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West Palm Beach-Boca Raton, FL - Dr. Stuart B Krost is Board Certified in the following: Physical Medicine and Rehabilitation Acute & chronic pain management Sports medicine State-of-the-art physical therapy Headaches Neck & back pain Carpal Tunnel Syndrome Myofascial pain and fibromyalgia Work and auto-related injuries Disability assessment
TRIGGER POINT INJECTIONS Trigger point injections are injections to the muscle belly. Injections are aimed at taut bands or areas of spasm within the muscle belly. Taut bands can be painful and the underlying cause of pain generation. Trigger point injections are diagnostic and therapeutic. If there is significant relief after trigger point injections Cheap Nike Air Max 97 , certainly one can consider that the muscle spasm is a pain generator. The injection consists of anesthetic as well as antiinflammatory medication.
EPIDURAL STEROID INJECTION Epidural steroid injections are a procedure to place medication both antiinflammatory as well as anesthetic in the epidural space. The epidural space is located within the spine around the spinal cord and nerve roots. The goal of epidural injections is diagnostic and therapeutic. Epidural injections can relieve pain that is generating from disc herniations as well as irritated or pinched nerve roots. These procedures are performed under fluoroscopic guidance.
FACET BLOCK Facet blocks are performed under fluoroscopic guidance and can be diagnostic and therapeutic. Injections are performed at the facet joint or the medial branch nerve. Improvement after this type of injection would be diagnostic for facet joint related pain.
FACET RHIZOTOMY Facet rhizotomy is a long acting facet block either done chemically or with thermal heat. This procedure is indicated if the patient does receive benefits from the facet block, however does not offer prolonged relief.
STELLATE BLOCK This procedure is done in the neck Cheap Nike Air Max 95 , anesthetic blockade is performed at the stellate ganglion. The goal of this procedure is for blockade of the sympathetic chain. This is diagnostic and therapeutic for evaluation and treatment of RSD.
LUMBAR SYMPATHETIC BLOCK Lumbar sympathetic block is performed about the lumbar area. The goal of this procedure is for blockade of the sympathetic chain. This would be diagnostic and therapeutic for evaluation and treatment of RSD.
DISCOGRAM A discogram was performed for diagnostic purposes to identify pain if a pathologic disc is acting as a pain generator.
IDET PROCEDURE An IDET procedure is a procedure done for a pathologic disc usually with annular tear that has been identified as a pain generator. The goal of procedure is to destroy sensory nerve endings that are transmitting painful signal. The ultimate goal is to relieve pain from discogenic pathology.
PERCUTANEOUS DISCECTOMY This is a minimally invasive procedure for treatment of a herniated disc. This is a procedure that could be done in an outpatient setting under fluoroscopic guidance to remove herniated disc material. The ultimate goal is to relieve pressure on the exiting nerve root as well as relieve pain.
BOTOX INJECTIONS Botox is a long acting treatment for muscular pain. Botox acts locally at the injection site to relieve muscle spasm and to relieve pain. Benefits of this can last up to three to six months. This is also used for intractable headaches that do not respond to more conservative measures.
OCCIPITAL NERVE BLOCK Occipital nerve is located in the back of the neck at the junction of the head. Occipital entrapments can occur with underlying spasm commonly causing occipital headaches. This can subsequently produce symptoms radiating to the top of the head as well as in back of the eyes. Occipital blocks can be diagnostic and therapeutic for occipital neuralgiaoccipital headaches.
ELECTRODIAGNOSTIC TESTING Electrodiagnostic studies are a diagnostic procedure to assess underlying neuropathic problems. EMGNCS can be diagnostic for cervical or lumbar radiculopathypinched nerve, neuropathy or distal nerve entrapment such as carpal tunnel syndrome. EMGNCS can be helpful in determining acute versus chronic conditions and identify neuropathic recovery. EMGNCS are commonly used in conjunction with MRIs to correlate anatomical findings and neuropathic function.
PHYSICAL THERAPY Physical therapy combines passive and active treatment. Passive treatments include moist head pad Cheap Nike Air Max 90 , ice packs for analgesia; Ultrasound treatment for production of heat at the muscle bone interphase and stimulate blood flow; Electrostimulation to improve blood flow as well as muscle relaxation and analgesia; Massage treatment for muscle relaxation as well as analgesia to increase extensibility of soft tissue. Active treatments include exercising and stretching as well as cardiovascular treatment to improve strength, range of motion as well as endurance. Physical therapy is a treatment as well as an education and experience to learn how to do things on your own and eventually be progressed to a home exercise program
LIFE CARE PLANNING Future care needs and life care planning are based on physical impairments as well as functional disabilities. This plan can outline what a patient will need in the future in terms of active and passive treatments Cheap Nike Air Max , durable medical equipments, medical care medication as well as interventional injections and surgery. Costs can be included in a life care plan.
DISABILITY EVALUATION A physiatristphysical medicine rehabilitation