Max H. Epstein, MD

Spine and Pain Medicine Physician w/ an interest in Orthobiologics and Neuromodulation | Type 1 Diabetic |

[Max H. Epstein, MD @MaxEpsteinMD]

My first Basivertebral Nerve Ablation (Intracept) for vertebrogenic low back pain at Intermountain

[Max H. Epstein, MD @MaxEpsteinMD]

@NicoleBKatzMD @SpauldingRehab @HarvardSRH_PMR @MGHWomensSports Congrats Nicole!

[Max H. Epstein, MD @MaxEpsteinMD]

@JayKarriMD @DrJN_SportsMed Much like my case from today with patient presenting with T/L junction area pain on prolonged sitting and prolonged standing, without radicular features.

[Max H. Epstein, MD @MaxEpsteinMD]

@JayKarriMD Metabolic syndrome discussion is a 1st visit conversation when talking about ANY degenerative msk condition. The art is in how to have that conversation without placing blame or shame

[Max H. Epstein, MD @MaxEpsteinMD]

@Ryan_S_DSouzaMD Looks good! When image I expect doesn’t show, rotate to point towards the ear

[Max H. Epstein, MD @MaxEpsteinMD]

@JayKarriMD @Ryan_S_DSouzaMD @C_KenyonDO @nasir418 @NasirKhatriMD Agreed. I’d say I get the view I want 50% of the time, but get very similar results whether it was directly imaged or not. Likely infiltrating the region gets your block rather than needing plane spread.

[Max H. Epstein, MD @MaxEpsteinMD]

@JSinghMD @BCM_PMandR

[Max H. Epstein, MD @MaxEpsteinMD]

Incredible week at @IPSISMed 2024 with old friends and new

[Max H. Epstein, MD @MaxEpsteinMD]

@jonhagedornmd @runliftrunlift Agreed Killens is great! But if you’re staying in Houston proper, The Pit Room is my favorite. Sit on the patio and enjoy the connected patio bar next door

[Max H. Epstein, MD @MaxEpsteinMD]

@JayKarriMD @JSinghMD @AbdullahNewaj @Ryan_S_DSouzaMD Focused on the “no-shows” I see 😂

[Max H. Epstein, MD @MaxEpsteinMD]

Furnishing a new office work space. What have been the essentials or some fun additions to your work space?

Standing desk is first order of business!

@JayKarriMD @JSinghMD @AbdullahNewaj @Ryan_S_DSouzaMD

[Max H. Epstein, MD @MaxEpsteinMD]

@Dr_Ankur_Patel @JayKarriMD @JSinghMD @AbdullahNewaj @Ryan_S_DSouzaMD Debating how much to lean into “spine” vs. just keeping it fun

[Max H. Epstein, MD @MaxEpsteinMD]

@JayKarriMD @JayKarriMD just wanted to show that he doesn’t bend his needles 😜

[Max H. Epstein, MD @MaxEpsteinMD]

@Sympathy4TheDr @JayKarriMD @Ryan_S_DSouzaMD @nasir418 @JSinghMD @MihirJoshiMD @VinnyFrancioMD @benjamin_gill @MateuszGraca @DrNvSportsSpine @SounSheen @Dr_Ankur_Patel @NasirKhatriMD @AbdullahNewaj @asterkawi Sure, we both agree that epidural hematoma is a known risk of ILESI. But I fail to see how live/continuous fluoro mitigates this risk

[Max H. Epstein, MD @MaxEpsteinMD]

@Sympathy4TheDr @JayKarriMD @Ryan_S_DSouzaMD @nasir418 @JSinghMD @MihirJoshiMD @VinnyFrancioMD @benjamin_gill @MateuszGraca @DrNvSportsSpine @SounSheen @Dr_Ankur_Patel @NasirKhatriMD @AbdullahNewaj @asterkawi Of course, but that’s a conversation for AC in ILESI rather than live/continuous fluoro

[Max H. Epstein, MD @MaxEpsteinMD]

@JayKarriMD @Sympathy4TheDr @Ryan_S_DSouzaMD @nasir418 @JSinghMD @MihirJoshiMD @VinnyFrancioMD @benjamin_gill @MateuszGraca @DrNvSportsSpine @SounSheen @Dr_Ankur_Patel @NasirKhatriMD @AbdullahNewaj @asterkawi Haha not a bad idea! All the attention goes to TFESI, but rightfully so. To my knowledge, no cases of neurologic injury specifically from intravascular ILESI (excluding direct neural injury)?

[Max H. Epstein, MD @MaxEpsteinMD]

Incoming and graduating Fellows, join me with @IPSISMed tomorrow night, Tuesday 6/11, 8:30p ET. Registration: https://t.co/1fG92BvzKi

[Max H. Epstein, MD @MaxEpsteinMD]

@AbdullahNewaj Maybe try shoes next time too 🤷🏼‍♂️

[Max H. Epstein, MD @MaxEpsteinMD]

@MateuszGraca We gave my dachshund human gabapentin after spinal cord injury because it was so much cheaper than the doggo brand!

[Max H. Epstein, MD @MaxEpsteinMD]

Intraarticular SI Joint injections are the most difficult spine injection. Convince me otherwise!