Dr Stuart Krost
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<strong>Dr</strong>. <strong>Stuart</strong> <strong>Krost</strong> | New Law July 1 2018 Board Certified Best Rated Reviews 25 years<br />
ExperiencePlantation Florida office<br />
1888 PressRelease <strong>Dr</strong>. <strong>Krost</strong> runs his own practice and is a dedicated Medical Doctor. He is board certified by the<br />
American Board of Physical Medicine and Rehabilitation. The new law that past July 1, 2018 States that a Doctor<br />
must be Board Certified to dispense monthly medication. Patients visit him because he is the best in his field and his<br />
reviews reflect this. <strong>Dr</strong>. <strong>Stuart</strong> <strong>Krost</strong> is a leader in Florida.<br />
West Palm BeachBoca Raton, FL <strong>Dr</strong>. <strong>Stuart</strong> B <strong>Krost</strong> is Board Certified in the following:<br />
Physical Medicine and Rehabilitation<br />
Acute & chronic pain management<br />
Sports medicine<br />
Stateoftheart physical therapy<br />
Headaches<br />
Neck & back pain<br />
Carpal Tunnel Syndrome<br />
Myofascial pain and fibromyalgia<br />
Work and autorelated injuries<br />
Disability assessment<br />
TRIGGER POINT INJECTIONS<br />
Trigger point injections are injections to the muscle belly. Injections are aimed at taut bands or areas of spasm<br />
within the muscle belly. Taut bands can be painful and the underlying cause of pain generation. Trigger point<br />
injections are diagnostic and therapeutic. If there is significant relief after trigger point injections, certainly one<br />
can consider that the muscle spasm is a pain generator. The injection consists of anesthetic as well as<br />
antiinflammatory medication.<br />
EPIDURAL STEROID INJECTION<br />
Epidural steroid injections are a procedure to place medication both antiinflammatory as well as anesthetic in<br />
the epidural space. The epidural space is located within the spine around the spinal cord and nerve roots. The<br />
goal of epidural injections is diagnostic and therapeutic. Epidural injections can relieve pain that is generating<br />
from disc herniations as well as irritated or pinched nerve roots. These procedures are performed under<br />
fluoroscopic guidance.<br />
FACET BLOCK<br />
Facet blocks are performed under fluoroscopic guidance and can be diagnostic and therapeutic. Injections are<br />
performed at the facet joint or the medial branch nerve. Improvement after this type of injection would be<br />
diagnostic for facet joint related pain.
FACET RHIZOTOMY<br />
Facet rhizotomy is a long acting facet block either done chemically or with thermal heat. This procedure is<br />
indicated if the patient does receive benefits from the facet block, however does not offer prolonged relief.<br />
STELLATE BLOCK<br />
This procedure is done in the neck, anesthetic blockade is performed at the stellate ganglion. The goal of this<br />
procedure is for blockade of the sympathetic chain. 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 chain. This would be diagnostic and therapeutic for evaluation and treatment of RSD.<br />
DISCOGRAM<br />
A discogram was performed for diagnostic purposes to identify pain if a pathologic disc is acting as a pain<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 pain generator. The goal of procedure is to destroy sensory nerve endings that are transmitting painful<br />
signal. The ultimate goal is to relieve pain from discogenic pathology.<br />
PERCUTANEOUS DISCECTOMY<br />
This is a minimally invasive procedure for treatment of a herniated disc. This is a procedure that could be done<br />
in an outpatient setting under fluoroscopic guidance to remove herniated disc material. The ultimate goal is to<br />
relieve pressure on the exiting nerve root as well as relieve pain.<br />
BOTOX INJECTIONS<br />
Botox is a long acting treatment for muscular pain. Botox acts locally at the injection site to relieve muscle<br />
spasm and to relieve pain. Benefits of this can last up to three to six months. This is also used for intractable<br />
headaches that do not respond to more conservative measures.<br />
OCCIPITAL NERVE BLOCK<br />
Occipital nerve is located in the back of the neck at the junction of the head. Occipital entrapments can occur<br />
with underlying spasm commonly causing occipital headaches. This can subsequently produce symptoms<br />
radiating to the top of the head as well as in 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 underlying neuropathic problems. EMG/NCS can<br />
be diagnostic for cervical or lumbar radiculopathy/pinched nerve, neuropathy or distal nerve entrapment such<br />
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<br />
and neuropathic function.<br />
PHYSICAL THERAPY<br />
Physical therapy combines passive and active treatment. Passive treatments include moist head pad, ice packs<br />
for analgesia; Ultrasound treatment for production of heat at the muscle bone interphase and stimulate blood<br />
flow; Electrostimulation to improve blood flow as well as muscle relaxation and analgesia; Massage treatment<br />
for muscle relaxation as well as analgesia to increase extensibility of soft tissue. Active treatments include<br />
exercising and stretching as well as cardiovascular treatment to improve strength, range of motion as well as<br />
endurance. Physical therapy is a treatment as well as an education and experience to learn how to do things on<br />
your own and eventually be progressed to a home exercise program<br />
LIFE CARE PLANNING<br />
Future care needs and life care planning are based on physical impairments as well as functional disabilities.<br />
This plan can outline what a patient will need in the future in terms of active and passive treatments, durable<br />
medical equipments, medical care medication as well as interventional injections and surgery. Costs can be<br />
included in a life care plan.<br />
DISABILITY EVALUATION<br />
A physiatrist/physical medicine rehabilitation specialist is a specialty of identifying physical impairments and<br />
how those physical impairments result in physical disabilities and subsequent handicap. A physical medicine<br />
rehabilitation specialist specializes in the neuromuscular and skeletal system to identify physical impairments<br />
and functional disabilities. A disability evaluation may lead to conclusions of physical restrictions as well as<br />
compensatory strategies to maximize functional independence.<br />
SPHENOPALATINE GANGLION BLOCK<br />
A sphenopalatine ganglion block (SPG) is performed with a cotton tip probe with saturation of anesthetic at the<br />
SPG ganglion, which is located in the posterior aspect of the nose. This procedure is commonly used in relieving<br />
headaches as well as an adjuvant for pain management.<br />
FUNCTIONAL CAPACITY EVALUATION<br />
Functional capacity evaluation is an assessment of physical function to identify physical capacity within safe<br />
parameters to prevent injury.<br />
EPIDURAL LYSIS OF ADHESIONS<br />
Epidural lysis of adhesions indicated typically in a postoperative patient who has epidural scarring formation.<br />
Epidural scarring can cause irritation, inflammation and swelling around the nerve roots. Epidural lysis of<br />
adhesions are performed to breakup scar tissue and relieve irritative focus of nerve<br />
When managing the patient with opioids, it is important to establish the differences among physical<br />
dependence, tolerance and addiction.
The American Society of Addiction Medicine as well as the American Pain Society and American Academy of<br />
Pain Management define physical dependence as a state of adaption that is manifested by a drug class for which<br />
specific withdrawal syndrome can be produced by abrupt cessation, rapid dose reduction, decreasing blood<br />
levels of the drug, and/or administration of an antagonist. Tolerance, however, refers to a state of adaption in<br />
which exposure to a drug induces changes that result in diminution of one or more of the drug effects over time.<br />
Neither dependence or tolerance in and of itself is indicative of addiction. Addiction is defined by the American<br />
Academy of Pain Management and American Pain Society as well as the American Society of Addiction Medicine<br />
as a primary chronic, neurobiological disease, with genetic, psychosocial, and environmental factors influencing<br />
its development and manifestations. It is characterized by behaviors that include one or more of the following:<br />
Impaired control over drug use, compulsive use, continued use despite harm, and cravings. Abuse, however, is<br />
generally characterized by conscious, often psychosocial motivated use of illicit substances and medication<br />
outside the scope of usual medical practices, but the patient has the ability to stop the drug when harmed.<br />
Addicts, however, cannot stop use despite harm. The majority of legitimate pain patients do not develop an<br />
addiction to their analgesic medication. There is a biological normal phenomenon to develop issues related to<br />
tolerance and dependence. It is the physician’s responsibility to address issues related to tolerance and<br />
dependence by monitoring patients carefully on a regular basis and adjust medication accordingly to avoid<br />
sequelae of tolerance as well as dependence. Dictated but not proof read.<br />
http://www.wetreatpain.com/<br />
Plantation Office:<br />
STUART B KROST MD PA<br />
7300 NW 5th St<br />
Plantation, FL 33317<br />
(561) 2962202<br />
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