Stuart Krost,MD |Board Certified - Best Rated Palm Beach - Gives to Community Passion Charity Most Important 25 Years - Plantation Florida

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Stuart Krost,MD Board Certified - Best Rated
Palm Beach - Gives to Community Passion Charity
Most Important 25 Years - Plantation Florida
(1888 PressRelease) Dr. Krost gives to the
community his time and money. He financially
supports local causes and youth programs " I am
all about Helping others in need". He is board
certified by the American Board of Physical
Medicine and Rehabilitation. Patients visit him
for a variety of reasons including,
spondylolysis, spinal muscular atrophy (SMA),
spasticity, fibromyalgia. West Palm Beach-Boca
Raton, FL - TRIGGER POINT INJECTIONS Trigger
point injections are injections to the muscle
belly. Injections are aimed at taut bands or
areas of spasm within the muscle belly. Taut
bands can be painful and the underlying cause of
pain generation. Trigger point injections are
diagnostic and therapeutic. If there is
significant relief after trigger point
injections, certainly one can consider that the
muscle spasm is a pain generator. The injection
consists of anesthetic as well as
antiinflammatory medication. EPIDURAL STEROID
INJECTION Epidural steroid injections are a
procedure to place medication both
antiinflammatory as well as anesthetic in the
epidural space. The epidural space is located
within the spine around the spinal cord and nerve
roots. The goal of epidural injections is
diagnostic and therapeutic. Epidural injections
can relieve pain that is generating from disc
herniations as well as irritated or pinched nerve
roots. These procedures are performed under
fluoroscopic guidance. FACET BLOCK Facet blocks
are performed under fluoroscopic guidance and can
be diagnostic and therapeutic. Injections are
performed at the facet joint or the medial branch
nerve. Improvement after this type of injection
would be diagnostic for facet joint related pain.
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FACET RHIZOTOMY Facet rhizotomy is a long acting
facet block either done chemically or with
thermal heat. This procedure is indicated if the
patient does receive benefits from the facet
block, however does not offer prolonged
relief. STELLATE BLOCK This procedure is done in
the neck, anesthetic blockade is performed at the
stellate ganglion. The goal of this procedure is
for blockade of the sympathetic chain. This is
diagnostic and therapeutic for evaluation and
treatment of RSD. LUMBAR SYMPATHETIC BLOCK Lumbar
sympathetic block is performed about the lumbar
area. The goal of this procedure is for blockade
of the sympathetic chain. This would be
diagnostic and therapeutic for evaluation and
treatment of RSD. DISCOGRAM A discogram was
performed for diagnostic purposes to identify
pain if a pathologic disc is acting as a pain
generator. IDET PROCEDURE An IDET procedure is a
procedure done for a pathologic disc usually with
annular tear that has been identified as a pain
generator. The goal of procedure is to destroy
sensory nerve endings that are transmitting
painful signal. The ultimate goal is to relieve
pain from discogenic pathology. PERCUTANEOUS
DISCECTOMY This is a minimally invasive procedure
for treatment of a herniated disc. This is a
procedure that could be done in an outpatient
setting under fluoroscopic guidance to remove
herniated disc material. The ultimate goal is to
relieve pressure on the exiting nerve root as
well as relieve pain. BOTOX INJECTIONS Botox is
a long acting treatment for muscular pain. Botox
acts locally at the injection site to relieve
muscle spasm and to relieve pain. Benefits of
this can last up to three to six months. This is
also used for intractable headaches that do not
respond to more conservative measures.
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OCCIPITAL NERVE BLOCK Occipital nerve is located
in the back of the neck at the junction of the
head. Occipital entrapments can occur with
underlying spasm commonly causing occipital
headaches. This can subsequently produce symptoms
radiating to the top of the head as well as in
back of the eyes. Occipital blocks can be
diagnostic and therapeutic for occipital
neuralgia/occipital headaches. ELECTRODIAGNOSTIC
TESTING Electrodiagnostic studies are a
diagnostic procedure to assess underlying
neuropathic problems. EMG/NCS can be diagnostic
for cervical or lumbar radiculopathy/pinched
nerve, neuropathy or distal nerve entrapment such
as carpal tunnel syndrome. EMG/NCS can be helpful
in determining acute versus chronic conditions
and identify neuropathic recovery. EMG/NCS are
commonly used in conjunction with MRIs to
correlate anatomical findings and neuropathic
function. PHYSICAL THERAPY Physical therapy
combines passive and active treatment. Passive
treatments include moist head pad, ice packs for
analgesia Ultrasound treatment for production of
heat at the muscle bone interphase and stimulate
blood flow Electrostimulation to improve blood
flow as well as muscle relaxation and analgesia
Massage treatment for muscle relaxation as well
as analgesia to increase extensibility of soft
tissue. Active treatments include exercising and
stretching as well as cardiovascular treatment to
improve strength, range of motion as well as
endurance. Physical therapy is a treatment as
well as an education and experience to learn how
to do things on your own and eventually be
progressed to a home exercise program LIFE CARE
PLANNING Future care needs and life care planning
are based on physical impairments as well as
functional disabilities. This plan can outline
what a patient will need in the future in terms
of active and passive treatments, durable medical
equipments, medical care medication as well as
interventional injections and surgery. Costs can
be included in a life care plan. DISABILITY
EVALUATION A physiatrist/physical medicine
rehabilitation specialist is a specialty of
identifying physical impairments and how those
physical impairments result in physical
disabilities and subsequent handicap.
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A physical medicine rehabilitation specialist
specializes in the neuromuscular and skeletal
system to identify physical impairments and
functional disabilities. A disability evaluation
may lead to conclusions of physical restrictions
as well as compensatory strategies to maximize
functional independence. SPHENOPALATINE GANGLION
BLOCK A sphenopalatine ganglion block (SPG) is
performed with a cotton tip probe with saturation
of anesthetic at the SPG ganglion, which is
located in the posterior aspect of the nose. This
procedure is commonly used in relieving headaches
as well as an adjuvant for pain
management. FUNCTIONAL CAPACITY
EVALUATION Functional capacity evaluation is an
assessment of physical function to identify
physical capacity within safe parameters to
prevent injury. EPIDURAL LYSIS OF
ADHESIONS Epidural lysis of adhesions indicated
typically in a postoperative patient who has
epidural scarring formation. Epidural scarring
can cause irritation, inflammation and swelling
around the nerve roots. Epidural lysis of
adhesions are performed to breakup scar tissue
and relieve irritative focus of nerve When
managing the patient with opioids, it is
important to establish the differences among
physical dependence, tolerance and
addiction. The American Society of Addiction
Medicine as well as the American Pain Society and
American Academy of Pain Management define
physical dependence as a state of adaption that
is manifested by a drug class for which specific
withdrawal syndrome can be produced by abrupt
cessation, rapid dose reduction, decreasing blood
levels of the drug, and/or administration of an
antagonist.
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Tolerance, however, refers to a state of adaption
in which exposure to a drug induces changes that
result in diminution of one or more of the drug
effects over time. Neither dependence or
tolerance in and of itself is indicative of
addiction. Addiction is defined by the American
Academy of Pain Management and American Pain
Society as well as the American Society of
Addiction Medicine as a primary chronic,
neurobiological disease, with genetic,
psychosocial, and environmental factors
influencing its development and manifestations.
It is characterized by behaviors that include one
or more of the following Impaired control over
drug use, compulsive use, continued use despite
harm, and cravings. Abuse, however, is generally
characterized by conscious, often psychosocial
motivated use of illicit substances and
medication outside the scope of usual medical
practices, but the patient has the ability to
stop the drug when harmed. Addicts, however,
cannot stop use despite harm. The majority of
legitimate pain patients do not develop an
addiction to their analgesic medication. There is
a biological normal phenomenon to develop issues
related to tolerance and dependence. It is the
physicians responsibility to address issues
related to tolerance and dependence by monitoring
patients carefully on a regular basis and adjust
medication accordingly to avoid sequelae of
tolerance as well as dependence. Dictated but not
proof read. http//wetreatpain.com/