David Impastato, MD, Author at Physical Medicine and Rehabilitation Qbank Review

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So far David Impastato, MD has created 29 blog entries.

Congratulations on the Job!

Congratulations! PM&R News • July 13, 2021 You are done Residency! Some of you are done Fellowship! Part I is about to be completed! You may be done both board exams! Check….. Check…. Check…. Now this is the time you all have been anxiously awaiting… being a “real” doctor! Your first attending job! However, this may be the toughest challenge yet! The transition from medical school to Internship was tiring! Internship to Rehab Residency… Hard! Residency to fellowship… what a change of pace! But now, it’s all on YOU! I feel the biggest challenge is your first job! You are now finally [...]

Congratulations on the Job!David Impastato, MD2021-07-13T13:26:17+00:00

2021 Insights

2021 Insights PM&R News • January 2, 2021 2020 has brought a lot of change to the practice of medicine, many of which will greatly impact our patients for years to come. This year has taught us to embrace change and make that change as impactful as possible. For example, many were resistant to telehealth, but now I wonder how we ever lived without it? I admit that a new patient evaluation can be difficult over telehealth, but do I really need to see a patient 4 weeks post injection to ask if their pain is improved? That could easily be accomplished [...]

2021 InsightsDavid Impastato, MD2021-01-03T23:15:25+00:00

Intradiscal Stem Cells for Disc Disease?

Intradiscal Stem Cells for Disc Disease? PM&R News • May 2020 Lumbago, or lower back pain, is a chronic pain condition thought to effect up to 80% of adults older than 18 according to certain observational studies. One systematic review of prospective cohort studies revealed a lifetime prevalence of more than 70% for lower back pain. One of the prominent etiologies contributing to lumbago is degenerative disc disease. Contributions to spine and disc degeneration can be multivariable and include age related changes, trauma, nutrition, and hereditary components. When comparing prevalence in spine degeneration with age in asymptomatic patients aged 30-80 disc degeneration was [...]

Intradiscal Stem Cells for Disc Disease?David Impastato, MD2020-05-25T02:53:25+00:00

How Many Steps Should You Take Per Day?

How Many Steps Should You Take Per Day? PM&R News • September 2019 In the age of smart watches and constant connectivity, we are often being told how active (or inactive) we are on a day to day basis. I know I feel a little more accomplished when my Apple watch seems to arbitrarily tell me that I’ve hit a certain threshold of steps taken or calories burned throughout the day. One commonly held belief with unclear origin is that 10,000 steps/day is a goal associated with good health. One prospective cohort study aimed to examine the associated of number of steps per [...]

How Many Steps Should You Take Per Day?David Impastato, MD2019-08-30T22:45:48+00:00

Cluneal Nerve Entrapment and Low Back Pain

Cluneal Nerve Entrapment and Low Back Pain PM&R News • August 2019 The superior and middle cluneal nerves are cutaneous nerves which are purely sensory and provide most of the sensation to the low back and buttocks. The most common site of entrapment is around the iliac crest. Cluneal nerve entrapment can produce symptoms of low back pain, leg pain, and groin pain. These symptoms are often exacerbated by lumbar movements, and mimic radiculopathies. Superior cluneal nerve entrapment (SCN-E) can also cause intermittent claudication. Identification of the trigger point at the site of entrapment, and subsequent resolution of symptoms after a nerve block [...]

Cluneal Nerve Entrapment and Low Back PainDavid Impastato, MD2019-08-11T19:48:53+00:00