Publications by authors named "Ruben H Schwartz"

Article Synopsis
  • Spinal anesthesia, first performed by Dr. August Bier on August 16, 1898, involved injecting cocaine into the spinal cord to provide pain relief during surgery, marking a significant advancement in anesthesia techniques.
  • Despite its initial success, concerns about the potential toxic effects of local anesthetics led to the development of newer drugs with a wider therapeutic window and the addition of adjuvants like epinephrine and alpha-2 agonists to enhance safety and effectiveness.
  • This review aims to explore the current understanding of spinal anesthesia, its indications and contraindications, and the role of adjuvants, drawing insights from recent literature on alpha-2 agonists from 2015 to the present.
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Purpose Of Review: Sedation for pain medicine procedures provides a unique challenge for proceduralists. Many patients dealing with pain are on chronic opioids and require higher doses of sedation for adequate procedural comfort. Chronic pain patients have various comorbidities including depression, neuropsychiatric disorders, peripheral vascular disease, and renal impairment, among others [1].

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Article Synopsis
  • Low back pain is a prevalent issue affecting many people, with various causes behind it.
  • Common causes of pain include age-related changes in the spine and Modic changes.
  • The text discusses a unique case of chronic low back pain in a patient with a congenital fusion of lumbar vertebrae.
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Purpose Of Review: This review presents epidurolysis as a procedure to alleviate pain and disability from epidural adhesions. It reviews novel and groundbreaking evidence, describing the background, indications, benefits and adverse events from this procedure in an effort to provide healthcare experts with the data required to decide on an intervention for their patients.

Recent Findings: Epidural adhesions (EA) or epidural fibrosis (EF) is defined as non-physiologic scar formation secondary to a local inflammatory reaction provoked by tissue trauma in the epidural space.

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Spinal cord stimulation is an effective treatment modality for patients with numerous pain conditions. Although proven to be highly successful, device implantation does come with some inherent risks. One of the most challenging complications is perioperative infection.

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Introduction: Non-pharmacologic alternative therapies for pain have been around for a long time, some for hundreds of years. They have been used throughout history to treat many issues.

Recent Findings: Currently, alternative medicine is most frequently used to treat musculoskeletal pain, and between 59 and 90% of patients utilizing alternative therapies for chronic pain claimed they were helpful and can serve as an effective adjunctive for the treatment of chronic pain.

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Occipital neuralgia (ON) is unilateral or bilateral neuralgia in the dermatomal nerve distribution of the greater, lesser or third occipital nerves and is a very common presentation of neuropathic pain. ON, although common and well defined, is still a poorly understood pain syndrome. It often requires invasive treatment for long term and significant pain alleviation; however, the evidence supporting different options is still limited.

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Baastrup's disease, known colloquially as "kissing spine disease", is a degenerative process, most commonly occurring in the lumbar spine, in which adjacent spinous processes closely approximate or even touch (Filippiadis et al. in Insights Imaging. https://doi.

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