Stuart Krost,MD |Board Certified - Best Rated Palm Beach - Gives to Community Passion Charity Most Important 25 Years - Lake Worth
1888 Press Release - 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.
1888 Press Release - 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.
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
<strong>Stuart</strong> <strong>Krost</strong>,<strong>MD</strong> <strong>|Board</strong> <strong>Certified</strong> <strong>Best</strong> <strong>Rated</strong> <strong>Palm</strong> <strong>Beach</strong> <strong>Gives</strong> <strong>to</strong> <strong>Community</strong> <strong>Passion</strong><br />
<strong>Charity</strong> <strong>Most</strong> <strong>Important</strong> <strong>25</strong> <strong>Years</strong> <strong>Lake</strong> <strong>Worth</strong><br />
1888 PressRelease Dr. <strong>Krost</strong> gives <strong>to</strong> the community his time and money. He financially supports local causes and<br />
youth programs " I am all about Helping others in need". He is board certified by the American Board of Physical<br />
Medicine and Rehabilitation. Patients visit him for a variety of reasons including, spondylolysis, spinal muscular<br />
atrophy (SMA), spasticity, fibromyalgia.<br />
West <strong>Palm</strong> <strong>Beach</strong>Boca Ra<strong>to</strong>n, FL Dr. <strong>Stuart</strong> B <strong>Krost</strong> is Board <strong>Certified</strong> in the following:Physical Medicine and<br />
Rehabilitation Acute & chronic pain management Sports medicineStateoftheart physical therapy, Headaches,<br />
Neck & back pain, Carpal Tunnel Syndrome, Myofascial pain, fibromyalgia Work and au<strong>to</strong>related injuries<br />
Disability assessment<br />
TRIGGER POINT INJECTIONS<br />
Trigger point injections are injections <strong>to</strong> 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 genera<strong>to</strong>r. The injection consists of anesthetic as well as<br />
antiinflamma<strong>to</strong>ry medication.<br />
EPIDURAL STEROID INJECTION<br />
Epidural steroid injections are a procedure <strong>to</strong> place medication both antiinflamma<strong>to</strong>ry 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.<br />
FACET RHIZOTOMY<br />
Facet rhizo<strong>to</strong>my 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.
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 <strong>to</strong> identify pain if a pathologic disc is acting as a pain<br />
genera<strong>to</strong>r.<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 genera<strong>to</strong>r. The goal of procedure is <strong>to</strong> destroy sensory nerve endings that are transmitting painful<br />
signal. The ultimate goal is <strong>to</strong> 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 <strong>to</strong> remove herniated disc material. The ultimate goal is <strong>to</strong><br />
relieve pressure on the exiting nerve root as well as relieve pain.<br />
BOTOX INJECTIONS<br />
Bo<strong>to</strong>x is a long acting treatment for muscular pain. Bo<strong>to</strong>x acts locally at the injection site <strong>to</strong> relieve muscle spasm<br />
and <strong>to</strong> relieve pain. Benefits of this can last up <strong>to</strong> three <strong>to</strong> six months. This is also used for intractable headaches<br />
that do not respond <strong>to</strong> 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 symp<strong>to</strong>ms<br />
radiating <strong>to</strong> the <strong>to</strong>p 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 <strong>to</strong> assess underlying neuropathic problems. EMG/NCS can<br />
be diagnostic for cervical or lumbar radiculopathy/pinched nerve, neuropathy or distal nerve entrapment such as<br />
carpal tunnel syndrome. EMG/NCS can be helpful in determining acute versus chronic conditions and identify<br />
neuropathic recovery. EMG/NCS are commonly used in conjunction with MRIs <strong>to</strong> correlate ana<strong>to</strong>mical findings<br />
and neuropathic function.<br />
PHYSICAL THERAPY<br />
Physical therapy combines passive and active treatment. Passive treatments include moist head pad, ice packs for<br />
analgesia; Ultrasound treatment for production of heat at the muscle bone interphase and stimulate blood flow;<br />
Electrostimulation <strong>to</strong> improve blood flow as well as muscle relaxation and analgesia; Massage treatment for<br />
muscle relaxation as well as analgesia <strong>to</strong> increase extensibility of soft tissue. Active treatments include exercising<br />
and stretching as well as cardiovascular treatment <strong>to</strong> improve strength, range of motion as well as endurance.<br />
Physical therapy is a treatment as well as an education and experience <strong>to</strong> learn how <strong>to</strong> do things on your own
and eventually be progressed <strong>to</strong> 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 <strong>to</strong> identify physical impairments<br />
and functional disabilities. A disability evaluation may lead <strong>to</strong> conclusions of physical restrictions as well as<br />
compensa<strong>to</strong>ry strategies <strong>to</strong> maximize functional independence.<br />
SPHENOPALATINE GANGLION BLOCK<br />
A sphenopalatine ganglion block (SPG) is performed with a cot<strong>to</strong>n 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 <strong>to</strong> identify physical capacity within safe<br />
parameters <strong>to</strong> prevent injury.<br />
EPIDURAL LYSIS OF ADHESIONS<br />
Epidural lysis of adhesions indicated typically in a pos<strong>to</strong>perative 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 <strong>to</strong> breakup scar tissue and relieve irritative focus of nerve<br />
When managing the patient with opioids, it is important <strong>to</strong> establish the differences among physical dependence,<br />
<strong>to</strong>lerance and addiction.<br />
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 <strong>to</strong> a state of adaption in<br />
which exposure <strong>to</strong> a drug induces changes that result in diminution of one or more of the drug effects over time.<br />
Neither dependence or <strong>to</strong>lerance 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 fac<strong>to</strong>rs 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 <strong>to</strong> s<strong>to</strong>p the drug when harmed.
Addicts, however, cannot s<strong>to</strong>p use despite harm. The majority of legitimate pain patients do not develop an<br />
addiction <strong>to</strong> their analgesic medication. There is a biological normal phenomenon <strong>to</strong> develop issues related <strong>to</strong><br />
<strong>to</strong>lerance and dependence. It is the physician’s responsibility <strong>to</strong> address issues related <strong>to</strong> <strong>to</strong>lerance and<br />
dependence by moni<strong>to</strong>ring patients carefully on a regular basis and adjust medication accordingly <strong>to</strong> avoid<br />
sequelae of <strong>to</strong>lerance as well as dependence. Dictated but not proof read.<br />
http://wetreatpain.com/<br />
###