Pain and the diagnostic block.
04/22/24 • 13 min
**Episode Description:**
In this episode of the Talking Rehab Podcast, I discuss the use of diagnostic blocks to accurately identify pain sources in patients with spine and musculoskeletal disorders. I emphasize the importance of setting realistic expectations, accurately interpreting pain levels before and after injections, and the unique challenges that come with patient reporting. This discussion is designed to deepen the understanding of both clinicians and patients, enhancing the effectiveness of pain management and diagnostic accuracy in clinical settings.
**Episode Description:**
In this episode of the Talking Rehab Podcast, we dive into the complexities of diagnostic blocks and managing post-procedure pain. Our host, an experienced physician, shares insights on the use of diagnostic blocks to pinpoint sources of pain in patients with spine and musculoskeletal disorders. The discussion covers setting realistic expectations, interpreting pain levels pre and post-injection, and the challenges of patient reporting. This talk aims to enhance understanding among clinicians and patients alike, shedding light on the nuances of pain management and diagnostic accuracy in clinical practice.
**Timestamps for Episode Navigation:**
1. **Introduction to Diagnostic Blocks**
[00:00] Overview of diagnostic blocks and their importance in identifying pain sources.
2. **Mechanics of Diagnostic Blocks**
[01:50] Detailed explanation of how diagnostic blocks work and their application in clinical settings.
3. **Setting Expectations with Patients**
[03:30] Discussing the importance of setting correct expectations about the procedure's outcomes and potential pain levels.
4. **Challenges of Patient Reporting**
[05:10] Insights into the complexities of patient feedback and the interpretation of diagnostic results.
5. **Real-World Application and Outcomes**
[06:45] Examples of real-world application of diagnostic blocks and variable patient responses.
6. **Pharmacokinetics and Duration of Effect**
[08:20] Explanation of the medication's effects duration and managing patient expectations regarding the return of pain.
7. **Interpreting Variable Responses**
[09:55] Discussion on the variability in patient responses and the clinical implications of late or prolonged pain relief.
8. **Educational Approaches and Patient Communication**
[11:30] Strategies for educating patients and ensuring accurate reporting of symptoms.
9. **Conclusion and Reflections**
[13:05] Final thoughts on the need for nuanced approaches in pain management and diagnostic procedures.
Follow me on:
Instagram @drfredbagares
Facebook @drfredbagares
LinkedIn Fred Bagares, DO
YouTube Dr. Fred Bagares - YouTube
Linktree https://linktr.ee/drfredbagares
**Episode Description:**
In this episode of the Talking Rehab Podcast, I discuss the use of diagnostic blocks to accurately identify pain sources in patients with spine and musculoskeletal disorders. I emphasize the importance of setting realistic expectations, accurately interpreting pain levels before and after injections, and the unique challenges that come with patient reporting. This discussion is designed to deepen the understanding of both clinicians and patients, enhancing the effectiveness of pain management and diagnostic accuracy in clinical settings.
**Episode Description:**
In this episode of the Talking Rehab Podcast, we dive into the complexities of diagnostic blocks and managing post-procedure pain. Our host, an experienced physician, shares insights on the use of diagnostic blocks to pinpoint sources of pain in patients with spine and musculoskeletal disorders. The discussion covers setting realistic expectations, interpreting pain levels pre and post-injection, and the challenges of patient reporting. This talk aims to enhance understanding among clinicians and patients alike, shedding light on the nuances of pain management and diagnostic accuracy in clinical practice.
**Timestamps for Episode Navigation:**
1. **Introduction to Diagnostic Blocks**
[00:00] Overview of diagnostic blocks and their importance in identifying pain sources.
2. **Mechanics of Diagnostic Blocks**
[01:50] Detailed explanation of how diagnostic blocks work and their application in clinical settings.
3. **Setting Expectations with Patients**
[03:30] Discussing the importance of setting correct expectations about the procedure's outcomes and potential pain levels.
4. **Challenges of Patient Reporting**
[05:10] Insights into the complexities of patient feedback and the interpretation of diagnostic results.
5. **Real-World Application and Outcomes**
[06:45] Examples of real-world application of diagnostic blocks and variable patient responses.
6. **Pharmacokinetics and Duration of Effect**
[08:20] Explanation of the medication's effects duration and managing patient expectations regarding the return of pain.
7. **Interpreting Variable Responses**
[09:55] Discussion on the variability in patient responses and the clinical implications of late or prolonged pain relief.
8. **Educational Approaches and Patient Communication**
[11:30] Strategies for educating patients and ensuring accurate reporting of symptoms.
9. **Conclusion and Reflections**
[13:05] Final thoughts on the need for nuanced approaches in pain management and diagnostic procedures.
Follow me on:
Instagram @drfredbagares
Facebook @drfredbagares
LinkedIn Fred Bagares, DO
YouTube Dr. Fred Bagares - YouTube
Linktree https://linktr.ee/drfredbagares
Previous Episode
What rehabilitation means to me.
The term "rehabilitation" is commonly used in the musculoskeletal world but it's really quite vague. There are several textbook definitions but ultimately every clinician needs to define it for themselves. In this episode, I discuss what rehabilitation means to me and how it affects my clinical approach.
Follow me on:
Instagram @drfredbagares
Facebook @drfredbagares
LinkedIn Fred Bagares, DO
YouTube Dr. Fred Bagares - YouTube
Next Episode
The Perfect Tool?
Join Dr. Fred Bagares in this enlightening episode of the Talking Rehab Podcast, where he dives deep into the concept of the "perfect tool" in treatment. With over a decade of experience, Dr. Bagares shares his insights on the effectiveness, risks, and practicality of various medical tools—from biologics and steroid injections to non-invasive techniques and surgery. This episode is a must-listen for anyone interested in the evolving field of sports and spine medicine, offering a blend of professional expertise and practical advice aimed at improving patient care and treatment outcomes.
**Timestamps:**
[00:37] Exploring the Best Tools in Clinical Practice
[01:11] The Concept of the Perfect Medical Tool
[01:55] Criteria for the Ideal Medical Tool
[05:02] Non-Invasive vs. Invasive Tools
[08:35] Evaluation of Current Tools in Musculoskeletal Medicine
[09:06] Discussion on Over-the-Counter Medications
[10:26] The Role of Steroid Injections
[12:13] Cutting-Edge Regenerative Medicine
[16:17] Challenges with Biologics and Regenerative Techniques
[18:41] The Financial and Practical Aspects of Surgery
[22:10] Recovery and Long-Term Outcomes Post-Surgery
[25:00] The "Rent to Own" Approach in Treatment Options
[25:35] Closing Thoughts: The Importance of a Comprehensive Treatment Framework
Follow me on:
Instagram @drfredbagares
Facebook @drfredbagares
LinkedIn Fred Bagares, DO
YouTube Dr. Fred Bagares - YouTube
Linktree https://linktr.ee/drfredbagares
Talking Rehab with Dr. Fred Bagares - Pain and the diagnostic block.
Transcript
What is rehab or rehabilitation? My name is Fred Bagueras, a board certified sports and spine medicine physician in Virginia. After 10 years of practice, I still find musculoskeletal medicine both fascinating and challenging. This podcast is about the lingering thoughts and questions I've had after residency and fellowship. My hope is to spark discussion, challenge dogma, and share my experiences in musculoskeletal medicine. Welcome to the Talking Rehab Podcast. Okay,
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