Metabolism of Opioids
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
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
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
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
By Chris Faubel, M.D. -- Technique, tips, and fluoroscopic images for performing an acromioclavicular joint injection with fluoroscopic guidance.
Methylprednisolone – Medrol Dosepak
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
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
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
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
Chris Faubel, M.D. -- MRI images showing lumbar synovial cysts causing a patient's low back pain and lumbar radiculopathy pain compaints.
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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.