BackTable Bone & Sports
This weekly podcast is designed for orthopedic surgeons, sports medicine doctors, pain specialists, and musculoskeletal radiologists. Each episode features practical, physician-led discussions on common and complex clinical topics related to bone, spine, and musculoskeletal care. Listeners hear how experienced clinicians approach real cases and gain practical advice from peers in their field.
Episodes
Ep. 110 Understanding Joint Arthroplasty: Techniques & Advances with Dr. William Bryan
How have modern surgical techniques, pain management algorithms, and focus on rehabilitation transformed joint replacement outcomes? On this episode of BackTable Bone & Sports, Dr. Larry Balle welcomes Dr. William Bryan of Houston Methodist to share his insights from decades of experience in orthopedic surgery and sports medicine. Dr. Bryan reflects on his journey from mentorship under Dr. George
Ep. 109 How Wet Bulb Globe Temperature Affects Athletes with Dr. Irvin Sulapas
What’s your game plan when heat illness strikes on the field? On this episode of BackTable Bone & Sports, Dr. Larry Balle welcomes sports medicine physician Dr. Irvin Sulapas to discuss how clinicians and athletic trainers can use wet bulb globe temperature (WBGT) and other tools to improve athlete safety. They highlight best practices for communication with coaches, modifying training protocols,
Ep. 108 ACL Rehab: Protocols and Best Practices with Dr. Andy Glidewell
Time is money, but when it comes to ACL rehabilitation, the calendar alone does not determine readiness for return to play. On this episode of BackTable Bone & Sport, host Dr. Larry Balle is joined by returning guest Dr. Andy Glidewell to discuss modern protocols for anterior cruciate ligament (ACL) rehabilitation. They cover the ACL’s role in knee stability, common injury mechanisms, and why movi
Ep. 107 Ergogenic Aids and Supplements: Sports Medicine Insights with Dr. Ryan Rhodes
Ergogenics: supplements NOT substitutes. On this episode of BackTable Bone & Sports, host Larry Balle joins Dr. Ryan Rhodes, a sports medicine physician and Army National Guard flight surgeon, in a discussion about ergogenic aids and supplements in athletic and military populations. They distinguish supplements from substitutes and define ergogenics broadly, noting limited evidence for popular pep
Ep. 106 Advanced Strategies for Targeted Bone Biopsies with Dr. Peter C. Thurlow
A bone biopsy can reach the target and still miss the diagnosis. In this episode of the BackTable Podcast, host Dr. Neil Jain is joined by Dr. Peter Thurlow to discuss how lesion selection, imaging review, trajectory planning, and device choice determine whether a targeted bone biopsy produces a useful sample without compromising future treatment.
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Ep. 105 Exploring Whole Body MRI Screening in Athletes with Dr. Andy Glidewell
Whole-body MRI is moving beyond diagnosis and into prevention, but is the technology ready and are clinicians prepared to interpret and act on what they find? On this episode of BackTable Bone & Sport Podcast, host Dr. Larry Balle welcomes back physical therapist/athletic trainer, Dr. Andy Glidewell to dive into the controversy of whole-body MRI screening for athletes and fitness-focused patients.
Ep. 104 Understanding Genicular Artery Embolization for Knee Osteoarthritis with Dr. Peter Minko
Genicular artery embolization (GAE) continues to gain traction worldwide, but is the evidence catching up to the hype? In this episode of BackTable Bone and Sports Podcast, host Dr. Kavi Krishnasamy welcomes Dr. Peter Minko, an interventional radiologist from Düsseldorf, Germany, to discuss GAE’s evolving evidence, techniques, and international practice patterns. Dr. Minko highlights forthcoming c
Ep. 103 Sports Medicine & Lifestyle Medicine Intersections with Dr. Megan Ferderber
Lifestyle medicine isn’t new; it’s medicine’s original prescription, and it might be the most effective way to start treating your patients’ musculoskeletal health. In this episode of BackTable Bone and Sports, Dr. Larry Balle welcomes Dr. Megan Ferderber to discuss how foundational habits like nutrition, exercise, sleep, stress management, social connection, and avoiding risky substances can tran
Ep. 102 Understanding PRP and Orthobiologics for Musculoskeletal Medicine with Dr. Jason Epstein
Are you truly understanding PRP and orthobiologics, or just following the latest trends in musculoskeletal medicine? In this episode of BackTable Bone and Sports, host Dr. Larry Balle and guest Dr. Jason Epstein explore the realities of platelet-rich plasma (PRP) and orthobiologics in non-operative musculoskeletal medicine. They highlight why successful outcomes start with honest patient counselin
Ep. 101 Lateral Knee Extra-Articular Tenodesis (LET) with Dr. Kyle Borque
It’s comeback season! What’s bringing lateral extra-articular tenodesis (LET) back to the landscape of ACL surgery? In this episode of BackTable Bone & Sports, Dr. Larry Balle joins sports orthopedic surgeon and knee specialist Dr. Kyle Borque to discuss the resurgence of lateral extra-articular tenodesis (LET) as an adjunct to ACL repair and reconstruction. They explore LET’s origins as a solutio
Ep. 100 Return to Play Post Injury: Balancing Risk & Recovery with Dr. Andy Glidewell
“The athlete’s job is to stay consistent with rehab and to be hungry to get back on the field. I think our job as a sports medicine team is to make sure that they’re safe and that they can perform.” In this episode of BackTable MSK, guest host and sports medicine physician Dr. Larry Balle joins physical therapist/athletic trainer Andy Glidewell to discuss how “return to play” is defined and why it
Ep. 99 MSK Hip Embolization: Case Discussions & Insights with Dr. Mateus Correa and Dr. Joaquim Filho
Beyond the basics: anatomy, technique, and clinical pearls for the evolving world of hip embolization. In this episode of BackTable MSK, we dive into the fine details of hip embolization. In Part II of this two-part series, Brazilian interventionalists, Dr. Mateus Correa and Dr. Joaquim Filho, return with host Dr. Kavi Krishnasamy, to explore the nuances of hip embolization and reviewing real-worl
Ep. 98 MSK Hip Embolization: Patient Selection & Technique with Dr. Mateus Correa and Dr. Joaquim Filho
Ready to shake up hip pain management? In this episode of BackTable MSK, we unpack how embolization is opening a new frontier for patients caught between conservative care and surgery. Interventional radiologist Dr. Kavi Krishnasamy hosts Brazilian interventionalists, Dr. Mateus Correa and Dr. Joaquim Filho, to discuss hip embolization for Greater Trochanteric Pain Syndrome (GTPS) and early hip Os
Ep. 97 Minimally Invasive Lumbar Decompression (MILD): Techniques & Outcomes with Dr. Denis Patterson
Caught between conservative care and a large spine surgery, the MILD procedure offers potential as the in-between. On this episode of the BackTable MSK Podcast, Interventional Radiologist Dr. Dana Dunleavy welcomes pain specialist Dr. Denis Patterson to explore the evidence, technique, and evolving role of Minimally Invasive Lumbar Decompression (MILD) procedure for lumbar spinal stenosis with neu
Ep. 96 MSK Embolization Case Discussions with Dr. Os Ahmed and Dr. Mikin Patel
The embolization playbook is expanding. The question is: are you ready to use it? In this episode of the BackTable MSK Podcast, host Dr. Ally Bahehi joins Dr. Mikin Patel and Dr. Osmad Ahmed from Joint and Vascular Institute in the greater Chicago area to discuss plantar fasciitis embolization; a newer MSK embolization technique, building from concepts and clinical pearls for genicular artery embo
Backtable Brief: How to Prepare for Complex Pelvic MSK Interventions with Dr. Brandon Key
Every new device and technique comes with a learning curve, and in this BackTable MSK Brief we’re navigating pelvic curves. Host Dr. Kavi Krishnasamy joins Dr. Brandon Key to dissect pelvic and sacral fixation techniques. They discuss patient positioning and prep to needle-guidance software, with procedural pearls scattered throughout the conversation.
Episode Outline
00:00 - Introduction
Ep. 95 Shoulder Embolization for Adhesive Capsulitis & Tendinopathy with Dr. Yan Epelboym
For patients who have exhausted conservative management but aren’t ready for the knife, shoulder embolization offers a minimally invasive intermediary option. In this episode of BackTable MSK, host Kavi Krishnasamy welcomes Dr. Yan Epelboym, an interventional radiologist trailblazing the MSK IR space. The doctors discuss the rapid development of musculoskeletal embolization applications with an em
Backtable Brief: Multidisciplinary Approaches in Bone Stabilization with Dr. Brandon Key
In orthopedic IR, confidence comes from exposure. It’s all about getting those reps in. In this BackTable MSK Brief, host Kavi Krishnasamy interviews Dr. Brandon Key from the Medical College of Wisconsin about implementing bone stabilization and fixation in interventional radiology for pathologic and non-pathologic fractures.
The doctors discuss key barriers which include limited training expos
Backtable Brief: Sedation and Anesthesia in Bone Cancer Ablation with Dr. Damian Dupuy
From anesthesia decisions to ablation strategy, what really separates a good outcome from a great one in bone tumor ablation? This BackTable MSK Brief features an enlightening conversation between host Kavi Krishnasamy and bone ablation pioneer Dr. Damian Dupuy. They cover anesthesia choices for different patient scenarios, optimal procedural techniques and agent selection for bone ablations, and
Backtable Brief: Bone Tumor Interface & Treatment Techniques in Palliative Care with Dr. Damian Dupuy
Bone tumor treatment: when do you burn it and when do you freeze it? In this BackTable MSK Brief, Dr. Damian Dupuy joins Host Dr. Kavi Krishnasamy to discuss the technical nuances of radiofrequency ablation (RFA) and cryoablation, patient selection criteria, procedural strategies, and the importance of setting appropriate patient expectations. Dr. Dupuy also shares insights on preventing complicat
Ep. 94 Genicular Artery Embolization in Post-TKA Pain Management with Dr. Rene Viso
Can genicular artery embolization (GAE) relieve chronic knee pain after total knee arthroplasty (TKA)? In this episode of BackTable MSK, Argentinian interventional radiologist Dr. Rene Viso joins host Dr. Kavi Krishnasamy to discuss the status of GAE in South America, patient selection criteria, procedural techniques, and the challenges of treating post-TKA patients with GAE.
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SYNPOSIS
Dr. V
Ep. 93 Genicular Artery Embolization: Insights & Techniques with Dr. Rachel Piechowiak and Dr. Faraz Khan
How is genicular artery embolization reshaping our clinical approach to patients with chronic knee pain? Dr. Rachel Piechowiak and Dr. Faraz Khan, interventional radiologists at IR Centers join Dr. Don Garbett in a deep dive into the current state of Genicular Artery Embolization (GAE).
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SYNPOSIS
Dr. Piechowiak and Dr. Khan provide a deep dive on the technical nuances of GAE, covering pati
Ep. 92 Understanding Frozen Shoulder: Causes, Symptoms, & Treatment Options with Dr. Sameer Nagda
Frozen shoulder is characterized by progressive motion loss, distinct disease stages, and new treatment opportunities; raising important questions about timing, patient selection, and new interventional strategies. In this episode of the BackTable MSK Podcast, guest host Osman Ahmed welcomes orthopedic surgeon and upper extremity specialist Dr. Sameer Nagda to discuss the intricacies of adhesive c
Ep. 91 Pathologic Fracture Fixation: Pelvic & Sacral Bone Stabilization Techniques with Dr. Brandon Key
Your bony fixation technique can make (or break) a complex fracture case. In this episode of the BackTable MSK Podcast, host Kavi Krishnasamy welcomes Dr. Brandon Key, interventional radiologist at Medical College of Wisconsin (MCW) in Milwaukee, to discuss bone stabilization techniques in treating pathologic and non-pathologic fractures.
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SYNPOSIS
Dr. Key shares insights into his practice,
Ep. 90 Thermoprotection Techniques in Musculoskeletal Ablations Part II with Dr. Alan Sag
How to stay cool when a thermal ablation case gets complicated? Your toolbox can make all the difference. In this episode of the BackTable MSK Podcast, Dr. Alan Sag returns with host Dr. Jacob Fleming to continue the discussion on thermal protection in musculoskeletal ablation procedures. Part 2 focuses on real-world cases to provide practical insights and illustrate decision-making in complex the
Ep. 89 Thermoprotection Techniques in Musculoskeletal Ablations Part I with Dr. Alan Sag
Burns = big consequences. Let’s talk thermoprotection. In this episode of the BackTable MSK Podcast, host Jacob Fleming welcomes longtime friend and colleague Dr. Alan Sag to discuss thermoprotection in musculoskeletal ablation procedures over this two-part episode series. Part 1 focuses on established strategies and new techniques for protecting critical structures during ablation.
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SYNPOSIS
Ep. 88 Bone Tumor Ablation: Techniques & Outcomes with Dr. Damian Dupuy
Ablate before you radiate. Success with bone tumor ablation may have as much to do with your procedure technique as it does with your ability to collaborate. In this episode of BackTable MSK, interventional oncologist Dr. Damian Dupuy shares his approach to bone tumor ablation with host Dr. Kavi Krishnasamy, and offers practical advice on how to partner with your cancer care team to make ablation
Ep. 87 Advanced Techniques in Orthopedic Oncology: Bone Ablation for Skeletal Metastases with Dr. Francis Lee
“We learn traditionally that bone metastasis is terminal.” 一 Or is it? In this episode of the BackTable MSK podcast, host Dr. Jacob Fleming welcomes Dr. Francis Lee, a leading figure in orthopedic oncology, to discuss advancements in treating skeletal metastasis. Dr. Lee, the Wayne O. Southwick Professor from Yale and President-elect of the Musculoskeletal Tumor Society, shares his innovative AORI
Backtable Brief: Pain Management Strategies in Spine Oncology with Dr. Ran Lador and Dr. Mark Amsbaugh
Living in the best of both worlds: balancing pain management and quality of life. In this BackTable MSK Brief, Dr. Mark Amsbaugh and Dr. Ran Lador discuss multidisciplinary approaches to treating spinal tumors with a particular focus on pain management. They explore the complexities of defining and treating pain related to spinal tumors, differentiating between mechanical instability, tumor burden
Ep. 86 Neuromodulation: Past, Present & Future with Dr. Timothy Deer
As our understanding of pain physiology evolves, neuromodulation continues to offer new treatment possibilities in MSK pain management. In this episode of the BackTable MSK, host Jacob Fleming discusses the evolving world of neuromodulation with Dr. Timothy Deer, a leading expert in the field. Dr. Deer shares insights from his extensive career and his innovative contributions in neuromodulation.--
Backtable Brief: Surgical and Radiation Strategies in Spine Oncology with Dr. Ran Lador and Dr. Mark Amsbaugh
“There is always constant review and constant learning”. In this BackTable MSK Brief, Dr. Mark Amsbaugh and Dr. Ran Lador discuss comprehensive treatment strategies for spinal tumors, highlighting the critical interplay between surgical and radiation oncology.
The doctors explain the complex planning required based on tumor characteristics, including surgical options like en bloc resection and m
Backtable Brief: Multidisciplinary Care Approaches for Spinal Tumors with Dr. Ran Lador and Dr. Mark Amsbaugh
Check your ego at the door! In this BackTable MSK Brief, Dr. Mark Amsbaugh and Dr. Ran Lador share their multidisciplinary approach to the treatment of spinal tumors at the University of Texas and Memorial Hermann in Houston.
They highlight the distinctive aspects of their practice, including their extensive collaboration and support system for patients, the intricate process of managing spinal t
Ep. 85 Cryoneurolysis & MSK Pain Management Techniques with Dr. Junjian Huang
Are you considering expanding your IR practice into pain management services? Get the download from someone who’s done it already. In this episode of BackTable MSK, Dr. Sean Maratto from Philadelphia's Jefferson Health Network is joined by guest Dr. Junjian Huang from Emory University School of Medicine to discuss the intricacies of building a pain management practice within the interventional rad
Ep. 84 Approaches in Complex Kyphoplasty Cases with Dr. Asad Baig
To ablate or not to ablate? That is the question. Learn how to tackle complex and unique cases of kyphoplasty and spinal ablation in part two of our discussion with Dr. Asad Baig and host Dr. Michael Barrazza.---This podcast is supported by an educational grant from Medtronic.---SYNPOSISThis episode looks at the ins and outs of real-world kyphoplasty and spinal ablation cases, including detailed p
Ep. 83 Spine Ablation & Kyphoplasty: Handling Complex Cases with Dr. Asad Baig
From patient selection to procedure technique–learn the key insights that shape a successful kyphoplasty and spine ablation practice. In this episode of the BackTable MSK Podcast, host Dr. Michael Barraza welcomes back Dr. Asad Baig, an Interventional Radiologist and director of the Interventional Spine Center at Columbia University. They discuss the latest developments at Columbia, focusing on ex
Ep. 82 Resorbable Embolics in MSK Embolizations with Dr. Keerthi Prasad
Resorbable embolics are gaining traction in musculoskeletal interventions, but what are the key technical considerations? Dr. Keerthi Prasad, interventional radiologist at the Centers for Pain Control and Vein Care joins host Dr. Ally Baheti to share practical insights when using resorbable embolics in MSK interventions.---This podcast is supported by:Medtronic OsteoCoolhttps://www.medtronic.com/e
Backtable Brief: Embolic Choice for Genicular Artery Embolization with Dr. Sid Padia and Dr. Osman Ahmed
What is the optimal embolization technique in GAE? In this BackTable Brief, Dr. Osman Ahmed and Dr. Sid Padia, MD discuss the embolization of abnormal vessels, debating between targeting any abnormal vessel versus only the painful side. They reference studies and papers, including the Landers 2023 paper, to explore best practices.
They consider the use of temporary resorbable embolics compared
Backtable Brief: Catheter Selection for Genicular Artery Embolization in the OBL with Dr. Sid Padia and Dr. Osman Ahmed
Which imaging and treatment techniques are optimal for GAE in the OBL? In this BackTable Brief, Dr. Osman Ahmed and Dr. Sid Padia explore instrument selection and CT techniques in the OBL for genicular artery embolization (GAE).
Dr. Ahmed and Dr. Padia discuss the importance of not compromising on patient safety, and the careful selection of their approach to treatment. They further elaborate
Ep. 81 Multidisciplinary Spine Oncology Care: Insights & Techniques with Dr. Ran Lador and
When it comes to spinal oncology, no single specialty holds all the answers. In this episode of the BackTable Podcast, host Dr. Alexa Levey, an interventional radiologist from Yale School of Medicine, is joined by Dr. Mark Amsbaugh, a radiation oncologist, and Dr. Ran Lador, an orthopedic spine surgeon, both from the University of Texas McGovern Medical School. The discussion explores complexities
Backtable Brief: Workup and Patient Selection for Genicular Artery Embolization with Dr. Sid Padia and Dr. Osman Ahmed
Shownotes
Who is the ideal candidate for genicular artery embolization (GAE)? In this BackTable Brief, Dr. Osman Ahmed and Dr. Sid Padia share how they work up and select GAE patients.
Dr. Padia and Dr. Ahmed discuss the challenges of patient selection in genicular artery embolization, specifically debating the necessity and utility of MRI with contrast. The discussion also explores the pros and
Ep. 80 Cryoneurolysis in Pain Management: Anatomy and Technique with Dr. Alexa Levey
Where does cryoneurolysis fit in contemporary pain management? In this episode of Backtable MSK, host Jacob Fleming is joined by Dr. Alexa Levey to discuss the role of cryoneurolysis in various pain presentations, covering indications, anatomical targets, and techniques in different clinical scenarios.
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SYNPOSIS
This episode offers practical guidance on how to take a detailed patient history
Ep. 79 Managing Vertebrogenic Pain: Ablation Procedures & Outcomes with Dr. Luigi Manfre
Paging all neuroradiologists and spine specialists interested in enhancing their vertebral nerve ablation practice. In this special ESNR edition of Backtable MSK, host Jacob Fleming welcomes neuroradiologist Dr. Luigi Manfre to discuss the intricacies of vertebral nerve ablation, focusing on patient selection, technical approaches, and emerging practice trends.
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SYNPOSIS
The physicians discu
Ep. 78 MSK Embolization: Techniques, Outcomes, and Referral Strategies with Dr. Ahmed Farag
Musculoskeletal (MSK) embolization is emerging as a transformative, minimally-invasive option for various chronic pain conditions. In this week’s episode of Backtable MSK, host Dr. Jacob Fleming talks with Dr. Ahmed Farag, an interventional radiologist with expertise in MSK embolization. The conversation covers practice building, tools, and techniques.
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SYNPOSIS
Dr. Farag shares insights fro
Ep. 77 Treatment of Lumbar Radiculopathy with Intradiscal Ozone with Dr. Alexis Kelekis
Intradiscal ozone offers a minimally invasive approach to disc pain that can reduce inflammation and restore function. How well does it work and where does it fit in the lumbar radiculopathy treatment algorithm? In this episode of the Backtable MSK Podcast, host Jacob Fleming speaks with Dr. Alexis Kelekis about the contemporary role of intradiscal ozone and emerging innovations in interventional
Ep. 76 Culture and Leadership: Enhancing the Training Experience and Beyond with Dr. Wayne Olan and Mr. David Tilton
What sets apart those who are good from those who are great? This episode of Backtable MSK features a profound discussion on leadership and legacy with Dana Dunleavy, MD, Wayne Olan, MD, and David Tilton. Dr. Olan, Director of Minimally Invasive Neurosurgery at George Washington University Medical Center, and David Tilton, a former Navy SEAL and current business and racing professional, share thei
Ep. 75 Genicular Artery Embolization: Current Controversies and Insights with Dr. Sid Padia and Dr. Osman Ahmed
Who is the ultimate candidate for GAE, which technical approach is best, and how do you set your patients up for success? Tune into this week’s episode of BackTable to hear from interventional radiologists Dr. Osman Ahmed (University of Chicago Medicine) and Dr. Siddharth Padia (UCLA Health) as they discuss everything from patient selection to follow-up care, covering pre-procedure imaging, access
Ep. 74 Diagnosis and Treatment of Tarlov Cysts with Dr. Kieran Murphy
Attention radiologists: Were you trained to look for Tarlov cysts when reading spine MRI? In this episode of Backtable MSK, interventional neuroradiologist Dr. Kieran Murphy joins the studio to discuss the serious issue of chronic pain related to Tarlov cysts, a condition often overlooked in both diagnosis and treatment. Tarlov cysts, also known as perineural cysts, are fluid-filled sacs that form
Ep. 73 Understanding Basivertebral Nerve Ablation (BVNA) with Dr. Asad Baig
You asked, and we delivered – here’s a comprehensive episode on Basivertebral Nerve Ablation (BVNA) for vertebrogenic lumbar pain! In this episode of Backtable MSK, our host Dr. Christopher Beck is joined by Dr. Asad Baig, Director of Interventional Spine at Columbia University, to discuss BVNA patient selection and procedural techniques.
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SYNPOSIS
Dr. Baig begins by sharing his journey fro
Ep. 72 Vertebral Augmentation: Demystifying the Data with Dr. Josh Hirsch
We’ve had many discussions about the technical aspects of vertebroplasty and kyphoplasty on BackTable MSK. However, in this episode, we take a deeper look into the history of these procedures, exploring early research controversies and the challenges that threatened their existence. Our host, Dr. Jacob Fleming, is joined in the BackTable Studio by interventional neuroradiologist Dr. Joshua Hirsch,
Ep. 71 Genicular Nerve Ablation Insights: Techniques and Data with Dr. John Smirniotopoulos
Dr. John Smirniotopoulos, an interventional radiologist at Georgetown/MedStar Washington Hospital Center, discusses the intricacies of genicular nerve ablation (GNA) for pain management in patients with osteoarthritis and post-surgical knee pain. He delves into the history and evolution of GNA, outlines the neurovascular anatomy, and explains his specific rationale for targeting various nerves for
Ep. 70 Frontiers in Musculoskeletal Embolization with Dr. Yuji Okuno
Musculoskeletal embolization is generating significant excitement in the field of chronic pain management. In this episode, Dr. Jacob Fleming hosts a discussion with Dr. Yuji Okuno from Japan, a pioneer in both basic science and clinical practice within the field of musculoskeletal embolization.
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This podcast is supported by:
Medtronic MVP
https://www.medtronic.com/mvp
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SYNPOSIS
The co
Ep. 69 Intradiscal Augmentation and Frontiers in Back Pain Treatment with Dr. Olivier Clerk
Vertebral augmentation for degenerative disc disease has traditionally been performed using cement injections. However, new biomaterials are emerging that may offer more precise targeting of the vertebral discs, potentially leading to higher patient satisfaction. In this episode of Backtable MSK, Dr. Olivier Clerk-Lamalice discusses significant advances in the treatment of degenerative disc diseas
Ep. 68 BackTable Basics: Lumbar Disc Access and Discography with Dr. Olivier Clerk
The lumbar discogram is a cornerstone of musculoskeletal (MSK) radiology, as it enables interventionalists to pinpoint the exact level of discogenic back pain. In this episode of Backtable MSK, the Dr. Olivier Clerk-Lamalice and host Dr. Jacob Fleming explore the techniques and applications of the discogram, a procedure highly valued for its effectiveness in both diagnosis and pain management.
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Ep. 67 Introduction to Treatment of Discogenic Back Pain with Dr. Olivier Clerk-Lamalice
Degenerative disc disease, a major cause of low back pain, is the most common musculoskeletal issue worldwide, affecting an estimated 15-30% of the population. In this episode of BackTable MSK, interventional radiologists Dr. Olivier Clerk-Lamalice and Dr. Jacob Fleming cover symptomatic degenerative disc disease, focusing on its diagnosis and treatment with anesthetic injections. This is the firs
Ep. 66 Dr. Kieran Murphy on Creativity in Medicine
Many physicians are perfectly positioned to recognize areas of clinical need, so why are so few of them involved in medical innovation? In this episode of BackTable MSK, Dr. Kieran Murphy discusses the ideal circumstances and critical characteristics of physician innovators. Dr. Murphy is an interventional neuroradiologist, a professor at the University of Toronto, and a medical device innovator w
Ep. 65 Robotics Revolution in Interventional Radiology with Dr. Sean Tutton and Dr. Raj Narayanan
Robot-assisted technology has revolutionized surgical fields such as general surgery and urology—could interventional radiology be the next frontier? In this episode of the BackTable podcast, host Dr. Jacob Fleming explores the transformative potential of robotic-assisted percutaneous biopsies and ablations with experts Dr. Govindarajan “Raj” Narayanan from the Miami Cancer Institute and Dr. Sean
BackTable Brief: Genesis 2 Trial Design and Challenges for GAE with Dr. Mark Little
What evidence is currently available regarding the use of genicular artery embolization (GAE) for treating knee osteoarthritis? Principal investigator Dr. Mark Little discusses the GENESIS 2 trial, a large randomized controlled study aimed at assessing the outcomes of embolizing abnormal genicular arteries to reduce pain in patients with mild to moderate knee osteoarthritis.
Dr. Little explains t
BackTable Brief: Getting Started with MSK Embolizations with Dr. Mark Little
For patients suffering from intractable pain due to knee osteoarthritis, genicular artery embolization (GAE) offers a minimally invasive treatment with potential long-term benefits. Dr. Mark Little, an interventional radiologist at Royal Berkshire NHS Foundation Trust, joins us to provide an introduction to GAE. He shares his experience with the procedure and compares it to other treatments, such
Ep. 64 Advanced Kyphoplasty Techniques with Dr. Glade Roper
How can we ensure long-term spine health after tumor ablation? In this follow-up to our previous discussion, Dr. Glade Roper returns to the show to focus on early kyphoplasty treatment for ablation patients, aiming to prevent kyphosis and postural fatigue syndrome.
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This podcast is supported by an educational grant from Medtronic.
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SYNPOSIS
Dr. Roper provides detailed advice on performi
Ep. 63 Bone Tumor Ablation: Techniques and Insights with Dr. Glade Roper
Spine metastases are often painful and can impair a patient's ability to lie flat for radiation therapy. However, radiofrequency ablation (RFA) can address the bulk of the tumor and provide significant pain relief, enabling the patient to undergo radiation therapy. In this episode of BackTable MSK, musculoskeletal radiologist Dr. Glade Roper discusses his experience with spinal tumor RFA, his role
BackTable Brief: Why Cryoneurolysis to Treat Pain? with Dr. Aron Chary
With the breadth of minimally invasive pain management techniques that are now available, it can be challenging to sort through the options and determine the most appropriate treatment for your patient. In this BackTable Brief, Dr. Aron Chary provides an overview of cryoneurolysis and its role in interventional pain management. He describes the advantages of cryoneurolysis compared to other method
BackTable Brief: Building a Cryoneurolysis Service Line with Dr. Aron Chary
Learn how your patients might benefit from new pain management therapies. Dr. Aron Chary and host Dr. Michael Barraza discuss the role of cryoneurolysis as an emerging therapy for knee and cancer-related pain. The doctors also discuss other practical applications and evolutions of cryo treatments in both non-cancer and cancer-related pain management.
TIMESTAMPS
00:00 - Introduction
05:08 - Expan
Backtable Brief: Effective Strategies for Managing Diabetic Neuropathy in Vascular Clinics with Dr. Blake Parsons
If your patients are living with painful diabetic neuropathy that is refractory to medications, spinal cord stimulation (SCS) may be an option. Dr. Dana Dunleavy interviews interventional radiologist Dr. Blake Parsons about managing diabetic neuropathy in a multidisciplinary setting and the role of SCS. They also discuss new research findings that support the use of spinal cord stimulators and the
Ep. 62 Exploring Intradiscal PRP for Back Pain Relief with Dr. Guilherme Ferreira Dos Santos
How are orthobiologics transforming the back pain treatment algorithm? In this episode of BackTable MSK, host Jacob Fleming is joined by Dr. Guilherme Ferreira Dos Santos to discuss the management of lumbar pain and the role of platelet-rich plasma (PRP) injections. Dr. Santos is trained in Physical Medicine & Rehabilitation as well as Interventional Pain Medicine, and currently practices at the H
Backtable Brief: Techniques for Spinal Cord Stimulator Placement with Dr. Blake Parsons
Spinal cord stimulation can be a useful tool for treating chronic low back and leg pain. In this BackTable Brief, Drs. Dana Dunleavy and Blake Parsons discuss the specifics of implanting lumbar spinal cord stimulation. They explore patient positioning, anesthesia, needle angulation, and the importance of targeting spinal levels correlated to pain.
TIMESTAMPS
00:00 - Pre-Operative Setup
02:10 - O
Ep. 61 Ablation Techniques for Acetabular Lesions with Dr. Jason Levy
Acetabular lesions present unique challenges for interventionalists due to their location within the pelvis. In this episode of the BackTable Podcast, host Dr. Jacob Fleming interviews Dr. Jason Levy, an experienced practitioner in musculoskeletal interventional oncology based in Atlanta, Georgia, about techniques for ablating acetabular lesions.
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This podcast is supported by an educational g
Ep. 60 Musculoskeletal Tumor Embolizations with Dr. Gina Landinez
Tumor embolization is a versatile procedure that can provide symptomatic and long-term benefits for patients. In this episode of BackTable MSK, host Dr. Michael Barraza discusses musculoskeletal tumor embolizations with Dr. Gina Landinez from the Miami Cardiac and Vascular Institute, where she is helping to grow the MSK interventions program.
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SYNPOSIS
Dr. Landinez explains that the main ind
Backtable Brief: Spinal Cord Stimulators, Trials to Permanents with Dr. Blake Parsons
Interventional radiologists can play a vital role in pain management and palliative care through spinal cord stimulation (SCS). In this BackTable Brief, Dr. Dana Dunleavy speaks with Dr. Blake Parsons about this technology and the learning opportunities it presents.
Dr. Parsons reflects on his introduction to outpatient spinal cord stimulation during his training at the Medical College of Wiscons
Ep. 59 Minimally Invasive Bone Grafting and Orthopedic Innovation with Dr. Jim Marino
More often than not, a surgical innovation is not the result of an overnight success, but rather the result of iterative improvements on a tool or technique that leads to better outcomes. In this episode of the BackTable MSK Podcast, we interview Dr. Jim Marino, a retired orthopedic surgeon and prolific medtech innovator. Dr. Marino gives us an inside look at his extensive career, detailing his ro
Ep. 58 Genicular Artery Embolization: How I Do It with Dr. Osman Ahmed
Genicular artery embolization (GAE) is quickly emerging as a treatment option for knee osteoarthritis when other therapies have failed. In this episode of the BackTable Podcast, Dr. Osman Ahmed discusses the origins of GAE and how he employs it in his practice.
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This podcast is supported by an educational grant from Guerbet.
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SYNPOSIS
Dr. Ahmed, an interventional radiologist at the Univ
BackTable Brief: Decisions that Prioritize Patient Welfare with Dr. Sean Tutton
Decisions that prioritize patient welfare can often be challenging with our physician bias toward action. Interventional radiologists Dr. Eric Keller and Dr. Sean Tutton highlight the importance of education in discussions about end-of-life care and futility. Dr. Tutton shares a poignant story illustrating the necessity of team-based approaches to futile procedures. They also discuss ethical consi
Ep. 57 Building a Successful MSK Service Line with Dr. Igor Latich
Building a top-tier musculoskeletal (MSK) interventional service line involves taking risks, continuously learning, and always being available for your patients, according to Dr. Igor Latich, an interventional radiologist at the Yale School of Medicine.
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Stryker Interventional Spine
https://www.strykerivs.com
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SYNPOSIS
He discusses his passion for MSK intervention
BackTable Brief: What is Palliative Care vs Hospice? with Dr. Sean Tutton
What is the difference between palliative care and hospice? Dr. Sean Tutton clarifies the distinctions and interactions between the two. He explains that palliative care focuses on symptom management and improving quality of life, while addressing common misconceptions about it. Dr. Tutton also provides insights on the role of palliative care physicians and emphasizes the importance of integrating
BackTable Brief: Probe Options and Technique for Genicular Nerve Ablation with Dr. John Smirniotopoulos
Intentional probe selection is an important part of any ablative procedure. This MSK Brief focuses on tools for genicular nerve ablation. Dr. John Smirniotopoulos shares his perspectives on radiofrequency ablation (RFA) and cryoablation probes, including the Cool Leaf probe and its benefits. He goes on to explain the procedure, including ablation techniques, motor stimulation tests, and handling p
Ep. 56 BackTable Basics: Transforaminal, Cervical, and Thoracic Epidural Injections with Dr. Chris Beck
Cervical and thoracic epidural steroid injections (ESIs) can offer relief for patients with chronic pain; however, these procedures can carry serious risks. Providers should be well-trained to anticipate and mitigate these risks before treating patients with ESIs. In this episode of the Backtable MSK Podcast, co-hosts Dr. Chris Beck and Dr. Jacob Fleming dive deep into various techniques and consi
Ep. 55 Backtable Basics Lumbar Epidural Injections with Dr. Chris Beck
An epidural steroid injection (ESI) is a minimally invasive technique used to treat back pain. Providers from various specialties and settings can learn and offer this procedure. In this episode of the Back Table MSK Podcast, hosts Jacob Fleming and Chris Beck share their experiences and techniques for performing ESIs.
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Stryker Interventional Spine
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BackTable Brief: Anatomy and Setup for Genicular Nerve Ablation with Dr. John Smirniotopoulos
Genicular nerve ablation is becoming more common for patients with osteoarthritis, underscoring the preference for nonsurgical,minimally invasive treatment. Our host Dr. Michael Barraza welcomes Dr. John Smirniotopoulos to discuss his experience performing genicular nerve ablation, including a detailed ‘how-to’ on his procedure technique. The conversation delves into the anatomy and key nerves tar
BackTable Brief: What is the Role of Genicular Nerve Ablation for Knee Osteoarthritis? with Dr. John Smirniotopoulos
Intentional probe selection is an important part of any ablative procedure. This MSK Brief focuses on tools for genicular nerve ablation. Dr. John Smirniotopoulos shares his perspectives on radiofrequency ablation (RFA) and cryoablation probes, including the Cool Leaf probe and its benefits. He goes on to explain the procedure, including ablation techniques, motor stimulation tests, and handling p
Ep. 54 Managing Sarcomas: A Multidisciplinary Approach with Dr. Yvette Ho and Dr. Jessica Jones
In this episode of The Back Table MSK Podcast, Dr. Alexa Levey discusses the importance of multidisciplinary treatment planning for sarcomas with Dr. Yvette Ho and Dr. Jessica Jones.
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CHECK OUT OUR SPONSOR
Stryker Interventional Spine
https://www.strykerivs.com
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SYNPOSIS
The conversation explores the necessity of a multidisciplinary approach and the challenges associated with managing
BackTable Brief: Basivertebral Nerve Ablation II: Technique with Dr. Olivier Clerk-Lamalice
Basivertebral nerve ablation is a potential solution for anterior column spine pain. Dr. Olivier Clerk-Lamalice outlines a typical ablation procedure and discusses alternative approaches for challenging target locations.
The procedure generally uses a transpedicular approach with an 8-gauge introducer needle, visualized under fluoroscopy. The needle angle should ensure that the probe can later be
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