Leahthan Domeshek

[Leahthan Domeshek @LDomeshek]

@JordanFreyMD @DrAliSW @AmyMMoore20 @prsjournal @shujashafqatmd @ChadPurnellMD Thanks for the opportunity! Great couple of days!

[Leahthan Domeshek @LDomeshek]

@DrNikkiPhillips @AmyMMoore20 @DrAliSW We didn't look at relationship, though wouldn't be surprised if one exists. Good thing to study.

[Leahthan Domeshek @LDomeshek]

@JordanFreyMD @DrAliSW @AmyMMoore20 @prsjournal @DrNikkiPhillips Neuropathic pain medications, desensitization, graded motor imagery.

[Leahthan Domeshek @LDomeshek]

@AChandMD @DrAliSW @AmyMMoore20 Great idea. May be difficult 2/2 complex dissection needed to locate/free-up nerve & prep transposition bed.

[Leahthan Domeshek @LDomeshek]

@AChandMD @DrAliSW @AmyMMoore20 It's effective, though we are moving to allograft or seprafilm/tisseel in many patients.

[Leahthan Domeshek @LDomeshek]

@AraSalibianMD @DrAliSW @AmyMMoore20 We prefer to repair whenever possible. Unfortunately, two graftable ends are not often available.

[Leahthan Domeshek @LDomeshek]

@JordanFreyMD @AmyMMoore20 @DrAliSW @prsjournal @DrRodRohrich Lot of unknowns! One big one - why some people form neuromas and others don't.

[Leahthan Domeshek @LDomeshek]

@NickBerlin_MD @DrAliSW @AmyMMoore20 @WUSTLmed Many of our patients are referrals from other groups - pain medicine, other surgical services

[Leahthan Domeshek @LDomeshek]

@RajaMohanMD @DrAliSW @AmyMMoore20 No. We generally operate/transect nerve proximal to zone of injury, so there is no actual specimen.

[Leahthan Domeshek @LDomeshek]

@pallabc @DrAliSW @AmyMMoore20 We tighten completely and leave in place, ideally 30 sec, and ideally with two locations of crush

[Leahthan Domeshek @LDomeshek]

@RajaMohanMD @DrAliSW @AmyMMoore20 They're great. Should use multimodal approach - should get pain specialists and PT involved early.

[Leahthan Domeshek @LDomeshek]

@pallabc @DrAliSW @AmyMMoore20 Medial thigh deep to vastoadductor septum, sartorius. Check out https://t.co/8qhsNGHUo2

[Leahthan Domeshek @LDomeshek]

@JuhaKii @danielzliu @DrAliSW @cbn6789 @AmyMMoore20 Missing VAS scores; nerve manipulations other than just crush, dunk, transpose.

[Leahthan Domeshek @LDomeshek]

@AraSalibianMD @DrAliSW @cbn6789 @AmyMMoore20 @prsjournal @JordanFreyMD Consider seprafilm/tisseel or allograft cap with transposition.

[Leahthan Domeshek @LDomeshek]

@AraSalibianMD @DrAliSW @AmyMMoore20 @prsjournal Confirm dx, use multidisciplinary approach. transect nerve proximal to zone of injury.

[Leahthan Domeshek @LDomeshek]

@AraSalibianMD @DrAliSW @cbn6789 @AmyMMoore20 @prsjournal @JordanFreyMD Challenging! Concern for central change or confounding process.

[Leahthan Domeshek @LDomeshek]

@danielzliu @DrAliSW @cbn6789 @AmyMMoore20 Yes! Any time there is a transacted nerve that cannot be repaired.

[Leahthan Domeshek @LDomeshek]

We did not. https://t.co/EcCjB1D0iN

[Ira Savetsky, MD @IraSavetskyMD]

Congrats on your study! Did you look at narcotic use pre & post-op? @LDomeshek @DrAliSW @AmyMMoore20 @prsjournal #PRSJournalClub

[Ira Savetsky, MD @IraSavetskyMD]

Looking fwd to #PRSJournalClub this Sun and Mon! @LDomeshek @DrAliSW @cbn6789 @prsjournal @DrRodRohrich

[M. Shuja Shafqat, MD @shujashafqatmd]

#PRSJournalClub this weekend on #neuroma treatment and #pain #depression #qualityoflife @LDomeshek @DrAliSW @cbn6789 @AmyMMoore20