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Simply PM&R: adding quality back to life

Stay on top of your practice with podcasts from Mayo Clinic.

Concise, relevant conversations with Mayo Clinic Physical Medicine and Rehabilitation experts. Working to add quality back to life.

Meet the Host

Jeffrey S. Brault, D.O.

Jeffrey Brault, D.O.

Physical Medicine & Rehabilitation

Find the doctor on Twitter! @MayoClinicPMR

Physiatrist specializing in musculoskeletal (spine and hand) and manual medicine

Latest Episodes

Episode 7

October 8, 2019

Corticosteroid Injections for Musculoskeletal Injuries

Given by Stephen J. Wisniewski, M.D.

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How do you counsel your patients about the risks and benefits of corticosteroid injections? How long should you expect their pain relief to last and how do you decide when and if to repeat one? Dr. Stephen Wisniewski discusses the choice between treatment with corticosteroid injections versus NSAIDS, side effects, and the benefits of using ultrasound guidance.

Episode 6

September 24, 2019

Work Rehabilitation

Given by Russell Gelfman, M.D.

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How do you determine what work restrictions would be most beneficial? When is maximum medical improvement determined and how does it relate to disability ratings? Even though the job landscape has changed from the dawn of worker’s compensation and insurance, work rehabilitation has maintained the same goal: return patients back to full duty employment. Dr. Gelfman lays out the specialist’s take on the Biopsychosocial Model in application to work rehabilitation, the need for more practitioners in this field, and how to develop this skillset within your practice.

Deeper Dive:

AMA Guides® to the Evaluation of Work Ability and Return to Work

https://commerce.ama-assn.org/store/ui/catalog/productDetail?product_id=prod1230017&navAction=push

The Work Disability Functional Assessment Battery (WD-FAB)

DOI: https://doi.org/10.1016/j.pmr.2019.03.004

Episode 5

September 10, 2019

Cancer Rehabilitation

Given by Andrea L. Cheville, M.D.

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What exactly is cancer rehabilitation? How can we keep our patients working and living their best life during cancer treatment? How do these patients differ from other rehabilitation patients? Dr. Andrea Cheville shares her insights on the Mayo Clinic multidisciplinary approach to providing rehabilitative care for cancer patients. This includes those actively going through chemotherapy and/or radiation treatments, as well as patients whose treatment has concluded.

Episode 4

August 27, 2019

Moving the Needle – What’s New in Electromyography

Given by Andrea J. Boon, M.D.

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When is it appropriate to order an electromyography (EMG)? How early is too early to get results? When do you run the nerve conduction and/or the needle exam? Dr. Andrea Boon discusses how to best approach the needle exam and which muscles are the best to needle. Neuromuscular ultrasound is playing in electrodiagnostics and conditions like carpel tunnel syndrome? Dr. Boon shares her pearls for utilizing ultrasound and calling myopathies and radiculopathies.

Episode 3

August 13, 2019

The BeST Approach to Functional Movement Disorders

Given by Jeffrey M. Thompson, M.D.

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Abnormal movement patterns that aren’t caused by a motor disease can be very difficult to diagnose and treat. Often, these conditions are a diagnosis of exclusion. Patients can see multiple providers before receiving a proper diagnosis. But how do we help these patients regain normal gait? Dr. Jeff Thompson discusses the Behavioral Shaping Therapy (BeST) approach. Listen in as he tells you how to set your patients up for success when diagnosed with a functional movement disorder.

For more on the BeST program visit https://mayocl.in/2MJ6sNJ.

Episode 2

July 30, 2019

What's New in Motor Recovery Research and Helping Patients Stay Active with Spinal Cord Injuries

Given by Kristin L. Garlanger, D.O.

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What is the role of stem cells in treating spinal cord injuries? What’s the research demonstrating in motor outcomes after epidural stimulation? Dr. Garlanger steps through multiple causes of non-traumatic spinal cord injuries and the need for research around outcome predictions. Listen to learn about adaptive exercise for your patients and how to help them be active with spinal cord injuries.

Episode 1

July 12, 2019

Efficacy and Outcomes in Regenerative Medicine

Given by Jacob Sellon, M.D.

Find the doctor on Twitter! @jlsellon

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PRP, BMAC, prolotherapy, placental derivatives, and microfragmented adipose tissue. What are they, what can we treat with them, and what does the evidence support? Dr. Jacob Sellon dives into these questions and discusses difficulties in the exploding field of regenerative medicine.


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