In this UMiami Health Talk, Dr. Jean Jose discusses imaging-guided interventions for chronic pain relief. He explains the benefits of ultrasound-guided imaging for musculoskeletal conditions and the various injection options for pain management. These include corticosteroids, viscosupplementation, and orthobiologics like platelet-rich plasma (PRP). Dr. Jose also introduces newer procedures such as geniculate artery embolization and nerve blocks. He emphasizes the importance of accurate diagnosis and appropriate treatment, highlighting the use of image guidance for better outcomes. Patients with conditions like fibromyalgia and degenerative back issues may benefit from these interventions. Dr. Jose also addresses the concerns of excessive corticosteroid injections and the potential for nerve damage. The talk concludes with a discussion on Prolotherapy and the future of pain management through advanced imaging and AI solutions.
Key Takeaways:
*Ultrasound-guided imaging is effective for musculoskeletal conditions, offering targeted and real-time treatment.
*Corticosteroids are anti-inflammatory but may cause side effects like infection or cartilage damage with excessive use.
*Viscosupplementation with hyaluronic acid is helpful for knee osteoarthritis but can cause temporary pain and allergic reactions in some patients.
*Orthobiologics like PRP have the potential for promoting healing but require more research for widespread application.
*Geniculate artery embolization (GAE) is a promising technique for mild to moderate knee osteoarthritis, providing pain relief within two weeks.
*Patients with fibromyalgia require a systemic approach, including medication and physical therapy, while peripheral nerve interventions may alleviate specific pain.
*Excessive corticosteroid injections without addressing the underlying cause may lead to complications and inadequate pain relief.
*Younger individuals are experiencing joint pain due to sports injuries, and targeted interventions can delay or prevent the need for joint replacement surgery.
*Patients with electronic medical devices can safely undergo imaging, with precautions taken according to device specifications
*The future of pain management involves advancing imaging technologies, AI solutions, and a multidisciplinary approach for better patient outcomes.
