The clinical staff is active in a large degree of various projects, all of which are open to trainee participation. The trainee is encouraged to develop their own projects with the help of the faculty.
1. PAIN RESPONSE TO EMG AS A PREDICTOR OF OUTCOME IN THE MANAGEMENT OF CHRONIC PAIN
Shavarsh A.Chrissian MD, MS
Objective: Patient's response to the treatment of chronic pain varies greatly, with certain patients displaying a more challenging clinical course. Moreover, chronic pain is the primary cause of health care consumption and disability in the working years. The objective of our study is to determine the relationship between patient's response to the EMG examination and pain management outcome in chronic pain patients.
2. THE PREDICTIVE VALUE OF TWO CLINICAL SIGNS IN THE EVALUATION OF MENISCAL PATHOLOGY IN THE VETERANS AFFAIRS HOSPITAL POPULATION
Anne Nastasi MD
Objective: Describe the relationship between the positive McMurray's sign and Joint Line tenderness with MRI findings of meniscal pathology.
3. COMPARISON OF PAIN, DEPRESSION, ANXIETY AND FUNCTIONAL LEVELS IN PATIENTS TREATED WITH GABAPENTIN AND OPIOIDS VS. GABAPENTIN ALONE IN NEUROGENIC PAIN
Quynh G. Pham MD; Bruce Naliboff PhD
Objective: 1) Determine differences in pain relief in gabapentin (G) vs. gabapentin and opioid treated groups (GO). 2) Determine changes in depression and anxiety levels, pre- and post-treatment in both treatment groups.
4. THE PROGNOSTIC VALUE OF EMG IN THE MANAGEMENT OF CHRONIC LOW BACK PAIN WITH EPIDURAL STEROID INJECTIONS
Quynh Pham MD
Objective: Determine whether positive EMG findings in subjects with chronic low back pain and radicular symptoms can predict benefit from lumbar epidural steroid injections (ESI). Secondarily, determine which subjects' clinical and diagnostic characteristics are strong predictors for success post-ESI.
5. F-WAVE PERSISTENCE AND REPEATER F-WAVES IN SYMPTOMATIC LUMBOSACRAL RADICULOPATHY WITH NEGATIVE EMG
Shavarsh A. Chrissian MD, MS
Objective: Lumbosacral radiculopathy is one of the most common diagnoses referred to the electrodiagnostic (EMG) laboratory. Needle EMG has been proven to be a sensitive diagnostic tool for such cases reaching a 76%-80% level in sensitivity. The search for a further improvement in sensitivity with a non-invasive test remains the goal of electrodiagnostics. F-waves have been used with that expectation. Several of the parameters have been investigated to achieve the desired improvements, with so far only modest results. Persistence, and even more recently, Repeater F-waves have been the focus of a local study with significant results. The present study is to investigate the difference of F-waves between those in normal subjects and those in patients with clinical findings of lumbosacral radiculopathy and negative EMG.
6. RELIABILITY TESTING OF SENSORY EXAMINATION IN PATIENTS WITH STROKE
Raji Kumar MD
Objective: To establish inter-rater reliability of sensory tests in stroke patients.
7. EFFICASY OF SALSALATE AS COMPARED TO COX 2 INHIBITORS IN TREATING PATIENTS WITH NSAID INDUCED GIT COMPLICATIONS
Frederick A. Davis MD
Objective: Compare the efficacy of Salsalate and Cox 2 inhibitors in pain management and GIT complications.
8. SURVEY OF EXPERIENCE AND PATIENT DISCOMFORT AFTER ELECTIVE LOWER EXTREMITY SURGERY
Quynh Pham MD
Objective: Discover and describe the incidence of new onset of lower back pain after elective lower extremity surgery and utilize this information as a proposal for the development of a preoperative exercise program to prevent lower back pain after surgery. Lower back pain from bed rest, immobility and inactivity are possible factors involved in the onset of insidious lower back pain.
1. Chapter 71: Spinal Epidural Injections for Lumbar Spinal Radiculopathy Pain. Fish DE. Advanced Reconstruction: Spine, AAOS 2011 ISBN/ISSN: 9780892035816 Page 663-666.
2. Thoracic Outlet Syndrome. Ozoa G, Alves D, Fish DE. Phys Med Rehabil Clin N Am. 2011 Aug;22 (3):473-83.
3. Evaluation of the Patient with Neck Versus Shoulder Pain. Fish DE, Gerstman BA, Lin V. Phys Med Rehabil Clin N Am 22 (2011) 395-410.
4. Pain Medicine Pocketpedia. Kim HS, Fish DE, Choi H. Lippincott Publishing; ISBN-10: 0781772184. May 2011.
5. The Risk of Radiation Exposure to the Eyes of the Interventional Pain Physician. Fish DE, Kim A, et al. Radiology Research and Practice Volume 2011, March 2011, Article ID 609537, 5 pages.
6. Evaluating Correlation of Two Pain Scales in Spinal Procedures. Fish DE, Lee PC, Parti A, Pham Q. Fed Pract. 2010;27(5):24-28.
7. Lumbar Spondylosis: Clinical Presentation And Treatment Approaches. Middleton K, Fish DE. Curr Rev Musculoskelet Med. 2009 Jun;2(2):94-104. Epub 2009 Mar 25.
8. MRI Prediction Of Functional Outcome In Cervical Radiculopathy Patients Following Epidural Steroid Injection. Fish DE, Kobayashi H, Chang T, Pham Q. Journal of Physical Medicine and Rehabilitation 2008 Dec 23.
9. Atypical Presentation of Osteomyelitis, Discitis, Epidural, and Iliopsoas Abscess in DISH Syndrome. Fish DE, Middleton K, Gluzman A. Am J Phys Med Rehabil. 2008 Aug 6.
10. Pain Precedes Computer Axial Tomography And Scintigraphic Findings In An Osteoporotic Vertebral Compression Fracture: A Case Report. Marcus DB, Lee PC, Fish DE. Pain Med. 2008 Jul 24.
11. The S1 "Scotty Dog": Report Of A Technique For S1 Transforaminal Epidural Steroid Injection. Fish DE, Lee PC, Marcus DB. Arch Phys Med Rehabil. 2007 Dec;88(12):1730-3.
12. The Use Of Electromyography To Predict Functional Outcome Following Transforaminal Epidural Spinal Injections For Lumbar Radiculopathy. Fish DE, Shirazi EP, Pham Q. J Pain.; 2008 Jan;9(1):64-70. Epub 2007 Nov 5.