forms a pseudoarticulation at that location.

    Bertolotti’s syndrome – Atypical Cause of Low Back Pain
  • Warming Cold Hands and Feet for Nerve Conduction Studies

    By Chris Faubel, M.D. — This post illustrates the importance of warming cold hands and feet when performing nerve conduction studies. Also listed are ways to measure the skin temperature and how to warm the extremities.

    Warming Cold Hands and Feet for Nerve Conduction Studies
  • Hemangioma in the Spine

    By Chris Faubel, M.D. — Spinal hemangioma are frequently seen on MRI of the lumbar and lower thoracic spine. Learn here how NOT to mistake them for spinal metastasis and also learn the possible vertebral compression fracture sequelae down the road.

    Hemangioma in the Spine
  • Plexiform Neurofibroma – Lumbar Spine

    By Chris Faubel, M.D. — This plexiform neurofibroma grew into the right L5/S1 neuroforamen and caused L5 radicular symptoms in this patient.

    Plexiform Neurofibroma – Lumbar Spine

Conditions »

Bertolotti’s syndrome – Atypical Cause of Low Back Pain

Bertolotti’s syndrome – Atypical Cause of Low Back Pain

September 28, 2013 at 7:17 pm

By Chris Faubel, M.D. — Bertolotti’s syndrome is an atypical cause of axial low back pain or buttock pain caused by a transitional lumbar vertebrae with a large transverse process that either fuses with the sacrum (sacral ala) or ilium, or forms a pseudoarticulation at that location.

  • Iliolumbar Syndrome
    Iliolumbar Syndrome

    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.

    December 12, 2011 at 8:37 pm
  • 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
  • Lateral Epicondylitis
    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

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 »

Warming Cold Hands and Feet for Nerve Conduction Studies

Warming Cold Hands and Feet for Nerve Conduction Studies

September 23, 2013 at 7:25 pm

By Chris Faubel, M.D. — This post illustrates the importance of warming cold hands and feet when performing nerve conduction studies. Also listed are ways to measure the skin temperature and how to warm the extremities.

  • Part of the combined sensory index.
    Carpal Tunnel Syndrome – Electrodiagnostics

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

    November 16, 2010 at 8:00 am
  • 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

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

Diffuse Idiopathic Skeletal Hyperostosis (DISH)

Diffuse Idiopathic Skeletal Hyperostosis (DISH)

Diffuse Idiopathic Skeletal Hyperostosis (DISH) radiographic findings on a lateral thoracic x-ray. Dripping candle wax appearance is seen. Image compared to a normal T-spine lateral x-ray.

Read more ›
Holding Anticoagulants for Interventional Pain Procedures

Holding Anticoagulants for Interventional Pain Procedures

By Chris Faubel, M.D. — The summary of the latest guidelines for holding anticoagulants (blood thinners) prior to performing interventional pain procedures.

Read more ›
Side-by-side of final flow

Piriformis Muscle Injection With Fluoroscopy

By Chris Faubel, M.D. — This is a step-by-step explanation of how to perform a piriformis muscle injection with fluoroscopy. Images included.

Read more ›
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 ›
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