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TNA Concerns, Forbidden Door and Night of Champions
Smuggler to Kingpin of Pain Clinic's. The Rise and Fall of Jason Votrobek. Jason's Links https://www.instagram.com/8upjay/reels/ https://www.tiktok.com/discover/8upjason Stay Prepared When Traveling! Save $30 + Free Shipping from The Wellness Company on your Medical Kit. Click here www.twc.health/cox and use code COX. USA Residents only! Get 50% sitewide for a limited time. Just visit https://GhostBed.com/cox and use code COX at checkout. Do you want to be a guest? Fill out the form https://forms.gle/5H7FnhvMHKtUnq7k7 Send me an email here: insidetruecrime@gmail.com Do you extra clips and behind the scenes content? Subscribe to my Patreon: https://patreon.com/InsideTrueCrime
Forbidden Door talk, Clash in Paris and King and Queen of the Ring
We talk WWE's Clash in Italy, AEW Fallout from Double or Nothing and more!
AEW Double or Nothing thoughts, WWE Saturday Night's Main Event and more!
John Cena Classic, Backlash thoughts, Double or Nothing is coming!
WWE cuts discussion, Backlash and more!
Post Mania Fall Out, AEW news and more!
Wrestlemania 42 recap, addition and subtractions and more!
It's WWE Wrestlemania Weekend and tons of news!
We talk AEW Dynasty, WWE Mania Tickets at a discount and so much more!
Jericho is back, Mania is coming fast and more!
Dr. David Clarke, president of the Psychophysiologic Disorders Association, details the link between stress and chronic pain and the scope of brain-generated symptoms. Clarke says many patients have symptoms not explained by disease or injury, estimating about 20% of U.S. adults (about 50 million) live with chronic pain, with costs estimated at $650 billion, and notes clinicians are often not trained to evaluate psychosocial stressors. He describes clues that pain is brain-generated (e.g., multiple long-lasting or shifting symptoms, lack of objective nerve damage) and a broad symptom spectrum from migraines and IBS to pelvic pain and rashes. Clarke discusses adverse childhood experiences, triggers, personality traits, and repressed emotions, cites randomized trials showing “pain relief psychology” can reduce pain and change MRI findings, and shares resources including a clinician directory, self-assessment quiz, and the Curable app.
Dr. Hoffman continues his conversation with Dr. David Clarke, president of the Psychophysiologic Disorders Association.
WWE Mania Buildup, AEW Main Event to start Dynamite and More!
Results from Revolution, Mania build and more!
AEW Revolution, WWE working towards Mania and more!
Elimination Chamber results, Whats in the box and more!
Elimination Chamber, injuries in the WWE and more!
We start with a little Olympic Hockey, AEW in Austraillia, AJ Styles ceremony Monday and More!
We talk Bron broken, AEW Collison and more!
Rumble Results, AEW Ratings, AJ Styles and more!
Royal Rumble Surprises, AEW Additions and More!
We talk TNA week 2 on AMC, WWE Saturday Night Main Event and the Rumble
TNA debuts on AMC and we review it, AEW signings and WWE is in Europe
McIntyre New WWE Champ, AEW starts the year with additions and more!
We talk AEW's World End, WWE in Rochester and in Buffalo and more!
We start talkig about Brodie Lee, AEW World's End PPV and more!
We talk about how John Cena ended his wrestling career, AEW in Manchester and More!
End of an Era John Cena Retires and more!
TNA News, Neflix buys everything and more!
We talk about some big local shows, Full Gear results and Survivor Series!
Full Gear, JC's run is coming to a end and more!
Celebrating 27 years talking pro wrestling!
SNME results, Blood and Guts and More.
Main Event, AEW and More!
WrestleDream results, Punk vs Uso on Saturday Night Main Event and more!
WrestleDream, Crown Jewel, the state of ticket prices and more!
Crown Jewel, WrestleDream and more!
Ricky Saints Champion, AEW 6th and WWE Down Under
Project Sync / Status Update Summary Podcast Episode Overview The host discussed Transcutaneous Electrical Nerve Stimulation (TENS) as a recurring pain board topic and reviewed mechanisms, efficacy, and clinical considerations. Emphasis that TENS appears on pain boards annually and is a foundational topic from early podcast episodes. Board Prep and NRAP Community at PainExam.com or NRAPpain.org ABA ABPM ABIPP FIPP Pain Management Board prep, Question Banks, and Virtual Pain Fellowship Educational Offerings and Events Training and Courses: Monthly ultrasound courses in New York and upcoming courses in Detroit covering ultrasound-guided regional anesthesia and chronic pain. Ultrasound Guided Acute and Chronic Pain course in November near Hollywood/Fort Lauderdale with venue pending confirmation. Multiple instructors to offer diverse perspectives; registration via the CME calendar at nrappain.org. Conferences and Teaching: New York–New Jersey Pain Conference in November (hosted by Soudir Duwan). ISPN conference in London next week, with ultrasound teaching participation by the host. Community and Coaching: Private coaching and shadowing opportunities available; contact via newsletter replies. Access to the NRAP community forum upon signup at nrappain.org for discussions on neuromodulation, regional anesthesia, and pain. TENS: Mechanisms and Parameters Device and Parameters: TENS delivers adjustable pulse frequency and intensity; configurations include low (50–100+ Hz), and mixed frequencies. Mechanisms of Analgesia: Activation of large-diameter, non-noxious A-beta afferent fibers in the periphery, driving descending inhibitory pathways and reducing hyperalgesia. Board-relevant point: selective activation of A-beta fibers is frequently tested. Central effects: Reduces central excitability and nociceptive dorsal horn neuron activity in uninjured and injured models. Frequency-dependent opioid receptor mediation: High-frequency analgesia blocked by delta receptor antagonists. Low-frequency analgesia blocked by mu receptor antagonists (spinal cord and rostral ventral medulla). Additional receptor involvement: muscarinic M1/M3, GABA-A, and cannabinoid (CB1) receptors; blockade reduces or prevents TENS analgesia depending on frequency. Peripheral effects: High-frequency TENS reduces injury-related increases in substance P in DRG neurons. Blockade of peripheral opioid and CB1 receptors can prevent analgesia from both low- and high-frequency TENS. Clinical dosing considerations: Adequate dosing (timing, frequency of use, intensity achieving strong but non-painful paresthesia) influences efficacy. Analgesia has rapid onset/offset and may require repeated administration throughout the day for sustained relief. Evidence and Efficacy Summary Systematic Review Findings: Cochrane umbrella review of 9 systematic reviews (51 trials; n=2,895) comparing active TENS with sham/usual care found uncertain efficacy due to: Very low-quality evidence (risk of bias, small samples, methodological limitations). Inconsistent adverse event reporting. Heterogeneity in TENS parameters and comparators. Authors note uncertainty may be confounded by inadequate dosing not being an inclusion metric. Practical Interpretation: TENS is inexpensive, low-risk, self-administered, and titratable; commonly used by patients and physical therapists. Clinical experience suggests potential adjunctive benefit for acute pain, but systematic reviews are conflicting; more rigorous studies are needed. For board preparation, the critical takeaway is A-beta fiber activation. Key Takeaways for Board Prep TENS targets large-diameter non-noxious A-beta afferents to reduce nociceptive signaling. High-frequency TENS: analgesia mediated via delta opioid receptors; blocked by delta antagonists. Low-frequency TENS: analgesia mediated via mu opioid receptors; blocked by mu antagonists in spinal cord and RVM. Additional receptor systems influencing TENS efficacy include muscarinic (M1/M3), GABA-A, and CB1. Action Items Review TENS mechanisms with emphasis on A-beta fiber activation for board prep. Verify and publish final venue details for the November Florida ultrasound course. Share registration links and schedules for Detroit and New York ultrasound and chronic pain courses via CME calendar. Prepare teaching materials for ISPN London ultrasound sessions next week. Update board prep resources on painexam.com and nrappain.org with current TENS evidence and dosing guidance. Promote NRAP community forum access and private coaching/shadowing opportunities through the newsletter. David Rosenblum, MD, currently 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. Patients can go to www.AABPpain.com or call 718 436 7246 Awards New York Magazine: Top Doctors: 2016, 2017, 2018, 2021, 2022, 2023, 2024, 2025 Schneps Media: 2015, 2016, 2017, 2019, 2020 Top Doctors New York Metro Area (digital guide): 2016, 2017, 2018, 2019, 2020, 2021, 2022, 2023 2025 Schneps Media - Brooklyn Courier Life: 2021, 2022, 2023 References Johnson M. Transcutaneous Electrical Nerve Stimulation: Mechanisms, Clinical Application and Evidence. Rev Pain. 2007 Aug;1(1):7-11. doi: 10.1177/204946370700100103. PMID: 26526976; PMCID: PMC4589923. Vance, C.G.T.; Dailey, D.L.; Chimenti, R.L.; Van Gorp, B.J.; Crofford, L.J.; Sluka, K.A. Using TENS for Pain Control: Update on the State of the Evidence. Medicina 2022, 58, 1332. https://doi.org/10.3390/medicina58101332 #painnyc #painbrooklyn #prpbrooklyn #prpspine #regionalanesthsia #pccwindsor #paincareclinicswindsor #painwindsorontario #paindocwindsorontarior #paincareclinics #prpwindsorontario #prp
Cash goes solo and talks All Out, Wrestlepalooza and more!
We talk All Out, Wrestlepalooza and more!
We talk All Out, Wrestlepalooza and more!
We talk the Raja Jackson incident, Forbidden Door and Clash in Paris
Forbidden Door, WWE starts early on ESPN and more!
AEW Forbidden Door, WWE news and more!
Big News for WWE, Summerslam results and more!
Summerslam Weekend, More Hogan talk and WWE Unscripted!
Hulk Hogan dies, his legacy and more!
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