Pain and Musculoskeletal procedures - sticking what where and why? Pt 2 of 2

In this episode of The Good GP, host Dr. Sean Stevens continues the discussion on interventional pain management with guest Dr. Robin Park, a GP and pain specialist.

Head back to episode 140 of this podcast to catch up on part 1 of this discussion.  

In this episode, Robin continues to provide insights on the role of radiologists in performing procedures such as CT-guided interventions and emphasises the importance of clinical expertise in interpreting radiology reports. 

He also highlights the need for a multidisciplinary approach and the role of GPs in organising a patient's care before referring to a radiologist or pain specialist.

Robin discusses the types of procedures that radiologists can comfortably perform, including epidural guided injections and nerve root sheath injections. He mentions that some radiologists may also perform radio frequency ablation, although it is less common. He advises that GPs should be comfortable diagnosing and managing the condition before referring to a radiologist. He also mentions the availability of additional training for GPs in musculoskeletal medicine through organisations like the Australian Association of Musculoskeletal Medicine.

The conversation then shifts to the signs that indicate a patient is unlikely to benefit from interventional procedures. Robin highlights the importance of patient motivation and engagement in their own care. Unrealistic expectations and the desire for a complete elimination of pain are factors that may indicate a patient is unlikely to benefit from a procedure.

Robin stresses the importance of effective communication in managing patient expectations and helping them understand the limitations of interventional procedures. He emphasise the need for a comprehensive approach that includes psychological support, physiotherapy, and occupational therapy in conjunction with interventions.

To learn more about interventional pain management and the role of radiologists and pain specialists, tune in to this informative episode of The Good GP.

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