Dr. Stuart Krost | Leads pack in Pain Management Care St. Lucie County/Port Saint Lucie Florida Number 1 Rated 25 years Experience
(1888 PressRelease) Dr. Krost runs his own practice and is a dedicated Medical Doctor. 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, and chronic pain. (1888 PressRelease) Dr. Krost runs his own practice and is a dedicated Medical Doctor. 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, and chronic pain.
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. 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. 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
Facet rhizotomy is a long act<strong>in</strong>g facet block either done chemically or with thermal heat. This procedure is<br />
<strong>in</strong>dicated if the patient does receive benefits from the facet block, however does not offer prolonged relief.<br />
STELLATE BLOCK<br />
This procedure is done <strong>in</strong> the neck, anesthetic blockade is performed at the stellate ganglion. The goal of this<br />
procedure is for blockade of the sympathetic cha<strong>in</strong>. This is diagnostic and therapeutic for evaluation and<br />
treatment of RSD.<br />
LUMBAR SYMPATHETIC BLOCK<br />
Lumbar sympathetic block is performed about the lumbar area. The goal of this procedure is for blockade of the<br />
sympathetic cha<strong>in</strong>. This would be diagnostic and therapeutic for evaluation and treatment of RSD.<br />
DISCOGRAM<br />
A discogram was performed for diagnostic purposes to identify pa<strong>in</strong> if a pathologic disc is act<strong>in</strong>g as a pa<strong>in</strong><br />
generator.<br />
IDET PROCEDURE<br />
An IDET procedure is a procedure done for a pathologic disc usually with annular tear that has been identified<br />
as a pa<strong>in</strong> generator. The goal of procedure is to destroy sensory nerve end<strong>in</strong>gs that are transmitt<strong>in</strong>g pa<strong>in</strong>ful<br />
signal. The ultimate goal is to relieve pa<strong>in</strong> from discogenic pathology.<br />
PERCUTANEOUS DISCECTOMY<br />
This is a m<strong>in</strong>imally <strong>in</strong>vasive procedure for treatment of a herniated disc. This is a procedure that could be done<br />
<strong>in</strong> an outpatient sett<strong>in</strong>g under fluoroscopic guidance to remove herniated disc material. The ultimate goal is to<br />
relieve pressure on the exit<strong>in</strong>g nerve root as well as relieve pa<strong>in</strong>.<br />
BOTOX INJECTIONS<br />
Botox is a long act<strong>in</strong>g treatment for muscular pa<strong>in</strong>. Botox acts locally at the <strong>in</strong>jection site to relieve muscle<br />
spasm and to relieve pa<strong>in</strong>. Benefits of this can last up to three to six months. This is also used for <strong>in</strong>tractable<br />
headaches that do not respond to more conservative measures.<br />
OCCIPITAL NERVE BLOCK<br />
Occipital nerve is located <strong>in</strong> the back of the neck at the junction of the head. Occipital entrapments can occur<br />
with underly<strong>in</strong>g spasm commonly caus<strong>in</strong>g occipital headaches. This can subsequently produce symptoms<br />
radiat<strong>in</strong>g to the top of the head as well as <strong>in</strong> back of the eyes. Occipital blocks can be diagnostic and therapeutic<br />
for occipital neuralgia/occipital headaches.<br />
ELECTRODIAGNOSTIC TESTING<br />
Electrodiagnostic studies are a diagnostic procedure to assess underly<strong>in</strong>g neuropathic problems. EMG/NCS can<br />
be diagnostic for cervical or lumbar radiculopathy/p<strong>in</strong>ched nerve, neuropathy or distal nerve entrapment such as<br />
carpal tunnel syndrome. EMG/NCS can be helpful <strong>in</strong> determ<strong>in</strong><strong>in</strong>g acute versus chronic conditions and identify<br />
neuropathic recovery. EMG/NCS are commonly used <strong>in</strong> conjunction with MRIs to correlate anatomical f<strong>in</strong>d<strong>in</strong>gs
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