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.
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.
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.
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.
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.
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.
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.
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.
Metabolism of Benzodiazepines
A chart showing the basic metabolism of benzodiazepines as it pertains to urine drug screens.
False Positives in Immunoassay Urine Drug Screens
A list of various medications that can cause a false positive readings for different classes of medications/drugs during immunoassay urine drug screens.
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Conditions
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.
Imaging
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.