Metabolism of Opioids

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Knowing the metabolism of common opioids (opiates) helps you understand why patients can test positive on a urine drug screen (UDS) for drugs you are not actually prescribing.

Drug Detection Windows

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Knowing the drug detection windows for the most commonly prescribed and abused drugs is essential to the practice of proper pain management.

Vertebral Compression Fracture – MRI Images

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By Chris Faubel, M.D. -- Include here are multiple sets of MRIs that both show vertebral compression fractures and also illustrate the importance of asking for STIR sequences when ordering an MRI when you even remotely suspect a vertebral compression fracture.

Sacroiliac Joint Injection With Fluoroscopy – Technique and Tips

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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.

Acromioclavicular Joint Injection With Fluoroscopy

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

Methylprednisolone – Medrol Dosepak

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Brief post about the commonly used medrol dosepak (medrol dose pack) with a description of how patient's should take the 4mg tablets per the manufacturer's packaging.

Lumbar Discography

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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.

Glenohumeral Joint Injection With Fluoroscopy

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

Hip Joint Injection With Fluoroscopy – Technique and Tips

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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.

Lumbar Facet Joint Synovial Cyst

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Chris Faubel, M.D. -- MRI images showing lumbar synovial cysts causing a patient's low back pain and lumbar radiculopathy pain compaints.