Regulation of neurons by neurotransmitters
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John Pritchard dropped by the podcast to share secrets to his success as a top Territory Manager and then as a record breaking Sales Leader in the hyper-competitive world of medical device sales. John also discusses a recent career move he made to a very hot startup opportunity shaking things up in the Neuromodulation niche of the industry.
Mark Fox founder and CEO of Resona Health is a former NASA space shuttle engineer turned wellness-tech entrepreneur. From designing spacecraft to pioneering wearable PEMF (Pulsed Electromagnetic Field) therapy, Mark brings a rare blend of hardcore engineering and holistic healthcare innovationIn this episode, we dive deep into the world of energy medicine from the scientific foundations of PEMF and resonance frequency therapy to its real-world impact on mental clarity, emotional regulation and chronic pain. Mark also walks us through the uphill battle with FDA compliance, the hidden power of vagus nerve stimulation and the unexpected physics that connect hot air balloons to healthcare innovation. It's a fascinating mix of engineering, wellness tech and startup gritTimestamps:[00:00:35] From NASA to Neuromodulation: Mark's Origin Story[00:03:05] What Is PEMF Therapy? Explaining the Basics[00:05:48] The New Vagus Nerve Device: Chest vs Neck Placement[00:08:40] Why Frequency > Voltage: Ditching Electrodes for Fields[00:11:22] How Resona Built a 98% Success Rate with Pocket PEMF[00:13:33] Frequency over Pharma: A Founder's Clinical Pivot[00:16:02] The Compliance Trap: How the FDA Deals With Wellness Claims[00:18:50] Using GPTs for Regulatory Copywriting (and Staying Legal)[00:21:10] What the Body Teaches You When You Build for It[00:24:16] Life Outside of Resona: Flying, Sailing and Freedom to TinkerGet in touch with Mark - https://www.linkedin.com/in/mark-fox-ab589110/ & https://resona.health/ Get in touch with Karandeep Badwal - https://www.linkedin.com/in/karandeepbadwal/Follow Karandeep on YouTube - https://www.youtube.com/@KarandeepBadwal
The Latest Research Behind Phantom Pain You may have heard the saying, "Mind over Matter" a few times in your life. I know I have, but did you know that it is more than just a saying? Did you know that our brains are capable of helping us cope when we struggle, especially when we deal with pain? Today I learned how the brain can actually help us changing the way we think and perceive the pain we feel. We have the ability to redirect and reconnect our brain waves to cope with phantom pain, or any pain, that we experience. Today, I was honored to have on Dr Felipe Fregni, professor of Physical Medicine and Rehabilitation at Harvard Medical School and Professor of Epidemiology at Harvard TH Chan School of Public Health, as well as the Director of the laboratory of Neuromodulation at Spaulding Rehabilitation Hospital. He has been researching how the brain perceives pain and what is happening during bouts of pain to our brain. Dr Felipe Fregni, Harvard Professor The hope is that if we learn how our brain works and how it changes during moments of pain or discomfort then we can start to use that information to better equip the individual to work through pain and eliminate it without medication! Wouldn't that be something! Studying the brain to find connections Dr Fregni splits his time teaching at Harvard and working the lab at Spaulding Rehabilitation Hospital Dr Fregni and his staff and students have been researching this topic for a while now and getting the data they need from participants, like myself, and they could use you too! Their goal is to create a device that you can wear to assist in pain elimination through brain waves. They started this study with bringing people into their lab to trial what they had created. Now they are onto phase 2 and getting new participants to work from home with their device. As an amputee I am excited to see research into phantom pain and how we deal with it and finding ways to cope without medication. Dr Fregni also mentioned that their research also branches into helping stroke victims and paralysis as well! When we figure out how pain is communicated within our body we can then begin to find ways to lessen or even eliminate it. One interesting thing we did touch on, which I stated at the very beginning was the mind over matter mentality. You may have heard me say that when I start hurting I tend to become active, I get moving and I find something to distract myself from thinking about the phantom pain. What Dr Fregni told me was that when we become active we start using our brain, we get neurons to fire and this makes for a healthy brain. So every time I'm struggling, my coping mechanism was to not think about the pain but to dive into something else. This is exactly what we should all be doing because we are creating connections in our brain, fire it up, and building it stronger. So mindset matters. Speaking to ourselves in positive ways matters. Even thinking about an activity we love to do creates connections in our brain for healing. What a powerful organ it is, indeed! I want to thank Dr Fregni for coming on and guiding us through how our brain is capable of helping us heal and for building this community of researchers to help those of us who are struggling with pain and need a better way to handle it. I look forward to seeing how your research builds a stronger and healthier tomorrow for us! Thank you! If you would like to take part in the clinical research happening right now, from the comfort of your own home you can reach out to Dr Fregni's department with the link below. I hope you all have a very blessed week. And as always until next time, Be Healthy, Be Happy, Be YOU!!! Much love, To see if you qualify to participate in their study please click HERE
Melissa Davidian has been a very successful Medical Device Sales leader in Neuromodulation and worked in the chronic pain field for over 25 years. She's witnessed thousands of people struggle with persistent health challenges and has seen how mental and emotional stress can quietly take a toll on the body. Now she's coaching others to take action and focus on the energy behind the illness by addressing root causes.https://www.innersectioncoaching.com
If you experience both neck pain and migraine, you're not alone! Research shows that up to 60% of people with migraine also have neck pain. But is it a trigger or a symptom? Dr. Richard Lipton from the Montefiore Headache Center talks about the link between migraine and neck pain, shares effective treatment options, and discusses the latest research on early attack management. Plus, learn about other treatments that may help relieve neck pain. Read the transcript: https://www.migrainedisorders.org/podcast/s7ep1-migraine-and-neck-pain/ Consider making a donation to help support the podcast: https://give.migrainedisorders.org/ *The contents of this podcast are intended for general informational purposes only and does not constitute professional medical advice, diagnosis, or treatment. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. AMD and the speaker do not recommend or endorse any specific course of treatment, products, procedures, opinions, or other information that may be mentioned. Reliance on any information provided by this content is solely at your own risk.
Struggling with urges and cravings after a stressful event? You're not alone. In this episode, I break down exactly what happens in your brain during these moments and, more importantly, how you can prevent relapse and recover if you've slipped.
March 28, 2025 Scott, Mark, and Dr. Ray Painter discuss questions that came into the PRS Helpdesk. NGS sent a newsletter about the use of: cpt code G0463 as a primary code for G2211. Need more info if possible.Do nurse practitioners get paid at 100% for procedures like a PNE when signing notes in NM by themselves?a) Medicare NGS is denying CPT 52332 for bilateral stents with denial CO-151. This seems to be a constant problem with denials for frequency and/or bilateral stents.Has the policy been changed; I have not been able to find any changes regarding stents insertion or exchanges.Thanksb)Hi,Wondering if you can help me with this Medicare patients.NGS is denying the claim on several patients stating that this code has a frequency limit on 52332.NGS has a problem with both frequency and bilateral stentsI have searched everywhere and find no information on this code for frequency limits per year or bilateral stents.Appreciate any help on this code.Free Kidney Stone Coding CalculatorDownload NowPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.https://www.prsnetwork.com/joinuptp Click Here to Start Your Free Trial of AUACodingToday.com The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/
In this episode, we have the privilege of speaking with Dr. Todd Herrington, a leading neurologist and director of the Deep Brain Stimulation (DBS) program at Massachusetts General Hospital. Dr. Herrington specializes in movement disorders such as Parkinson's disease, tremor, and dystonia, and his research focuses on the motor, cognitive, and psychiatric effects of DBS, leveraging intraoperative and noninvasive neurophysiology and neuroimaging to advance neuromodulation therapies.Today, we'll explore his key role in the ADAPT PD trial, a groundbreaking multicenter study evaluating the safety and efficacy of adaptive DBS for Parkinson's disease. This trial, led by Dr. Helen Brontë-Stewart at Stanford, introduced a neurostimulator capable of sensing local field potentials and dynamically adjusting stimulation in real time based on a patient's brain activity. We'll discuss how this technology represents a shift toward personalized DBS therapy and what it means for the future of neuromodulation.In the second part of our conversation, we'll delve into broader topics, including the mechanism of action of DBS, novel neuromodulation approaches, and the potential role of stem cell therapy in movement disorders. Dr. Herrington shares his expert insights on how these advancements shape both our scientific understanding and the clinical application of DBS. From improving motor and non-motor symptoms in Parkinson's disease to pioneering adaptive neurostimulation, his work is at the forefront of innovation in the field.
Brainwave BioMantra is a revolutionary restorative audio experience that harnesses the power of your own voice to enhance cognitive health through scientifically-backed vocalization techniques and ancestral intelligence.This unique Vibe Drop synchronizes your vocal vibrations with our proprietary 40Hz gamma frequency technology—the same frequency that research shows can strengthen neural connections and promote brain health. As you chant along with our guided mantras, you create a powerful resonance that synchronizes brain activity and enhances neuroplasticity.Traditional mantra practices have long understood what modern neuroscience now confirms: rhythmic vocalization creates specific vibrational patterns that affect brain function. Our carefully designed experience provides precise repetition sequences based on sacred numerology:5-minute session: 11 mantra repetitions (perfect for beginners)15-minute session: 27 mantra repetitions (ideal for daily practice)30-minute session: 56 mantra repetitions (for deeper cognitive benefits)60-minute session: 108 mantra repetitions (the complete traditional practice)The 40Hz frequency embedded throughout each session helps activate your brain's glymphatic system—your neural cleaning mechanism—while the mantra repetitions strengthen attention networks and promote stress reduction through controlled breathing patterns.As you vocalize these ancient sounds, you'll experience:Enhanced cognitive clarity and focusReduced mental fatigueImproved neuronal synchronizationActivation of key brain regions associated with memoryA profound sense of mental rejuvenationWhether you're seeking to maintain cognitive wellness, support brain health as you age, or simply create a moment of focused mental clarity in your day, Brainwave BioMantra offers a powerful science-backed practice that transforms your voice into a tool for neural vitality.Join us in this unique cognitive wellness practice where ancestral intelligence meets cutting-edge neuroscience.Send us a textSupport the show
Brainwave BioMantra is a revolutionary restorative audio experience that harnesses the power of your own voice to enhance cognitive health through scientifically-backed vocalization techniques and ancestral intelligence.This unique Vibe Drop synchronizes your vocal vibrations with our proprietary 40Hz gamma frequency technology—the same frequency that research shows can strengthen neural connections and promote brain health. As you chant along with our guided mantras, you create a powerful resonance that synchronizes brain activity and enhances neuroplasticity.Traditional mantra practices have long understood what modern neuroscience now confirms: rhythmic vocalization creates specific vibrational patterns that affect brain function. Our carefully designed experience provides precise repetition sequences based on sacred numerology:5-minute session: 11 mantra repetitions (perfect for beginners)15-minute session: 27 mantra repetitions (ideal for daily practice)30-minute session: 56 mantra repetitions (for deeper cognitive benefits)60-minute session: 108 mantra repetitions (the complete traditional practice)The 40Hz frequency embedded throughout each session helps activate your brain's glymphatic system—your neural cleaning mechanism—while the mantra repetitions strengthen attention networks and promote stress reduction through controlled breathing patterns.As you vocalize these ancient sounds, you'll experience:Enhanced cognitive clarity and focusReduced mental fatigueImproved neuronal synchronizationActivation of key brain regions associated with memoryA profound sense of mental rejuvenationWhether you're seeking to maintain cognitive wellness, support brain health as you age, or simply create a moment of focused mental clarity in your day, Brainwave BioMantra offers a powerful science-backed practice that transforms your voice into a tool for neural vitality.Join us in this unique cognitive wellness practice where ancestral intelligence meets cutting-edge neuroscience.Send us a textSupport the show
Brainwave BioMantra is a revolutionary restorative audio experience that harnesses the power of your own voice to enhance cognitive health through scientifically-backed vocalization techniques and ancestral intelligence.This unique Vibe Drop synchronizes your vocal vibrations with our proprietary 40Hz gamma frequency technology—the same frequency that research shows can strengthen neural connections and promote brain health. As you chant along with our guided mantras, you create a powerful resonance that synchronizes brain activity and enhances neuroplasticity.Traditional mantra practices have long understood what modern neuroscience now confirms: rhythmic vocalization creates specific vibrational patterns that affect brain function. Our carefully designed experience provides precise repetition sequences based on sacred numerology:5-minute session: 11 mantra repetitions (perfect for beginners)15-minute session: 27 mantra repetitions (ideal for daily practice)30-minute session: 56 mantra repetitions (for deeper cognitive benefits)60-minute session: 108 mantra repetitions (the complete traditional practice)The 40Hz frequency embedded throughout each session helps activate your brain's glymphatic system—your neural cleaning mechanism—while the mantra repetitions strengthen attention networks and promote stress reduction through controlled breathing patterns.As you vocalize these ancient sounds, you'll experience:Enhanced cognitive clarity and focusReduced mental fatigueImproved neuronal synchronizationActivation of key brain regions associated with memoryA profound sense of mental rejuvenationWhether you're seeking to maintain cognitive wellness, support brain health as you age, or simply create a moment of focused mental clarity in your day, Brainwave BioMantra offers a powerful science-backed practice that transforms your voice into a tool for neural vitality.Join us in this unique cognitive wellness practice where ancestral intelligence meets cutting-edge neuroscience.Send us a textSupport the show
Subscriber-only episodeBrainwave BioMantra is a revolutionary restorative audio experience that harnesses the power of your own voice to enhance cognitive health through scientifically-backed vocalization techniques and ancestral intelligence.This unique Vibe Drop synchronizes your vocal vibrations with our proprietary 40Hz gamma frequency technology—the same frequency that research shows can strengthen neural connections and promote brain health. As you chant along with our guided mantras, you create a powerful resonance that synchronizes brain activity and enhances neuroplasticity.Traditional mantra practices have long understood what modern neuroscience now confirms: rhythmic vocalization creates specific vibrational patterns that affect brain function. Our carefully designed experience provides precise repetition sequences based on sacred numerology:5-minute session: 11 mantra repetitions (perfect for beginners)15-minute session: 27 mantra repetitions (ideal for daily practice)30-minute session: 56 mantra repetitions (for deeper cognitive benefits)60-minute session: 108 mantra repetitions (the complete traditional practice)The 40Hz frequency embedded throughout each session helps activate your brain's glymphatic system—your neural cleaning mechanism—while the mantra repetitions strengthen attention networks and promote stress reduction through controlled breathing patterns.As you vocalize these ancient sounds, you'll experience:Enhanced cognitive clarity and focusReduced mental fatigueImproved neuronal synchronizationActivation of key brain regions associated with memoryA profound sense of mental rejuvenationWhether you're seeking to maintain cognitive wellness, support brain health as you age, or simply create a moment of focused mental clarity in your day, Brainwave BioMantra offers a powerful science-backed practice that transforms your voice into a tool for neural vitality.Join us in this unique cognitive wellness practice where ancestral intelligence meets cutting-edge neuroscience.Send us a text
Subscriber-only episodeBrainwave BioMantra is a revolutionary restorative audio experience that harnesses the power of your own voice to enhance cognitive health through scientifically-backed vocalization techniques and ancestral intelligence.This unique Vibe Drop synchronizes your vocal vibrations with our proprietary 40Hz gamma frequency technology—the same frequency that research shows can strengthen neural connections and promote brain health. As you chant along with our guided mantras, you create a powerful resonance that synchronizes brain activity and enhances neuroplasticity.Traditional mantra practices have long understood what modern neuroscience now confirms: rhythmic vocalization creates specific vibrational patterns that affect brain function. Our carefully designed experience provides precise repetition sequences based on sacred numerology:5-minute session: 11 mantra repetitions (perfect for beginners)15-minute session: 27 mantra repetitions (ideal for daily practice)30-minute session: 56 mantra repetitions (for deeper cognitive benefits)60-minute session: 108 mantra repetitions (the complete traditional practice)The 40Hz frequency embedded throughout each session helps activate your brain's glymphatic system—your neural cleaning mechanism—while the mantra repetitions strengthen attention networks and promote stress reduction through controlled breathing patterns.As you vocalize these ancient sounds, you'll experience:Enhanced cognitive clarity and focusReduced mental fatigueImproved neuronal synchronizationActivation of key brain regions associated with memoryA profound sense of mental rejuvenationWhether you're seeking to maintain cognitive wellness, support brain health as you age, or simply create a moment of focused mental clarity in your day, Brainwave BioMantra offers a powerful science-backed practice that transforms your voice into a tool for neural vitality.Join us in this unique cognitive wellness practice where ancestral intelligence meets cutting-edge neuroscience.Send us a text
Are you feeling anxious, distracted, unmotivated, or depressed? Your porn habit might be the hidden culprit.
Guest: Cristin Welle, PhD To address the concerning effects of demyelinating events in patients with multiple sclerosis (MS), a recent study explored whether neuromodulation could support myelin repair and restoration of function. Learn more as Dr. Cristin Welle explains how vagus nerve stimulation has the potential to play a role in remyelination. Dr. Cristin Welle is a Professor of Neurosurgery and Physiology at the University of Colorado Anschutz Medical Campus, and she spoke about this topic at the ACTRIMS Forum 2025.
This week Magnum discusses UAP crash retrievals, Jake Barber's testimony, the UFO Egg, the eightgon craft, and psionic assets.
Episode Summary: In this episode of NRAP's PainExam Podcast, host David Rosenblum, MD, interviews Dr. Thomas Strouse about his extensive experience with Scrambler Therapy and the evidence supporting its use in treating chronic pain. They delve into the intricacies of this innovative therapy, discussing treatment protocols, patient responses, and the overall effectiveness of Scrambler Therapy for various pain conditions. Key Topics Discussed: - Overview of Scrambler Therapy and its analgesic response. - The importance of adjusting treatment intensity based on patient feedback. - Sensations experienced by patients during therapy (from burning to tapping). - Safety considerations for patients with pacemakers during treatment. - Insights into the effectiveness of Scrambler Therapy for conditions such as discogenic back pain and peripheral neuropathy. - Discussion on treatment costs for patients and providers. - Experiences with patients who have experienced pain recurrence after treatment. - The role of booster sessions in maintaining pain relief. - Challenges faced by failed back surgery patients and the potential benefits of Scrambler Therapy. Resources Mentioned: - Contact information for Stefan Erickson at stefan@mail.scramblertherapy.com to integrate Scrambler therapy into your practice. Links to additional resources and research on Scrambler Therapy. Info] Additional Information: - For more information about upcoming webinars, including the next session on cervical ultrasound, visit www.NRAPpain.org Thank you for tuning in to NRAP's PainExam Podcast! We hope you find the insights shared in this episode valuable in your journey toward understanding and managing chronic pain. NY based anesthesiologist, David Rosenblum, MD, is one of the first interventional pain physicians in the country to integrate ultrasound guidance into his pain practice. Since 2007, he has been an international leader in the treatment of chronic pain. He has helped countless of patients suffering from back, neck, knee, shoulder, hip joint pain and has been at the forefront of regenerative pain medicine, minimally invasive pain therapies and medical education. Patients can schedule a consultation by going to www.AABPpain.com or calling: Brooklyn Office 718 436 7246 Creators Biography: David Rosenblum, MD, currently treats patients in Garden City and Brooklyn. He serves as the Director of Pain Management at Maimonides Medical Center and AABP Integrative Pain Care. As a member of the Department of Anesthesiology, he is involved in teaching, research, CME activities, and was key faculty in developing the anesthesiology residency's regional anesthesia block rotation, as well as institutional wide acute and chronic pain management protocols to ensure safe and effective pain management. He currently is a managing partner in a multi-physician private pain practice, AABP Integrative Pain Care, located in Brooklyn , NY. He is one of the earliest interventional pain physicians to integrate ultrasound guidance to improve the safety and accuracy of interventional pain procedures. Dr. Rosenblum has been named several times in NY Magazine's Best Pain Management Doctor List, Nassau County's Best Pain Physician, has appeared on NY1 News, and has made several appearances on XM Radio's Doctor Talk. He currently is working closely with the American Society of Interventional Pain Physicians (ASIPP), Eastern Pain Association (EPA), the North American Neuromodulation Society (NANS), World Academy of Pain Medicine United, and various state societies, to support educational events and develop new courses. Since 2008, he has helped over 3000 physicians pass the Pain Management Boards, and has been at the forefront of utilizing ultrasound guidance to perform pain procedures. He now hosts the PainExam podcast, AnesthesiaExam Podcast, PMRExam Podcasts and uses this platform to promote the safe and effective use of ultrasound in the performance of various procedures such as Peripheral Nerve Stimulation, Caudal Epidurals, Selective Nerve Root Blocks, Cluneal Nerve Blocks, Ganglion impar Blocks, Stellate Ganglion Blocks, Brachial Plexus Blocks, Joint Injections and much more! Doctor Rosenblum is a co-founder of the International Pain Academy and created the NRAP (Neuromodulation Regional Anesthesia and Pain) Academy and travels to teach various courses focused on Pain Medicine, Regenerative Medicine, Ultrasound Guided Pain Procedures and Regional Anesthesia Techniques. Office based Pain Physicians, Physiatrists, Emergency Room Physicians, Anesthesiologists, Neurologists and Orthopedics who treat pain, utilize Neuromodulation and use PRP, Bone Marrow Aspirate or any other Biologics will benefit from this course. #longislandpaindoctor #interventionalpain #paindoctor #scrambler #scramblertherapy
Episode Summary: In this episode of NRAP's PainExam Podcast, host David Rosenblum, MD, interviews Dr. Thomas Strouse about his extensive experience with Scrambler Therapy and the evidence supporting its use in treating chronic pain. They delve into the intricacies of this innovative therapy, discussing treatment protocols, patient responses, and the overall effectiveness of Scrambler Therapy for various pain conditions. Key Topics Discussed: - Overview of Scrambler Therapy and its analgesic response. - The importance of adjusting treatment intensity based on patient feedback. - Sensations experienced by patients during therapy (from burning to tapping). - Safety considerations for patients with pacemakers during treatment. - Insights into the effectiveness of Scrambler Therapy for conditions such as discogenic back pain and peripheral neuropathy. - Discussion on treatment costs for patients and providers. - Experiences with patients who have experienced pain recurrence after treatment. - The role of booster sessions in maintaining pain relief. - Challenges faced by failed back surgery patients and the potential benefits of Scrambler Therapy. Resources Mentioned: - Contact information for Stefan Erickson at stefan@mail.scramblertherapy.com to integrate Scrambler therapy into your practice. Links to additional resources and research on Scrambler Therapy. Info] Additional Information: - For more information about upcoming webinars, including the next session on cervical ultrasound, visit www.NRAPpain.org Thank you for tuning in to NRAP's PainExam Podcast! We hope you find the insights shared in this episode valuable in your journey toward understanding and managing chronic pain. NY based anesthesiologist, David Rosenblum, MD, is one of the first interventional pain physicians in the country to integrate ultrasound guidance into his pain practice. Since 2007, he has been an international leader in the treatment of chronic pain. He has helped countless of patients suffering from back, neck, knee, shoulder, hip joint pain and has been at the forefront of regenerative pain medicine, minimally invasive pain therapies and medical education. Patients can schedule a consultation by going to www.AABPpain.com or calling: Brooklyn Office 718 436 7246 Creators Biography: David Rosenblum, MD, currently treats patients in Garden City and Brooklyn. He serves as the Director of Pain Management at Maimonides Medical Center and AABP Integrative Pain Care. As a member of the Department of Anesthesiology, he is involved in teaching, research, CME activities, and was key faculty in developing the anesthesiology residency's regional anesthesia block rotation, as well as institutional wide acute and chronic pain management protocols to ensure safe and effective pain management. He currently is a managing partner in a multi-physician private pain practice, AABP Integrative Pain Care, located in Brooklyn , NY. He is one of the earliest interventional pain physicians to integrate ultrasound guidance to improve the safety and accuracy of interventional pain procedures. Dr. Rosenblum has been named several times in NY Magazine's Best Pain Management Doctor List, Nassau County's Best Pain Physician, has appeared on NY1 News, and has made several appearances on XM Radio's Doctor Talk. He currently is working closely with the American Society of Interventional Pain Physicians (ASIPP), Eastern Pain Association (EPA), the North American Neuromodulation Society (NANS), World Academy of Pain Medicine United, and various state societies, to support educational events and develop new courses. Since 2008, he has helped over 3000 physicians pass the Pain Management Boards, and has been at the forefront of utilizing ultrasound guidance to perform pain procedures. He now hosts the PainExam podcast, AnesthesiaExam Podcast, PMRExam Podcasts and uses this platform to promote the safe and effective use of ultrasound in the performance of various procedures such as Peripheral Nerve Stimulation, Caudal Epidurals, Selective Nerve Root Blocks, Cluneal Nerve Blocks, Ganglion impar Blocks, Stellate Ganglion Blocks, Brachial Plexus Blocks, Joint Injections and much more! Doctor Rosenblum is a co-founder of the International Pain Academy and created the NRAP (Neuromodulation Regional Anesthesia and Pain) Academy and travels to teach various courses focused on Pain Medicine, Regenerative Medicine, Ultrasound Guided Pain Procedures and Regional Anesthesia Techniques. Office based Pain Physicians, Physiatrists, Emergency Room Physicians, Anesthesiologists, Neurologists and Orthopedics who treat pain, utilize Neuromodulation and use PRP, Bone Marrow Aspirate or any other Biologics will benefit from this course. #longislandpaindoctor #interventionalpain #paindoctor #scrambler #scramblertherapy
Episode Summary: In this episode of NRAP's PainExam Podcast, host David Rosenblum, MD, interviews Dr. Thomas Strouse about his extensive experience with Scrambler Therapy and the evidence supporting its use in treating chronic pain. They delve into the intricacies of this innovative therapy, discussing treatment protocols, patient responses, and the overall effectiveness of Scrambler Therapy for various pain conditions. Key Topics Discussed: - Overview of Scrambler Therapy and its analgesic response. - The importance of adjusting treatment intensity based on patient feedback. - Sensations experienced by patients during therapy (from burning to tapping). - Safety considerations for patients with pacemakers during treatment. - Insights into the effectiveness of Scrambler Therapy for conditions such as discogenic back pain and peripheral neuropathy. - Discussion on treatment costs for patients and providers. - Experiences with patients who have experienced pain recurrence after treatment. - The role of booster sessions in maintaining pain relief. - Challenges faced by failed back surgery patients and the potential benefits of Scrambler Therapy. Resources Mentioned: - Contact information for Stefan Erickson at stefan@mail.scramblertherapy.com to integrate Scrambler therapy into your practice. Links to additional resources and research on Scrambler Therapy. Info] Additional Information: - For more information about upcoming webinars, including the next session on cervical ultrasound, visit www.NRAPpain.org Thank you for tuning in to NRAP's PainExam Podcast! We hope you find the insights shared in this episode valuable in your journey toward understanding and managing chronic pain. NY based anesthesiologist, David Rosenblum, MD, is one of the first interventional pain physicians in the country to integrate ultrasound guidance into his pain practice. Since 2007, he has been an international leader in the treatment of chronic pain. He has helped countless of patients suffering from back, neck, knee, shoulder, hip joint pain and has been at the forefront of regenerative pain medicine, minimally invasive pain therapies and medical education. Patients can schedule a consultation by going to www.AABPpain.com or calling: Brooklyn Office 718 436 7246 Creators Biography: David Rosenblum, MD, currently treats patients in Garden City and Brooklyn. He serves as the Director of Pain Management at Maimonides Medical Center and AABP Integrative Pain Care. As a member of the Department of Anesthesiology, he is involved in teaching, research, CME activities, and was key faculty in developing the anesthesiology residency's regional anesthesia block rotation, as well as institutional wide acute and chronic pain management protocols to ensure safe and effective pain management. He currently is a managing partner in a multi-physician private pain practice, AABP Integrative Pain Care, located in Brooklyn , NY. He is one of the earliest interventional pain physicians to integrate ultrasound guidance to improve the safety and accuracy of interventional pain procedures. Dr. Rosenblum has been named several times in NY Magazine's Best Pain Management Doctor List, Nassau County's Best Pain Physician, has appeared on NY1 News, and has made several appearances on XM Radio's Doctor Talk. He currently is working closely with the American Society of Interventional Pain Physicians (ASIPP), Eastern Pain Association (EPA), the North American Neuromodulation Society (NANS), World Academy of Pain Medicine United, and various state societies, to support educational events and develop new courses. Since 2008, he has helped over 3000 physicians pass the Pain Management Boards, and has been at the forefront of utilizing ultrasound guidance to perform pain procedures. He now hosts the PainExam podcast, AnesthesiaExam Podcast, PMRExam Podcasts and uses this platform to promote the safe and effective use of ultrasound in the performance of various procedures such as Peripheral Nerve Stimulation, Caudal Epidurals, Selective Nerve Root Blocks, Cluneal Nerve Blocks, Ganglion impar Blocks, Stellate Ganglion Blocks, Brachial Plexus Blocks, Joint Injections and much more! Doctor Rosenblum is a co-founder of the International Pain Academy and created the NRAP (Neuromodulation Regional Anesthesia and Pain) Academy and travels to teach various courses focused on Pain Medicine, Regenerative Medicine, Ultrasound Guided Pain Procedures and Regional Anesthesia Techniques. Office based Pain Physicians, Physiatrists, Emergency Room Physicians, Anesthesiologists, Neurologists and Orthopedics who treat pain, utilize Neuromodulation and use PRP, Bone Marrow Aspirate or any other Biologics will benefit from this course. #longislandpaindoctor #interventionalpain #paindoctor #scrambler #scramblertherapy
In this second part of the podcast, Jonathan welcomes back Douglas Drossman, pioneer in disorders of gut-brain interaction. He discusses key takeaways for clinicians from his ‘Gut Feelings' book series and explores the link between trauma, drug addiction, and functional gastrointestinal disorders. Timestamps: (00:00) – Introduction (0:54) – Takeaways from the ‘Gut Feelings' series (08:40) – Trauma and IBS: a complex link (11:31) – Opioid-induced hyperalgesia (14:18) – New horizons in the field of gut-brain interactions (17:18) – Career highs and lows (20:33) – AI in medical education (24:01) – Drossman's three wishes for healthcare
Materials scientist and physicist Guosong Hong is an expert in getting materials to do remarkable things. Recently, he and collaborators used a common food dye found in snack chips to turn living tissue transparent, allowing light to penetrate through skin and muscle. Hong is now working to realize a new age of medical imaging that lets doctors see deep into the body – without surgery. It's a miracle of physics but it could change medicine, Hong tells host Russ Altman on this episode of Stanford Engineering's The Future of Everything podcast.Have a question for Russ? Send it our way in writing or via voice memo, and it might be featured on an upcoming episode. Please introduce yourself, let us know where you're listening from, and share your quest. You can send questions to thefutureofeverything@stanford.edu.Episode Reference Links:Stanford Profile: Guosong HongGuosong's Lab: THE HONG LABConnect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>> Twitter/X / Instagram / LinkedIn / FacebookChapters:(00:00:00) IntroductionRuss Altman introduces Guosong Hong, an expert in physics, material science, and biology from Stanford University.(00:02:52) Material Science Meets NeuroscienceHow Guosong's research blends nanomaterials and brain science.(00:04:01) Why Tissue Isn't TransparentThe challenge of light penetration in biological tissues.(00:05:55) A New Approach to Tissue ClearingThe physics behind tissue transparency and refractive index manipulation.(00:08:57) UV Light and TransparencyHow manipulating UV absorption can align refractive indexes.(00:11:17) First Experiments and ResultsInitial tests that demonstrate successful tissue clearing.(00:13:19) Applications in MedicineThe potential of transparent tissues in dermatology and medical imaging.(00:15:36) Testing on Live TissueThe results of testing transparency techniques on live mice.(00:19:30) Transparency in NatureHow some species have naturally transparent tissue.(00:20:52) Human Eye and Protein TransparencyThe unique proteins that keep our lenses clear using similar physics.(00:23:24) Wireless Light Inside the BodyThe development of ultrasound-activated light sources for tissue imaging.(00:26:56) Precision of Ultrasound LightHow precisely ultrasound can trigger tiny particles to emit light.(00:29:14) Conclusion Connect With Us:Episode Transcripts >>> The Future of Everything WebsiteConnect with Russ >>> Threads / Bluesky / MastodonConnect with School of Engineering >>>Twitter/X / Instagram / LinkedIn / Facebook
In this episode of the EMJ Podcast, host Jonathan Sackier welcomes Douglas Drossman, a pioneer in disorders of gut–brain interaction. They explore his journey from gastroenterology to psychiatry, the impact of the Rome Foundation, and how neuromodulators are transforming GI treatment. This is part one of a two-part discussion, don't miss part two! Timestamps: (00:00) – Introduction (06:01) – From Rock ‘n' Roll to Medicine: Drossman's Musical Past (07:48) – The Journey from Gastroenterology to Psychiatry (11:35) – Breaking Barriers in Disorders of Gut–Brain Interaction (14:14) – The Global Impact of the Rome Foundation (17:34) – Neuromodulators: A Game Changer in Treating Painful Gastrointestinal Disorders (22:32) – Why Physician Communication Matters More Than Ever
In this episode, we dive into the challenges of overactive bladder, a condition affecting one in six women. Joining the conversation is Alexandra Haessler, a urogynecologist and founder of FemPulse, who shares her journey in developing a wearable bioelectrical device designed to help those suffering from overactive bladder. We discuss the limitations of current treatments, which often come with side effects and high costs, leaving many women to manage their symptoms without adequate support. Alexandra also discusses the importance of understanding patient needs and the engineering behind her innovative solution. Tune in to learn about the intersection of medical expertise and technology in improving women's health.Timestamps(1:30) - Overactive bladder treatment challenges.(18:07) - Medication side effects and alternatives.(22:31) - Neuromodulation in pelvic health.(30:22)- Neuromodulation in GI and GU.(36:28) - Collaboration in women's health.(45:26) - Overactive bladder solutions development.Host Bio:This podcast is hosted by Sheree Dibiase, PT ICLM. She is a nationally recognized women's health physical therapist who owns seven private clinics — one of the biggest networks in the US. She has spent 30+ years practicing in the oncology, pelvic floor, and prenatal postpartum healthcare spaces. She was also a professor for seven years a Loma Linda University where she taught kinesiology.Guest Links:LinkedIn - https://www.linkedin.com/in/alexandra-haessler-md-8104346/Brought to you by...https://lakecitypt.com/ - Pelvic floor physical therapy at homehttps://pelvicfloorpro.com/ - Pelvic floor exercises appKeywords:overactive bladder, urogynecology, FemPulse, bioelectrical device, incontinence,overactive bladder, neuromodulation, cervix, nerves, pelvic organs,bioelectric medicine, wearable device, hormone delivery, cervix, overactive bladder,neural anatomy, pelvic organs, autonomic nerves, sexual response, pelvic chakra,sexual health, overactive bladder, body image, autonomic nerves
This month's featured business guest is a Neurofeedback Practitioner, Bioelectric Medicine/Craniosacral Therapist, and Bhakti Wellness Center founder, Guy Odishaw. Guy's 30 years of clinical experience specializing in treatment for resistant chronic pain, traumatic brain injury and psycho-emotional trauma informs his approach to brain health. Additionally, his 20+years as meditation instructor and facilitator of courses on personal growth helped him understand how to support clients through the potent changes arising from Neurotherapy. Guy believes in the sustainability of Integrative Complimentary and Alternative Medicine. His evidence-based brain training does not only alleviate unwanted symptoms, it often also positively changes one's whole sense of self and relationship with the world around them. His process focuses on front loading with the bio-electric devices but also augment with diet, lifestyle and supplements to help treat dementia, ADHD and other brain health issues. In this informative conversation we discussed: ✅ Enhancing brain health and mental wellness through CerebralFit Solutions. ✅ Powerful neurofeedback devices to reduce stress and improve well-being. ✅ Photobiomodulation and Neuromodulation solutions to enhance brain function. ✅ Dimentia, Parkinson's, Autism treatment options. ✅ Factors that contribute to what goes into a treatment plan. ✅ Benefits of adding a bioelectric medicine to your healing protocol. ✅ Slow, Stop, Reverse Stories of bioelectric medicine ✅ And so much more.
On this episode of The Medical Alley Podcast, we have a discussion with Dr. Ray Baker, Vice President and Chief Medical Officer, Neuromodulation, for Boston Scientific.Dr. Baker entered the medical field for a single reason—the opportunity to help people—and that's exactly what he's done throughout his storied professional journey. Now, through the work Boston Scientific and Dr. Baker is doing with its first-of-its-kind Intracept Procedure, he's helping deliver a life-altering back pain management solution.Send us a message!Follow Medical Alley on social media on LinkedIn, Facebook, X and Instagram.
In this episode, join Dr. Argy Stampas and host Elizabeth-Sarah Bile as we discuss the article “Reduction of Overactive Bladder Medications in Spinal Cord Injury with Self-Administered Neuromodulation: A Randomized Trial”. Tune in to discover how this research can improve bladder function and health in individuals with spinal cord injuries.
Jim Surek, VP of Sales for Rhaeos, commercialization strategist and podcast host of Medical Sales Nation, joined the Chase MedSearch Podcast to discuss breaking into medical device sales, launching a Neuromodulation startup sales team, how social media savviness can be a competitive edge for sales reps, and what's around the corner in the medical device industry.www.chasemedsearch.comMedical Sales Nation PodcastConnect on LinkedIn:Jim SurekMatthew Ray Scott, Virtual Sales Rx
This episode discusses a huge unmet need in the medical device space: treatment for mixed urinary incontinence. Millions of patients, primarily women, suffer from this condition, and there is no effective treatment on the market. Current treatment options leave care gaps and patients resorting to over-the-counter products for symptom management.Juniper Biomedical is a company that is developing a new type of treatment for mixed urinary incontinence. They are developing a unique neuromodulation micro implant that can be implanted with a minimally invasive procedure to deliver a very precise therapy. This has the potential to solve the problems of mixed incontinence, eliminate issues with inaccurate diagnosis, and importantly, provide a solution that patients are more likely to accept.CEO and co-founder, David Constantine joins us to discuss their exciting progress, from extensive preclinical studies, to upcoming clinical trials. After a year of multiple highlights, including award winning on the stage of Medtech Innovator, the future looks bright for Juniper Biomedical. Their technology has the potential to make a real difference in the lives of millions of patients with pelvic health conditions, a story sure to leave you, informed and inspired.
In this episode of the Heal Nourish Grow podcast, Cheryl McColgan speaks with Guy Odishaw about the challenges faced by children in the school system. They discuss the impact of technology on children's behavior, the rising incidence of ADHD, and the importance of regulating the brain to improve outcomes. Guy shares insights into innovative approaches to brain health, including the use of neuromodulation devices that help solve dysregulation in the brain, ultimately aiming to enhance focus and learning in children. Guy discusses the importance of moderating dysregulation in children to improve their learning outcomes. He highlights the positive effects of audio visual entrainment in educational settings, sharing success stories from schools that have implemented this technology. The conversation also addresses the challenges of sustaining such programs and the need for passionate advocates to drive change. Additionally, Guy explains how families can access this technology for home use and emphasizes the importance of integrating it into daily routines for maximum benefit. Find Guy at Cerebralfit.com Takeaways The school system is facing overwhelming challenges post-pandemic. Teachers are often left without adequate resources to manage classroom behavior. The rise in ADHD diagnoses is linked to various factors, including technology. Dopamine regulation is crucial for children's behavior and learning. Neuromodulation devices can help regulate brain function effectively. Parents and teachers can benefit from brain regulation techniques. Simple interventions can lead to significant improvements in children's focus and learning. Regulating dysregulation can significantly enhance learning outcomes. Audio visual entrainment has shown positive results in educational settings. Anxiety reduction leads to improved self-esteem and performance in students. Integrating technology into daily life can enhance its effectiveness. The rental program allows families to try the technology before purchasing. Positive changes in schools can lead to a more engaged classroom environment. Teachers' stress levels decrease when students are well-regulated. The device can benefit multiple users in a household. Watch on YouTube https://youtu.be/aaV_NqUNGmo Episode Transcript Cheryl McColgan (00:00.826)Hi everyone, welcome to the Heal and Nourish Grow podcast. Today I am joined by Guy Otishaw. Easy for me to say, right? It should be easy to say because this is the third time that you've been on this show and happy to have you back. Before we get into the topic of the day, Guy, can you just share with everybody, I've read your official bio of course, like always, but could you just share a little bit of your background and how you got into this work and what makes you so passionate about helping people in the way that you do? Guy Odishaw, CerebralFit (00:30.23)Well, it's great to be back. Thank you. So my background is primarily in integrative medicine and kind of two main tracks for me, my private practice as a practitioner, but then in some ways really my more full-time job, which is building clinics. My biggest clinic was a large integrative medicine clinic with 30 providers kind of across the spectrum of care from allopathic MDs all the way to energy work of various kinds and everything in between. And then my own private practice has been primarily kind of on the orthopedic side, pain, trauma, working on the body. But then over time, I got interested in bioelectric medicine. And then that led me down the path of bioelectric medicine. And then that led me to brains in particular. And now I spend most of my time working directly on the brain with neuroimaging. neurofeedback, neurostimulation, neuromodulation. so, so now my private practice and my clinic life are much more similar as I've kind of dropped the big integrative clinic and moved to a more focused, you know,
This episode explores various neuromodulation devices designed to help women manage overactive bladder. I talk about the symptoms of overactive bladder and the common treatments such as pelvic floor exercises, behavioral changes, and medications. The episode features clips from interviews with leaders in the field discussing devices like Vivali, Zyda Control Sock, Revi, Ecoin, and sacral nerve stimulators. Each device has its unique approach and benefits, ranging from non-invasive wearables to implantable stimulators, offering patients multiple options for managing their symptoms. The episode aims to provide an overview of these technologies to help listeners make informed decisions about their treatment options. Timeline:00:28 Introduction to Overactive Bladder 01:46 Exploring Vivally: A Wearable Solution 08:31 ZIDA Device: Simplifying Bladder Control 14:59 Revi: Implantable Tibial Nerve Stimulator 20:14 E Coin: Long-Term Implantable Solution 27:39 Sacral Nerve Stimulation: A Long-Standing Solution 34:25 Conclusion and Further Resources
Liebeskummer kann uns richtig hart treffen. Lisa ging es so. Sie ist nach der Trennung von ihrer ersten großen Liebe in ein Loch gefallen. Durch Liebeskummer können wir auch viel über uns selbst lernen und so unseren Weg raus aus dem Kummer finden.**********Ihr hört: Gesprächspartner*in: Lisa, hat jahrelang unter Liebeskummer gelitten Gesprächspartner*in: Elena-Katharina Sohn, Gründerin der Agentur "Die Liebeskümmerer" Gesprächspartner*in: Michael A. Nitsche, Professor für Neuromodulation am Leibniz-Institut für Arbeitsforschung an der TU Dortmund Autor*in und Host: Shalin Rogall Redaktion: Utz Dräger, Christian Schmitt, Grit Eggerichs, Ivy Nortey, Friederike Seeger Produktion: Jan Fraune**********Quellen:Targeting the left DLPFC and right VLPFC in unmarried romantic relationship breakup (love trauma syndrome) with intensified electrical stimulation: A randomized, single-blind, parallel-group, sham-controlled study (2024)**********Mehr zum Thema bei Deutschlandfunk Nova:Liebeskummer: Wie wir nach einer Trennung zu uns selbst finden könnenResilienz: Mit Achtsamkeit den Liebeskummer überwindenPsychische Gesundheit: Hilfsangebote**********Den Artikel zum Stück findet ihr hier.**********Ihr könnt uns auch auf diesen Kanälen folgen: TikTok auf&ab , TikTok wie_geht und Instagram .**********Meldet euch!Ihr könnt das Team von Facts & Feelings über WhatsApp erreichen.Uns interessiert: Was beschäftigt euch? Habt ihr ein Thema, über das wir unbedingt in der Sendung und im Podcast sprechen sollen?Schickt uns eine Sprachnachricht oder schreibt uns per 0160-91360852 oder an factsundfeelings@deutschlandradio.de.Wichtig: Wenn ihr diese Nummer speichert und uns eine Nachricht schickt, akzeptiert ihr unsere Regeln zum Datenschutz und bei WhatsApp die Datenschutzrichtlinien von WhatsApp.
For certain diagnoses and patients who meet clinical criteria, neuromodulation can provide profound, long-lasting relief that significantly improves quality of life. In this episode, Aaron Berkowitz, MD, PhD, FAAN speaks with Prasad Shirvalkar, MD, PhD, author of the article “Neuromodulation for Neuropathic Pain Syndromes,” in the Continuum® October 2024 Pain Management in Neurology issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology at the University of California San Francisco in the Department of Neurology and a neurohospitalist, general neurologist, and clinician educator at the San Francisco VA Medical Center at the San Francisco General Hospital in San Francisco, California. Dr. Shirvalkar is an associate professor in the Departments of Anesthesia and Perioperative Care, Neurological Surgery, and Neurology at Weill Institute for Neurosciences at the University of California, San Francisco in San Francisco, California. Additional Resources Read the article: Neuromodulation for Neuropathic Pain Syndromes Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @AaronLBerkowitz Guest: @PrasadShirvalka Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor in Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum's guest editors and authors, who are the leading experts in their fields. Subscribers to the Continuum Journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal, and how to get CME. Dr Berkowitz: This is Dr Aaron Berkowitz, and today I'm interviewing Dr Prasad Shirvalkar about his article on neuromodulation for painful neuropathic diseases, which appears in the October 2024 Continuum issue on pain management in neurology. Welcome to the podcast, and if you wouldn't mind, please introducing yourself to our listeners. Dr Shirvalkar: Thanks, Aaron. Yes, of course. So, my name is Prasad Shirvalkar. I'm an associate professor in anesthesiology, neurology and neurological surgery at UCSF. I am one of those rare neurologists that's actually a pain physician. Dr Berkowitz: Fantastic. And we're excited to have you here and talk to you more about being a neurologist in in the field of pain. So, you wrote a fascinating article here about current and emerging neuromodulation devices and techniques being used to treat chronic pain. And in our interview today, I'm hoping to learn and for our listeners to learn about these devices and techniques and how to determine which patients may benefit from them. But before we get into some of the clinical aspects here, can you first just give our listeners an overview of the basic principles of how neuromodulation of various regions of the nervous system is thought to reduce pain? Dr Shirvalkar: Yeah, I would love to try. But I will promise you that I will not succeed because I think to a large extent, we don't understand how neuromodulation works to treat pain, to describe or to define neuromodulation. Neuromodulation is often described as using electrical stimuli or a chemical stimuli to alter nervous system activity to really influence local activity, but also kind of distant network activity that might be producing pain. On one level, we don't fully understand how pain arises, specifically how chronic pain arises in the nervous system. It's a huge focus of study from the NIH Heal Initiative and many labs around the world. But acute pain, which is kind of when you stub your toe or you burn your finger, is thought to be quite different from the changes over time and the kind of plasticity that produces emotional, cognitive and sensory dimensions. Really what I think is its own disease, chronic pain, of which there are multiple syndromes when we use neuromodulation, either peripheral nerve stimulation or electrical spinal cord stimulation. One common or predominant theory actually comes from a paper in science from 1967 and people still use it, foundational theory and it's called the gate control theory. Two authors, Melzack and Wall, postulated that at the spinal level, there are, there's a local inhibitory circuit or, you know, there's a local circuit where if you provide input to either peripheral nerves or either spinal cord ascending fibers that to kind of summarize it, there's only so much bandwidth, you know, that nerves can carry. And so that if you literally pass through artificial signals electrically, that you will help gate out or block natural pathological but natural pain signals that might be arising from the periphery or spinal cord. So, you know, one idea is that you are kind of interfering with activity that's arising for chemical neuromodulation. The most common is something known as intrathecal drug infusion drug delivery ITTD for that we quite literally put a catheter in the spinal fluid, you know, at the level of the dorsal horn neurons that we think are responsible for perpetuating or creating the pain. Where's the pain generator? And you really, you can infuse local anesthetic, you can infuse opioids. And what's nice is you avoid a lot of systemic side effects and toxicity because it goes right to the spinal cord, you know, by infusing in the fluid. So there's a couple of modalities, but I will say just, like maybe all of our living experience, pain is in the brain. And so, we don't really understand, I would say, what neuromodulation is doing to the higher spinal or brain levels. Dr Berkowitz: Fascinating topic. And yeah, very interesting to hear both what our current understanding is that some of our current understanding is based on data that's 60 years old and that we're actually probably learning about pain by using these modulation techniques, even though we don't really understand how they might be working. So interesting feedback loop there as well as in as in the as in this land. So, your article very nicely organizes the neuromodulation techniques from peripheral to central. So, encourage our listeners to check out your article. And first before we get into some of the clinical applications, just to give the listeners the lay of the land, can you sort of lay out the devices and techniques available for treating pain at each level of the neuroaxis? We'll get into some of the indications in patient selection in a moment, but just sort of to lay out the landscape. What's available that you and your colleagues can use or implant at different levels when we're thinking of referring patients too? Dr Shirvalkar: Absolutely. So, starting from the least invasive or you know, over the counter patients can purchase themselves a TENS machine. Many folks listening to this have probably tried a TENS machine in the past. And the idea is that you put a couple of pads, at least two. So you have like a dipole or you have a positive and a negative lead and you basically inject some current. So, the pads are attached to a battery and you can put these pads over muscle. If you have areas where myofascial pain or sore muscles, you can put them, frankly, over nerves as well and stimulate nerves that are deeper. Most TENS machines kind of use electrical pulses that occur at different rates. You change the rates, you can change the amplitude and patient can kind of have control for what works best. Then getting slightly more invasive, we can often stimulate electrically peripheral nerves. To do this we implant through a needle, a small wire that consists of anywhere from one electrical contact to four or even eight electrical contact. What I think is particularly cool, like TENS, which is transcutaneous electrical nerve stimulation that goes through the skin. Peripheral nerve stimulation aims to stimulate nerves, but you don't have to be right up against the nerve. So, yeah. We typically do this under an ultrasound and you can visualize a nerve like the sciatic nerve, peroneal nerve, or you know, even if someone has an ulnar or a neuropathy, you know, that's the compression. There's a role obviously for surgery and release, but if they have predominantly pain, it's not related to a mechanical problem per se, you could prevent a wire from a peripheral nerve stimulator as far as one centimeter from a nerve and it'll actually stimulate that that modulated and then, you know, kind of progressing even more deeply. The spinal cord stimulation, SCS, it's probably the most ubiquitous or popular form of neuromodulation for pain. People use it for all kinds of diseases. But what it roughly involves is a trial period, which is a placement of either two cylindrical wires, not directly over the spinal cord, but actually in the epidural space, right? So, it's kind of like when you get an epidural injection or doing labor and delivery, when women get epidural catheters, placing spinal cord stimulator leads in that same potential space outside the dura, and you're stimulating through the dura to actually target the ascending dorsal column fibers. And so, you do a trial period or a test drive where the patients get these wires put in. They're coming out of the skin, they're connected to a battery, and they walk around at home for about a week, take careful notes, check in with them, and they keep a diary or a log about how much it helps. Separately. I will say it's hard to distinguish this, the placebo effect often, but you know, sometimes we want to use the placebo effect in clinical practice, but it is a concern, you know, with such invasive things. But you know, if the trial works well, right, you basically can either keep the leads where they are and place a battery internally. And it's for neurologists. You're familiar with deep brain stimulation. These devices are very similar to DVS devices, but they're specifically made for spinal cord stimulation. And there's now like seven companies that offer manufacturers that offer it, each with their own proprietary algorithm or workflow. But going yet more invasive, there is intrathecal drug delivery, which I mentioned, which involves placement of the spinal catheter and infusion of drug into spinal fluid. You could do a trial for that as well. Keep a patient in the hospital for a few days. You've all probably had experience with lumbar drains. It's something real similar. It just goes the other way. You know, you're infusing drugs, and it could also target peripheral nerves or nerve roots with catheters, and that's often done. And last but not least, there's brain stimulation. Right now, it's all experimental except for some forms of TMS or transcranial magnetic stimulation, which is FDA approved for migraine with aura. There are tens machine type devices, cutaneous like stimulators where you can wear on your head like a crown or with stickers for various sorts of migraines. I don't really talk about them too much in in the article, but if there's a fast field out there for adjunctive therapy as well, Dr Berkowitz: Fantastic. That's a phenomenal overview. Just so we have the lay on the land of these devices. So, from peripheral essentially have peripheral nerve stimulators, spinal cord stimulators, intrathecal drug delivery devices and then techniques we use in other areas of neurology emerging for pain DBS deep brain stimulation and TMS transcranial magnetic stimulation. OK let's get into some clinical applications now. Let's start with spinal cord stimulators, which - correct me if I'm wrong - seem to be probably the most commonly seen in practice. Which patients can benefit from spinal cord stimulators? When should we think about referring a patient to you and your colleagues for consideration of implantation of one of these spinal cord stimulator devices? Dr Shirvalkar: So, you know, it's a great question. I would say it's interesting how to define which patients or diagnosis might be appropriate. Technically, spinal cord stimulators are approved for the treatment of most recently diabetic peripheral neuropathy. And so, I think that's a really great category if you have patients who have been failed by more conservative treatments, physical therapy, etcetera, but more commonly even going back, neuropathic low back pain and neuropathic leg pain. And so, you think about it and it's like, how do you define neuropathic pain. Neuropathic pain is kind of broadly defined as any pain that's caused by injury or some kind of lesion in the somatosensory nervous system. We now broaden that to be more than just somatosensory nervous system, but still, what if you can't find a lesion, but the pain still feels or seems neuropathic. Clinically, if something is neuropathic, we often use certain qualitative descriptors to describe that type of pain burning, stabbing, electric light, shooting radiates. There's often hyperpathia, like it lingers and spreads in space and time as opposed to, you know, arthritis, throbbing dull pain or as opposed to muscle pain might be myofascial pain, but sometimes it's hard to tell. So, there aren't great decision tools, I would say to help decide. One of the most common syndromes that we use spinal cord stimulation for is what used to be called failed back surgery syndrome. We never like to, we now try to shy away from explicitly saying something is someone has failed in their clinical treatment. So, the euphemism is now, you know, post-laminectomy syndrome. But in any case, if someone has had back surgery and they still have a nervy or neuropathic type pain, either shooting down their legs and often there's no evidence on MRI or even EMG that that something is wrong, they might be a good candidate, especially if they're relying on long term medications that have side effects or things like full agonist opioids, you know that that might have side effects or contraindication. So, I would say one, it's not a first line treatment. It's usually after you've gone through physical therapy for sure. So, you've gone through tried some medications. Basically, if chronic pain is still impacting your life and your function in a meaningful way that's restricting the things you want to do, then it it's totally appropriate, I think, to think about spinal cord stimulation. And importantly, I will add a huge predictor of final court stimulation success is psychological composition, you know, making sure the person doesn't have any untreated psychological illness and, and actually making sure their expectations going in are realistic. You're not going to cure anyone's pain. You may and that's, you know, a win, but it's very unlikely. And so, give folks the expectation that we hope to reduce your pain by 50% or we want you to list personally, I like functional goals where you say what is your pain preventing you from doing? We want to see if you can do X,Y, and Z during the trial period. Pharmacostimulation right now. Yeah. Biggest indication low back leg pain, Diabetic peripheral neuropathy. There is also an indication for CRPS, complex regional pain syndrome, a lesser, I'd say less common but also very debilitating pain condition. For better or worse. Tertiary quaternary care centers. You often will see spinal cord stem used off label for neuropathic type pain syndromes that are not explicitly better. That may be for example, like a nerve injury that's peripheral, you know, it's not responding. A lot of this off label use is highly variable and, you know, on the whole at a population level not very successful. And so, I think there's been a lot of mixed evidence. So, it's something to be aware about. Dr Berkowitz: That's a very helpful framework. So, thinking about referring patients to who have most commonly probably the patients with chronic low back pain have undergone surgery, have undergone physical therapy, are on medications, have undergone treatment for any potential psychological psychiatric comorbidities, and yet remain disabled by this pain and have a reasonable expectation and goals that you think would make them a good candidate for the procedure. Are those similar principles to peripheral nerve stimulation I wasn't familiar with that technique, I'm reading your article, so are the principles similar and if so, which particular conditions would potentially benefit from referral for a trial peripheral nerve stimulation as opposed to spinal cord stimulation? Dr Shirvalkar: Yeah, the principles are similar overall. The peripheral nerve stimulation, you know, neuropathic pain with all the characteristics you listed. Interestingly enough, just like spinal cord stim, most insurances require a psychological evaluation for peripheral nerve stim as well. And we want to make sure again that their expectations are reside, they have good social support and they understand the kind of risks of an invasive device. But also, for peripheral nerve stem, specifically, if someone has a traumatic injury of an individual peripheral nerve, often we will consider it seeing kind of super scapular stimulation. Often with folks who've had shoulder injuries or even sciatic nerve stimulation. I have done a few peroneal nerve stimulations as well as occipital nerve stimulation from migraine, so oxygen nerve stimulation has been studied a lot. So, it's still somewhat controversial, but in the right patient it can actually be really helpful. Dr Berkowitz: Very helpful. So, these are patients who have neuropathic pain, but limited to one peripheral nerve distribution as opposed to the more widespread back associated pains, spine associated pains. Dr Shirvalkar: Yeah, Yeah, that's right. And maybe there's one exception actually to this, which is brachial plexopathy. So, you know, folks who've had something like a brachial plexus avulsion or some kind of traumatic injury to their plexus, there is I think good Class 2 evidence that peripheral nerve stem can work. It falls under the indication. No one is as far as to my knowledge, No one's done an explicit trial, you know PNS randomized controlled trial. Yeah, that's, you know, another area one area where PNS or peripheral nerve stems emerging is actually, believe it or not in myofascial low back pain to actually provide muscle stimulation. There are some, there's a company or two out there that seeks to alter the physiology of the multifidus muscle, one of your spinal stabilizer muscles to really see if that can help low back pain. And they've had some interesting results. Dr Berkowitz: Very interesting. You mentioned TENS units earlier, transcutaneous electrical nerve stimulation as something a patient could get over the counter. When would you encourage a patient to try TENS and when would you consider TENS inadequate and really be thinking about a peripheral nerve stimulator? Dr Shirvalkar: Yeah, you know TENS we think of as really appropriate for myofascial pain. Folks who have muscular pain, have clear trigger points or taught muscle bands can often get relief from TENS If you turn a TENS machine up too high, you'll actually see muscle infection. So, there's an optimal level where you actually can turn it up to induce, like, a gentle vibration. And so folks will feel paresthesia and vibrations, and that's kind of the sweet spot. However, I would say if folks have pain that's limited or temporary in time or after a particular activity, TENS can be really helpful. The unfortunate reality is TENS often has very time-limited benefits - just while you're wearing it, you know? So, it's often not enduring. And so that's one of the limitations. Dr Berkowitz: That's helpful to understand. We've talked about the present landscape in your article, also talk a little bit about the future and you alluded to this earlier. Tell us a little bit about some off label emerging techniques that we may see in future use. Who, which types of patients, which conditions might we be referring to you and your colleagues for deep brain stimulation or transcranial magnetic stimulation or motor cortex stimulation? What's coming down the pipeline here? Dr Shirvalkar: That's a great question. You know, one of my favorite topics is deep brain stimulation. I run the laboratory that studies intracranial signals trying to understand how pain is processed in the brain. But, believe it or not, chronic pain is probably the oldest indication for which DBS has been studied. the first paper came out in 1960, I believe, in France. And you know, the, the original pivotal trials occurred even before the Parkinson's trial and so fell out of favor because in my opinion, I think it was just too hard or too difficult or a problem or too heterogeneous. You know, many things, but there are many central pain syndromes, you know, poststroke pains, there's often pains associated with Parkinson's disease, epilepsy, or other brain disorders for which we just don't have good circuit understanding or good targets. So, I think what's coming down the pipeline is a better personalized target identification, understanding where can we stimulate to actually alleviate pain. The other big trend I think in neuromodulation is using closed loop stimulation which means in contrast to traditional electrical stimulation which is on all the time, you know it's 24/7, set it and forget it. Actually, having stimulation respond or adapt to ongoing physiological signals. So that's something that we're seeing in spinal cord stem, but also trying to develop in deep brain stimulation and noninvasive stimulation. TMS is interestingly approved for neuropathic pain in Europe, but not approved by the FDA in the US. And so I think we may see that coming out of pipeline broader indication. And finally, MR guided focused ultrasound is, is a kind of a brand new technique now. You know, focused ultrasound lesions are being used for essential tremor without even making an incision in the skull or drilling in skull. But there are ways to modulate the brain without lesioning. And, you know, I think a lot of research will be emerging on that in the next five years for, for pain and many other neuronal disorders. Dr Berkowitz: That's fascinating. I didn't know that history that DBS was first studied for pain and now we think of it mostly for Parkinson's and other movement disorders. And now the cycle is coming back around to look at it for pain again. What are some of the targets that are being studied that are thought to have benefit or are being shown by your work and that of others to have benefit as far as DBS targets for, for chronic pain? Dr Shirvalkar: You know, that's a great question. And so, the hard part is finding one target that works for all patients. So, it may actually require personalization and actually understanding what brain circuit phenotypes do you have with regards to your chronic pain and then based on that, what target might we use? But I will say the older targets. Classical targets were periaqueductal gray, which is kind of the opioid center in your brain. You know, it's thought to just release large amounts of endogenous opioids when you stimulate there and then the ventral pusher thalamus, right. So, the sensory ascending system may be through gait control theory interferes with pain, but newer targets the answer singlet there's some interest in in stimulating there again, it doesn't work for everybody. We found some interesting findings with the medial thalamus as well as aspects of the caudate and other basal ganglion nuclei that we hopefully will be publishing soon in a data science paper. Dr Berkowitz: Fantastic. That's exciting to hear and encourage all of our listeners to check out your article. That goes into a lot more depth than we had time to do in this short interview, both about the science and about the clinical indications, pros and cons, risks and benefits of some of these techniques. So again, today I've been interviewing Dr Prasad Shirvalkar, whose article on neuromodulation for painful neuropathic diseases appears in the most recent issue of Continuum on pain management in neurology. Be sure to check out Continuum Audio episodes from this and other issues. And thank you again to our listeners for joining today. Dr Shirvalkar: Thank you for having me. It was an honor. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in depth and clinically relevant information important for neurology practitioners. Use this link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/AudioCME. Thank you for listening to Continuum Audio.
Have you heard of temporal interference (TI) electrical stimulation, a revolutionary concept of non-invasive deep brain stimulation (DBS)? Curious about what it takes to develop cutting-edge neuromodulation techniques while pursuing a scientific career across two continents? Welcome to the Women in Neurotech series on the Neurocareers: Doing the Impossible! podcast!
Bob has been a highly successful salesman and Neuromodulation sales manager at every job and at every level he's achieved in medical devices. Bob joined the Chase MedSearch podcast to discuss his career, his hiring and promotion process for his employees, and what has led to the kind of sales success that few ever achieve.
Hear the latest groundbreaking news in Alzheimer's research. Sinaptica, a member of StartUp Health's Alzheimer's Moonshot Community, has announced significant results from its Phase 2 clinical trial testing the company's noninvasive, personalized, precise neuromodulation designed to stop the progression of Alzheimer's disease. Ken Mariash, CEO of Sinaptica, joined us in the StartUp Health Studio to break it all down for us. As you'll hear, the interview took place prior to the release of this data, which became public on October 31. In this exclusive interview, you'll learn: Details on Sinaptica's Phase 2 trial results show significant promise in slowing Alzheimer's progression The science behind Sinaptica's technology How personalized neuromodulation is revolutionizing brain health The potential for proactive brain strengthening and repair The impact on patients' daily lives The future of Alzheimer's treatment This episode is a must-listen for anyone interested in Alzheimer's research, neuroscience, and the power of innovation to transform lives. Are you ready to tell your story? Members of our Health Moonshot Communities are leading startups with breakthrough technology-driven solutions for the world's biggest health challenges. Exposure in StartUp Health Media to our global audience of investors and partners – including our podcast, newsletters, magazine, and YouTube channel – is a benefit of StartUp Health's PRO Membership. To schedule a call and see if you qualify to join and increase brand awareness through our multi-media storytelling efforts, submit our three-minute application. If you're mission-driven, collaborative, and ready to contribute as much as you gain, you might be the perfect fit. Learn more and apply today. Want more content like this? Sign up for StartUp Health Insider™ to get funding insights, news, and special updates delivered to your inbox.
We are not biological beings. This huge misconception and misunderstanding about human health could be why chronic disease continues to soar, and why despite having more doctors, even functional health doctors, hospitals and medicine than ever before, health outcomes are still deeply worrying. Because in reality, humans are bioelectrical beings, and as my guest today explains in great detail, by ignoring the electrical component and the specific treatments associated with it, it is to human health's great peril.Guy Odishaw is a healthcare entrepreneur, bioelectric medicine practitioner and the founder of the Bhakti Wellness Center, one of the largest, most diverse, integrative medicine clinics in the country. He is the co-founder of the first integrative student health clinics in the country at the University of Minnesota, the cofounder of Bhakti Brain Health Clinic - Neuroimaging & Neuromodulation, cofounder of Minnesota Bredesen Clinic - Dementia Prevention & Treatment and co-founder of CerebralFit Brain Training, a Nutraceutical & Electroceutical company.Guy's 30 years of clinical experience specializing in treatment resistant chronic pain, traumatic brain injury and psycho-emotional trauma informs his approach to brain health. Join us as we explore:How Guy married the worlds of function health and bioelectric medicine, and why he sees bioelectric medicine not being emphasized enough despite being MORE effective.How CerebralFit and Guy's Bredesen Clinic are posting 85% success rates!Why prestige clinics like Mayo do not understand and uncover the nuances and details of peak performance and optimal brain health.Why the unconscious nervous system, not the conscious mind, is at the crux of peak performance and healing.The incredible medical statistics HRV can predict!What provides a 300% better result than SSRI without side-effects.Contact:Website: https://cerebralfit.comMention:Product - David Delight, https://cerebralfit.com/products/audio-visual-entertainment Support the showFollow Steve's socials: Instagram | LinkedIn | YouTube | Facebook | Twitter | TikTokSupport the show on Patreon:As much as we love doing it, there are costs involved and any contribution will allow us to keep going and keep finding the best guests in the world to share their health expertise with you. I'd be grateful and feel so blessed by your support: https://www.patreon.com/MadeToThriveShowSend me a WhatsApp to +27 64 871 0308. Disclaimer: Please see the link for our disclaimer policy for all of our content: https://madetothrive.co.za/terms-and-conditions-and-privacy-policy/
What are some treatment options for patients who have had back surgery but still experience pain? Dr. Baranello, an Interventional Pain Management Specialist at EmergeOrtho in Durham, NC, discusses Neuromodulation. Part 4 concludes our interview with a case study and a discussion of patient selection. If you're in Nashvile this week for the Annual PAOS conference, come by the desk and say hi!
A lot has happened in the last two weeks! Make sure you check out the last episode featuring Dr. Brian Parnes, and then get ready to learn more about Spinal Cord Stimulators (SCS) and Sacral Nerve Stimulation (SNS). Robby just had his trial implant for a SNS device, and he is happy to share to how well it's working for him. In fact, the day this episode drops he is actually going back into surgery to get his device permanently implanted! Follow the show on Instagram @thepainfultruthpodcast, as well as Robby @robert1950studios and Sammi @thesam.a.lamCheck out their TikTok @1950StudiosYou can find Limitless Broadcasting on Instagram @limitlessbroadcasting.Rant Radio is LIVE! Call 844-857-7268 and leave your rant today. Check out LimitlessBroadcastingNetwork.com for all of our podcasts, subscriptions, and to pick up some awesome merch!
As a fourth installment of this podcast into key industry leaders in neuromodulation, this is our conversation with Milad Girgis, who is the VP and General Manager of the Brain franchise at Boston Scientific. Milad has dedicated over 25 years to the Medical Device Industry, with two decades at Boston Scientific. Before diving into his impressive tenure at Boston Scientific, we explore the earlier phases of his career and identify key turning points that shaped his professional journey. Milad provides insights into what his typical day at Boston Scientific looks like. We also discuss the competitive DBS landscape and how they create unique selling points for their program. Milad shares exciting developments and future plans that are on the roadmap, giving us a glimpse into the innovations driving the industry forward. Finally, we illuminate Boston Scientific's approach to DBS with their unique strategy and focus on image guidance – among other concepts. Our conversation also addresses the academic community's curiosity about transitioning to industry roles, with our guest presenting a compelling case for why a career in the medical device industry can be rewarding. Join us as we explore and map some new potential horizons for neuromodulation.
A shocking way to keep your brain young (potentially), and two celestial bodies are set to appear side-by-side in the night sky. Plus on 'This Day in History', The first Greyhound bus ride takes place (but without a bus
Send us a Text Message.Sponsor: Functional Health Coaching with Elizabeth - Book your free 20-30 min consultation today by going to https://calendly.com/therootofourhealth/20min and get started feeling alive again!In this episode Guy discusses:First a recap of what he does in bioelectrical medicineHow central sensitization to explain fibromyalgia, chronic fatigue or irritable bowel syndrome.Gives an example of bioelectrical medicine in central sensitization.Talks about Heart Rate VariabilityGives an exercise for HRVTouches on AnxietyAnd so so much more…Guy's Bio: Guy Odishaw, CTO, NFP, Healthcare Entrepreneur, Bioelectric Medicine Practitioner Founder of Bhakti Wellness Center, one of the largest, most diverse, integrative medicine clinics in the country. Co-founder of the first integrative student health clinics in the country at the University of Minnesota. Cofounder of Bhakti Brain Health Clinic - Neuroimaging & Neuromodulation. Cofounder of Minnesota Bredesen Clinic - Dementia Prevention & Treatment Co-founder of CerebralFit Brain Training, a Nutraceutical, Electroceutical, company. Guy's 30 years of clinical experience specializing in treatment resistant chronic pain, traumatic brain injury and psycho-emotional trauma informs his approach to brain health. Additionally, his 20+ years as meditation instructor and facilitator of courses on personal growth help him understand how to support clients through the potent changes arising from Neurotherapy. Brain training does not only alleviate unwanted symptoms it often also positively changes ones whole sense of self and relationship to the world around them. Links: Website: https://cerebralfit.comIG: https://www.instagram.com/cerebralfit/LinkedIn: https://www.linkedin.com/in/guyodishaw/Facebook: https://www.facebook.com/cerebralfitSupport the Show.Please support this podcast: https://patreon.com/therootofourhealth and https://www.buzzsprout.com/1393414/supporters/new Join my emailing list for monthly updates including podcast episodes and fun things about health and wellness http://bit.ly/monthlyupdatesemailLike Facebook Page: https://www.facebook.com/therootofourhealth/Email me: therootofourhealth@gmail.com
What is Spinal Cord Stimulation and how does it work? What are the risks and how are those risks mitigated by medical professionals? Dr. Deer is at the forefront of spinal cord stimulation research and in this episode he discusses the various aspects of Spinal Cord Stimulators that patients and doctors need to be aware of. Dr. Deer may be reached through https://centerforpainrelief.com/doctor-timothy-deer/ Dr. Deer founded the Spine and Nerve Centers of the Virginias in 1994. The Center has grown to offer treatment to not only West Virginians and Virginians, but also to many patients from throughout the United States, and those who travel Internationally for ground breaking interventional treatments often pioneered with the help of the team at our facilities. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications. Dr. Deer completed his Medical Degree at West Virginia University at the top of his class, and then went on to complete his advanced training at the University of Virginia. He currently holds the position of as a Clinical Professor of Anesthesiology at WVU and is active in teaching medical students, and hosts many residents and fellows for advanced training from both the United States and many countries. In addition to those positions, Dr. Deer is on the Board of Directors for the North American Neuromodulation Society. He is also on the editorial committee for the journals Neuromodulation, Pain Medicine, and Pain Physician.
Dr. Tesha Monteith talks about the FDA declaring the use of non-invasive vagus nerve stimulation devices for the acute and preventative treatment of migraine. Show reference: https://practicalneurology.com/articles/2024-may-june/update-on-noninvasive-neuromodulation-devices-for-headache-treatment
Brought to you by: Mayo Clinic Talks Podcast HOST: Nicole Nfonoyim-Hara GUESTS: Catherine W. Njathi-Ori, M.D. and Natalie H. Strand, M.D. “On a scale of 1 to 10, what's your pain?” If you've just broken a bone or are seeking treatment for endomitosis, it's likely the first question you'll be asked. But what if your pain is dismissed or minimized due to your age, race, or gender? In this episode of the RISE for Equity podcast, host Nicole Nfonoyim-Hara unpacks the latest evidence around bias in pain management—and effective strategies for a holistic approach to care—with Mayo Clinic physicians Catherine Njathi-Ori and Natalie Strand. Catherine W. Njathi-Ori, M.D., is an anesthesiologist specializing in acute pain management based in Rochester, Minnesota. Natalie H. Strand, M.D., is an Associate Professor in the Department of Anesthesiology, Division of Pain Medicine. She serves as the Director of Pain Research and the Director of Neuromodulation for Mayo Clinic Arizona. Learn more at https://mcpress.mayoclinic.org/rise-for-equity/ Connect with the Mayo Clinic's School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. “We need to be humble as providers, because there definitely will be cultural influences on how patients are going to respond to how they're feeling…. While we have the visual and the numeric skills, we have to acknowledge that pain is more complex.” — Catherine Njathi-Ori, M.D. “People I think are well-meaning in medicine for the most part. I really believe that. But just because you're well-meaning doesn't mean you're not biased. People often can't see their own blind spots. When you don't have diversity in your division or department, or you don't have diversity on your admissions committees, or you don't have diversity in your surgical teams and anesthesia teams, how is anybody supposed to see their own blind spots?” —Nathalie H. Strand, M.D.
Dr. Christopher Netzel is board certified in pain medicine and anesthesiology, practicing at Costal Health Specialty Care in Jacksonville, FL.His medical residency in anesthesiology was completed at University of Wisconsin Hospitals and Clinics in Madison. Dr. Netzel is a member of a number of medical associations, including the North American Neuromodulation Society, the American Society of Regional Anesthesiologists, the American Society of Anesthesiologists, and the Wisconsin Medical Society, among others. Dr. Netzel utilizes whole-food, low-carbohydrate, healthy fat, and ketogenic diets as a component of a multidisciplinary approach to address metabolic syndrome within the context of chronic pain. Through this approach, improvements in many types of pain have been observed, likely due to weight control, decreased inflammation, enhanced glycemic control, and potentially improved neuronal function. Furthermore, Dr. Netzel has successfully assisted patients in reducing or ceasing their usage of diabetic and hypertensive medications, achieving better sleep quality, experiencing reduced heartburn, and overall enhanced well-being.Find Dr. Netzel at-https://coastalhealth.com/physician/christopher-netzel/IG- @ketopaindochttps://www.dietdoctor.com/low-carb/doctor/chris-netzelFind Boundless Body at- myboundlessbody.com Book a session with us here!
In part five of this six-part series, Dr. Tesha Monteith talks about remote electrical neuromodulation. Show reference: https://practicalneurology.com/articles/2024-may-june/update-on-noninvasive-neuromodulation-devices-for-headache-treatment
In part four of this six-part series, Dr. Tesha Monteith talks about external combined occipital and trigeminal neurostimulation devices that are non-invasive.
In part three of this six-part series, Dr. Tesha Monteith talks about transcranial magnetic stimulation.
Get weekly tips from Gary Brecka on how to optimize your health and lifestyle routines - go to https://www.theultimatehuman.com/ For more info on Gary, please click here: https://linktr.ee/thegarybrecka Order The 1 Genetic Test That Will Give You Results For Life Here: https://10xhealthnetwork.com/pages/genetic-testing?utm_source=gbrecka Get The Supplements That Gary Recommends Here: https://10xhealthnetwork.com/pages/supplements?utm_source=gbrecka Sign up for 10X Health Affiliate Program https://10xhealthsystem.com/GBaffiliate ECHO GO PLUS HYDROGEN WATER BOTTLE http://echowater.com BODY HEALTH - USE CODE ULTIMATE10 for 10% OFF YOUR ORDER https://bodyhealth.com/ultimate Are you one of the millions of people who suffer from tinnitus? Gary Brecka dives into the science behind tinnitus, its various causes, and the cutting-edge strategies to manage symptoms. You'll also discover new research on treatments and how scientist are using neuroscience to to find more treatments in the future. Lastly, you'll learn holistic lifestyle changes and and therapies that can provide you relief from your tinnitus! 00:00 - What is Tinnitus and how does it effect people? 01:25 - What causes tinnitus? 03:45 - Are their treatments that can cure it? 04:15 - What are scientists learning about Neuromodulation? 06:50 - What holistic techniques help give relief? Gary Brecka: @garybrecka The Ultimate Human: @ultimatehumanpod Subscribe on YouTube: @ultimatehumanpodcast The Ultimate Human with Gary Brecka Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions. Learn more about your ad choices. Visit megaphone.fm/adchoices
David Lucas, a self-taught investor and neuromodulation guide (trust us, he'll explain), joins host Joe Cornwell to discuss his journey from working in film, music, and television to eventually becoming an active real estate investor. In this episode, David discusses how he taught himself how to invest in real estate, why he chose the multifamily niche, his early property management issues, and why he chose to cap himself at 29 units as an active investor before transitioning to a more passive strategy. David Lucas | Real Estate Background NeuroModulation Guide + Real Estate Investor Based in: Columbus, OH Portfolio: 29 units owned and managed Say hi to him at: Resonatenmt.com Best Ever Book: "Rich Dad Poor Dad" - Robert Kiyosaki Best Advice: "You need to love, trust, believe, accept, and heal yourself, before you can peacefully and successfully run a profitable business." Sponsors: Monarch Money My1031Pros
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