Rami Diab

Rheumatologist & Pain Specialist📍KY | #MSKUS #POCUS | MD’15 #AUB | Tweets ≠ medical advice

[Rami Diab @RamiDiab]

“In addition to peripheral mechanisms, there are.. central changes in RA & OA pain processing &.. substantial debate in the field as to which is clinically more important, but therapeutic targeting of peripheral events is likely to be simpler & associated with fewer side effects”

[PAIN Journal @PAINthejournal]

According to a recent article in #PAIN, cell–cell interactions are involved in the #pathology and pain of #rheumatoidarthritis and #osteoarthritis conditions in which improved #painmanagement is considered key by patients. https://t.co/8AV4TC9Jw5

[Dr Cameron Werner @DrCameronWerner]

Thrilled to be sharing my first paper from the PhD: "Pathways to a Diagnosis of Trigeminal Neuralgia: a Qualitative Study of Patients' Experiences"
https://t.co/V6zrPpy1BE

[Alaa Abd-Elsayed @AlaaawnyAbd]

https://t.co/G2b9Q4WUQW

[Alaa Abd-Elsayed @AlaaawnyAbd]

https://t.co/SuHHTQbA0S

[Ryan D'Souza, MD @Ryan_S_DSouzaMD]

🔍 Fascinating study alert! 📊
When doing RFA of the lumbar medial branch nerves, is there significant functional improvement associated with temperature of 90°C compared with 80°C? This study suggests 90°C was superior to 80°C for duration of relief.

https://t.co/qCMtl7wB4j

[Donald Thomas, MD @lupuscyclopedia]

Calling all patients with #Sjogrens Disease or possible Sjogren's disease:
https://t.co/C98DWQuVxj

We need you!

This is one of the most important studies ever done in Sjogren's!
We won't find great treatments unless we understand the disease better.

This NIH-sponsored study takes a deep dive into the molecular immunologic abnormalities of Sjogren's, endotypes, phenotypes, genomics, microbiome and much more.

Call one of these numbers and consider participating.

RETWEET... spread the word!

@talkmedspoke

[Ryan D'Souza, MD @Ryan_S_DSouzaMD]

🗓️The FIRST spinal cord stimulator was implanted on March 24, 1967 by Shealy
💡 I propose that we call March 24 National Neuromodulation Day.
... And let all pain physicians and neurosurgeons have that day off as a holiday

[Adi Kumar @adi_kumar1]

The operating room is a hostile environment for surgeons.

38% of surgeons are in pain.

87% if using an endoscope.

A primer on surgical ergonomics to save you suffering 🧵

[Arun Kalava MD, EDRA @DrKalava]

Intercostal cryoneurolysi is always almost performed using the ultrasound. In this case, the 47-year-old female, who had T11 and and T 12 laminectomy with fusion present with axial back pain which was nonresponsive to medial branch blocks and thoracic epidural injection. (Done elsewhere)

A diagnostic bilateral T11 and T12 (subcostal nerve) block resulted in 100% pain relief.

Croneurolysis of bilateral T11 and subcostal nerves gave her seven months of relief, and today she came back for a repeat. We had to use fluoroscopy +nerve stimulation in this case in view of the scarring and metal present following the laminectomy. Here are the images.
#postsurgicalpain #cryoneurolysis @ASPSP_Pain

[Ryan D'Souza, MD @Ryan_S_DSouzaMD]

🌈 Still a believer in Low Dose Naltrexone #LDN for generalized pain! Recognizing it's not a one-size-fits-all, as responses vary among patients. 🔄 Here are some exciting analgesic outcomes in our study highlighting potential of LDN! 📚💊

FREE access: https://t.co/QfPwWgHHyc

[Alí Duarte, MD @AliDuarteMD]

🔦Explore the most detailed analysis of adrenal hemorrhage linked to APS, now recognized under the microvascular domain in the latest ACR/EULAR criteria, spearheaded by the great @JoseMeadeMD. #AdrenalHemorrhage #APS

[The Lancet Rheumatology @TheLancetRheum]

NEW RESEARCH—In patients with moderate-to-severe #SLE, rituximab, belimumab, and standard immunosuppressive therapy have similar serious infection risks; data from the BILAG-BR https://t.co/DkgB73qjDI #BSR23 @MiaRodziewicz @sarahdyball1 @Lupusdoc

[Douglas Beall @dougbeall]

Sign up and join us for the 2nd Annual Image Guided Interventional Spine Procedures Course (IGIS 2023) - Seattle Science Foundation CME - Continuing Education (CE) - 2nd Annual Image Guided Interventional Spine Procedures Course (IGIS 2023)
https://t.co/2jm1Kq8xvN

[Rami Diab @RamiDiab]

@RashaKakati Mabrouk Rasha!

[Alaa Abd-Elsayed @AlaaawnyAbd]

https://t.co/p7Ta9qZTdy

[Sᴡɪss Uʟᴛʀᴀsᴏᴜɴᴅ Cᴇɴᴛᴇʀ - UZR @Rheumatology]

and here is the answer to the quiz
https://t.co/eiemhSxVyE

tophous gout with intraarticular tophi dorsal and double contour plantar - shown here at MTP IV
https://t.co/woa1IJOuTD

[Sᴡɪss Uʟᴛʀᴀsᴏᴜɴᴅ Cᴇɴᴛᴇʀ - UZR @Rheumatology]

PRP / ACP injection
achilles tendon partial tear

out of plane and
in plane technique

24 MHz probe

https://t.co/WKqhWUWnLL

[UTSWRheum @UTSWRheum]

#Sarilumab is predicted to be approved by the FDA for #GCA at end of this month. Data for the drug is good for PMR as well - #RheumGR @rheumnow

[Rami Diab @RamiDiab]

“digital data provide an excellent opportunity to use machine learning (ML) algorithms to uncover personalized treatment efficacy based on patient characteristics. Such algorithms may vary in their accuracy and clinical interpretability”

[PAIN Journal @PAINthejournal]

The latest edition of #PAINReports features an article on personalizing digital pain management with an adapted machine learning approach. https://t.co/VwKPkD4X7M