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.

Amputation vs Limb Salvage

Amputation vs Limb Salvage PM&R News • March 2019 For years amputation was standard of care after severe limb trauma but recently the paradigm has been swinging to limb salvage over amputation. This multicenter, prospective observational study aimed to look at outcomes of amputation vs limb salvage. Over 500 patients were enrolled and the sickness impact profile was used to assess severe disability. Complication rates and the status of the limb were also evaluated over two years. At the two year point, there were no significant difference in scores for the sickness impact profile between the two groups and both groups had similar functional [...]

Amputation vs Limb SalvageDavid Impastato, MD2019-03-26T22:14:05+00:00

PRP/Stem Cells for the Spine

PRP/Stem Cells for the Spine PM&R News • February, 2019 Regenerative medicine continues to be the hot topic for musculoskeletal pain and new treatments continue to evolve. Data and research on stem cells and PRP continue to be limited to small case control trials with very few higher level, long term studies existing. This study aimed to perform a systematic review and metaanalysis to provide higher level evidence and guidelines for the treatment of low back pain with regenerative medicine. In all, 21 injection studies met guidelines for inclusion, including studies for lumbar disc injections, epidural injections, facet joint injections and sacroiliac joint injections. [...]

PRP/Stem Cells for the SpineDavid Impastato, MD2019-08-22T21:19:04+00:00

Atrial Fibrillation in Endurance Athletes

Atrial Fibrillation in Endurance Athletes PM&R News • December 2018 With “Holiday Heart” season upon us, it seems appropriate to have a discussion about Atrial fibrillation. Atrial fibrillation (AF) is most commonly seen in older men and is generally associated with cardiac risk factors including hypertension and coronary artery disease leading to structural changes in the heart. However, several studies have also identified an association of paroxysmal AF in young to middle aged endurance athletes. So, if you were planning to keep your heart healthy this holiday season with marathon training or 100-mile bike rides, you may not be completely out of the woods. [...]

Atrial Fibrillation in Endurance AthletesDavid Impastato, MD2019-08-11T19:49:33+00:00

Exercise Prescription

Exercise Prescription PM&R News • November 2018 Providers see 100's of patients per month with encounters consisting of diagnosis, treatments, education, and counseling, but how many of these patients receive counseling on their exercise level. New guidelines for exercise were recently published in JAMA and it is believed that only 20% of Americans meet the new guideline criteria. The new guidelines state that at least 150 minutes of moderate-intensity aerobic activity weekly, as well as, 2 or more days a week of muscle-strengthening activities should be performed. Ages 6-17 should perform at least 60 minutes of moderate-to-vigorous-intensity activity daily. The report demonstrates numerous health benefits [...]

Exercise PrescriptionDavid Impastato, MD2018-11-28T03:51:26+00:00

Transforaminal vs interlaminar

Transforaminal vs interlaminar epidural steroid injection for lumbosacral disc herniation? PM&R News • October 2018 Back pain is the number 1 reason the population visits a physician and is one of the reasons we write about back pain treatments so often. Whether you are a spinal cord injury, amputee, or sports medicine physician, you will see back pain… daily. This systemic review and meta-analysis evaluated whether transforaminal or interlaminar epidural steroid injections have better efficacy for back pain. 12 studies were included and the conclusion showed transforaminal epidural steroid injections had significantly better outcomes up to 1 month and slightly better outcomes up [...]

Transforaminal vs interlaminarDavid Impastato, MD2018-10-27T21:35:58+00:00