ABPS Interventional Pain Management case studies
ABPS Interventional Pain Management · Put your knowledge to work in context.
The ABPS Interventional Pain Management credential is a board-style certification intended for physicians who already perform image-guided spine and peripheral procedures and want an independent assessment of that knowledge. It is aimed at interventional pain fellows and practicing specialists-anesthesiology, PM&R, neurology, and psychiatry-trained pain physicians-who manage both the diagnostic reasoning and the technical execution of pain procedures. The ABPS Interventional Pain Management case studies are 5 cases and about 1,509 words.
1Anticoagulation Before Lumbar Epidural Steroid Injection
A 68-year-old man with L4-L5 radicular pain is scheduled for a lumbar transforaminal epidural steroid injection. His medications include apixaban 5 mg twice daily for atrial fibrillation, aspirin 81 mg daily, and naproxen 500 mg twice daily for knee osteoarthritis.
374 words, about 2 min2Opioid Rotation in a Patient with Renal Impairment and Sleep Apnea
A 57-year-old woman with metastatic breast cancer and chronic low back pain is admitted with uncontrolled pain (7/10) despite morphine ER 30 mg twice daily and immediate-release morphine 15 mg every 4 hours as needed. Labs: creatinine 2.4 mg/dL, eGFR 22, potassium 5.4.
372 words, about 2 min3Diagnostic Medial Branch Blocks Before Radiofrequency Ablation
A 45-year-old woman with axial neck pain after a motor vehicle collision reports pain 6/10, worse with extension and rotation, with tenderness over the cervical facet joints. She undergoes a diagnostic medial branch block at C3-C4, C4-C5, and C5-C6 with 0.5 mL of 0.5% bupivacaine per level.
287 words, about 1 min4Spinal Cord Stimulator Trial in a Patient on Chronic Opioids with Psychological Comorbidities
A 52-year-old man with failed back surgery syndrome after L4-L5 fusion has persistent radicular leg pain (7/10) despite physical therapy, gabapentin 600 mg three times daily, and oxycodone 20 mg four times daily. He has depression (PHQ-9 = 16), catastrophizing, and is on disability.
254 words, about 1 min5Regenerative Injection for Knee Osteoarthritis in a Patient with Diabetes
A 61-year-old woman with Kellgren-Lawrence grade 3 knee osteoarthritis and type 2 diabetes (HbA1c 8.9%) asks about platelet-rich plasma (PRP) or stem cell injection instead of total knee arthroplasty. She has tried physical therapy, NSAIDs (contraindicated due to CKD stage 3), and corticosteroid injections with short-lived benefit.
222 words, about 1 min