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Transcript of Head, Shoulders, Knees, and Back Tommy Kern, MD [email protected] (918)398-1253.
![Page 1: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/1.jpg)
Head, Shoulders, Head, Shoulders, Knees, and BackKnees, and Back
Tommy Kern, MDTommy Kern, [email protected]
(918)398-1253(918)398-1253
![Page 2: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/2.jpg)
DisclosureDisclosure
Dr. Kern has made no disclosures Dr. Kern has made no disclosures of financial interests with any of financial interests with any company or companies, and has company or companies, and has indicated no conflicts of interest.indicated no conflicts of interest.
![Page 3: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/3.jpg)
ObjectivesObjectives
Learn everything about Sports Medicine Learn everything about Sports Medicine in 1 hour, with detailed analysis of in 1 hour, with detailed analysis of anatomy and human physiology of the anatomy and human physiology of the brain, shoulder, knee, and backbrain, shoulder, knee, and back
![Page 4: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/4.jpg)
ObjectivesObjectives
Learn everything about Sports Medicine Learn everything about Sports Medicine in 1 hourin 1 hour
ORORHow to assess and treat a concussionHow to assess and treat a concussionPractical aspects of evaluation of Practical aspects of evaluation of
shoulder, knee, and back painshoulder, knee, and back pain
![Page 5: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/5.jpg)
What is a concussion?What is a concussion?
A biomechanical insult that A biomechanical insult that leads to a neuro-metabolic leads to a neuro-metabolic cascade of eventscascade of events
This basically means:This basically means:Swelling and inflammation Swelling and inflammation
occuroccurMetabolic crisis occursMetabolic crisis occurs
(increase in glucose demand (increase in glucose demand and decrease in energy)and decrease in energy)
![Page 6: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/6.jpg)
ConcussionsConcussionsWhich sports have highest risk?Which sports have highest risk?
![Page 7: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/7.jpg)
ConcussionsConcussionsWhich sports have highest risk?Which sports have highest risk?
![Page 8: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/8.jpg)
ConcussionsConcussionsWhich sports have highest risk?Which sports have highest risk?
![Page 9: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/9.jpg)
ConcussionsConcussionsWhich sports have highest risk?Which sports have highest risk?
![Page 10: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/10.jpg)
I think that an athlete might have a I think that an athlete might have a concussion, what do I do?concussion, what do I do?
![Page 11: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/11.jpg)
I think that an athlete might have I think that an athlete might have a concussion, what do I do?a concussion, what do I do?
![Page 12: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/12.jpg)
How do you treat a How do you treat a concussion?concussion?
![Page 13: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/13.jpg)
How do you treat a concussion?How do you treat a concussion?
![Page 14: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/14.jpg)
To Image or Not To ImageTo Image or Not To ImageThat is the questionThat is the question
![Page 15: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/15.jpg)
To Image or Not To ImageTo Image or Not To ImageThat is the questionThat is the question
Red Flag Symptoms
![Page 16: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/16.jpg)
Why don’t concussion patients Why don’t concussion patients get better?get better?
![Page 17: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/17.jpg)
Why don’t concussion patients Why don’t concussion patients get better?get better?
![Page 18: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/18.jpg)
Why don’t concussion patients Why don’t concussion patients get better?get better?
![Page 19: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/19.jpg)
Why don’t concussion patients Why don’t concussion patients get better?get better?
![Page 20: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/20.jpg)
Why don’t concussion patients Why don’t concussion patients get better?get better?
![Page 21: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/21.jpg)
Goals of Concussion TreatmentGoals of Concussion Treatment
![Page 22: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/22.jpg)
Goals of Concussion TreatmentGoals of Concussion Treatment
![Page 23: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/23.jpg)
• Impingement
• Rotator cuff tear
• Adhesive Capsulitis
• AC joint arthritis
![Page 24: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/24.jpg)
Shoulder AnatomyShoulder Anatomy
![Page 25: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/25.jpg)
Shoulder EvaluationShoulder Evaluation
HistoryHistory provides the most information !!!! provides the most information !!!!
![Page 26: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/26.jpg)
HistoryHistory
Pain Description:Pain Description:
LocationLocation
Injury or notInjury or not
Acute or chronicAcute or chronic
Aggravating and Aggravating and relieving factorsrelieving factors
Restriction in ROMRestriction in ROM
![Page 27: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/27.jpg)
Physical ExamPhysical Exam
Inspection/PalpationInspection/PalpationSubacromial bursaSubacromial bursaAC jointAC joint
![Page 28: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/28.jpg)
Physical ExamPhysical Exam
Inspection/PalpationInspection/PalpationSubacromial bursaSubacromial bursaAC jointAC joint
Range of motionRange of motion
![Page 29: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/29.jpg)
Physical ExamPhysical Exam
Inspection/PalpationInspection/PalpationSubacromial bursaSubacromial bursaAC jointAC joint
Range of motionRange of motionStrengthStrength
Rotator cuffRotator cuffSupraspinatus testSupraspinatus test
![Page 30: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/30.jpg)
Remember: The function of the RC is to “seat” the humerus
Without it, humerus “floats” in the join
Without a healthy rotator cuff, the humerus “floats”, rides up, and compresses / inflames the RC tendons
![Page 31: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/31.jpg)
TreatmentTreatment
RICERICE
![Page 32: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/32.jpg)
TreatmentTreatment
RICERICEMedicationMedication
![Page 33: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/33.jpg)
TreatmentTreatment
RICERICEMedicationMedication InjectionInjection
![Page 34: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/34.jpg)
TreatmentTreatment
RICERICEMedicationMedication InjectionInjectionTherapyTherapy
Rotator CuffRotator CuffScapulaScapulaRange of motionRange of motion
![Page 35: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/35.jpg)
TreatmentTreatment
RICERICEMedicationMedication InjectionInjectionTherapyTherapy
Rotator CuffRotator CuffScapulaScapulaRange of motionRange of motion
SurgerySurgery
![Page 36: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/36.jpg)
•Arthritis
•Meniscus tear
•Ligament tear
•Pes Anserine bursitis
![Page 37: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/37.jpg)
Knee AnatomyKnee Anatomy
![Page 38: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/38.jpg)
Knee EvaluationKnee Evaluation
What provides the most information?What provides the most information?
![Page 39: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/39.jpg)
HistoryHistory
Pain Description:Pain Description:
LocationLocation Injury or notInjury or not Locking, catching, shifting, Locking, catching, shifting,
giving outgiving out Aggravating and relieving Aggravating and relieving
factorsfactors Ability to weight bearAbility to weight bear
Most important question?Most important question?
![Page 40: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/40.jpg)
HistoryHistory
Pain Description:Pain Description:
LocationLocation Injury or notInjury or not Locking, catching, shifting, Locking, catching, shifting,
giving outgiving out Aggravating and relieving Aggravating and relieving
factorsfactors Ability to weight bearAbility to weight bear
Is it Christiano Ronaldo?Is it Christiano Ronaldo?
![Page 41: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/41.jpg)
Physical ExamPhysical Exam Inspection/PalpationInspection/Palpation
EffusionEffusion Joint line tendernessJoint line tenderness Pes anserinePes anserine
![Page 42: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/42.jpg)
Physical ExamPhysical Exam Inspection/PalpationInspection/Palpation
EffusionEffusion Joint line tendernessJoint line tenderness Pes anserinePes anserine
StabilityStability Lachman’sLachman’s Valgus and Varus stressValgus and Varus stress
![Page 43: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/43.jpg)
Physical ExamPhysical Exam Inspection/PalpationInspection/Palpation
EffusionEffusion Joint line tendernessJoint line tenderness Pes anserinePes anserine
StabilityStability Lachman’sLachman’s Valgus and Varus stressValgus and Varus stress
StrengthStrength Quadriceps and Patella tendon Quadriceps and Patella tendon
rupturerupture
![Page 44: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/44.jpg)
TreatmentTreatment
RICERICE
![Page 45: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/45.jpg)
TreatmentTreatment
RICERICEMedicationMedication
NSAIDsNSAIDsTylenolTylenol
![Page 46: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/46.jpg)
TreatmentTreatment
RICERICEMedicationMedication InjectionInjection
![Page 47: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/47.jpg)
TreatmentTreatment
RICERICEMedicationMedication InjectionInjectionTherapyTherapy
VMOVMOClosed chainClosed chain
![Page 48: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/48.jpg)
TreatmentTreatment
RICERICEMedicationMedication InjectionInjectionTherapyTherapy
VMOVMOClosed chainClosed chain
Advanced imagingAdvanced imaging
![Page 49: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/49.jpg)
TreatmentTreatment
RICERICEMedicationMedication InjectionInjectionTherapyTherapy
VMOVMOClosed chainClosed chain
Advanced imagingAdvanced imagingSurgerySurgery
![Page 50: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/50.jpg)
•Disc herniation
•Lumbar radiculopathy
•Lumbar strain
•Facet syndrome
![Page 51: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/51.jpg)
Back AnatomyBack Anatomy
![Page 52: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/52.jpg)
Back EvaluationBack Evaluation
What provides the most information?What provides the most information?
![Page 53: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/53.jpg)
HistoryHistory
Pain Description:Pain Description:
LocationLocation Injury or notInjury or not Locking, inability to moveLocking, inability to move Radicular painRadicular pain Numbness or tinglingNumbness or tingling Weakness or giving outWeakness or giving out
![Page 54: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/54.jpg)
Physical ExamPhysical Exam Inspection/PalpationInspection/Palpation
Spinal tendernessSpinal tenderness SI jointSI joint PiriformisPiriformis
![Page 55: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/55.jpg)
Physical ExamPhysical Exam Inspection/PalpationInspection/Palpation
Spinal tendernessSpinal tenderness SI jointSI joint PiriformisPiriformis
Range of MotionRange of Motion Flexion and extensionFlexion and extension Straight leg raiseStraight leg raise
![Page 56: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/56.jpg)
Physical ExamPhysical Exam Inspection/PalpationInspection/Palpation
Spinal tendernessSpinal tenderness SI jointSI joint PiriformisPiriformis
Range of MotionRange of Motion Flexion and extensionFlexion and extension Straight leg raiseStraight leg raise
StrengthStrength Lower extremitiesLower extremities
![Page 57: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/57.jpg)
Physical ExamPhysical Exam Inspection/PalpationInspection/Palpation
Spinal tendernessSpinal tenderness SI jointSI joint PiriformisPiriformis
Range of MotionRange of Motion Flexion and extensionFlexion and extension Straight leg raiseStraight leg raise
StrengthStrength Lower extremitiesLower extremities
ReflexesReflexes AchillesAchilles PatellaPatella
![Page 58: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/58.jpg)
TreatmentTreatment
RICERICE
![Page 59: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/59.jpg)
TreatmentTreatment
RICERICEMedicationMedication
Steroids or NSAIDsSteroids or NSAIDsOpioidsOpioidsGabapentinGabapentin
![Page 60: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/60.jpg)
TreatmentTreatment
RICERICEMedicationMedication
Steroids or NSAIDsSteroids or NSAIDsOpioidsOpioidsGabapentinGabapentin
TherapyTherapy
![Page 61: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/61.jpg)
TreatmentTreatment
RICERICEMedicationMedication
Steroids or NSAIDsSteroids or NSAIDsOpioidsOpioidsGabapentinGabapentin
TherapyTherapy
• Imaging• X-ray• CT• MRI
![Page 62: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/62.jpg)
TreatmentTreatment
RICERICEMedicationMedication
Steroids or NSAIDsSteroids or NSAIDsOpioidsOpioidsGabapentinGabapentin
TherapyTherapy
• Imaging• X-ray• CT• MRI
• Injection• LESI• Piriformis• SI joint
![Page 63: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/63.jpg)
TreatmentTreatment
RICERICEMedicationMedication
Steroids or NSAIDsSteroids or NSAIDsOpioidsOpioidsGabapentinGabapentin
TherapyTherapy
• Imaging• X-ray• CT• MRI
• Injection• LESI• Piriformis• SI joint
• Surgery
![Page 64: Head, Shoulders, Knees, and Back Tommy Kern, MD thomas-kern@live.com (918)398-1253.](https://reader033.fdocuments.in/reader033/viewer/2022051622/56649c9b5503460f94958e15/html5/thumbnails/64.jpg)
Books I Like Books I Like (and prices via Amazon)(and prices via Amazon)
$96.33 $79.22 $69.74
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