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

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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. West Palm Beach-Boca
Raton, FL - Dr. Stuart B Krost is Board Certified
in the followingPhysical Medicine and
Rehabilitation Acute chronic pain management
Sports medicineState-of-the-art physical therapy,
Headaches, Neck back pain, Carpal Tunnel
Syndrome, Myofascial pain, fibromyalgia Work and
auto-related injuries Disability
assessment 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.
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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. 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.
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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 Electrodiagn
ostic 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.
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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 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. 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.
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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/