Physiatry, Back Pain and Regenerative Medicine for Pain Management with Dr. Scott Davidoff, MD.
Season 3, Episode 1 | Podcast #37
Dr. Scott Davidoff is a physiatrist at Main Line Spine in King of Prussia, PA, located about 20 mins from Philadelphia. Dr. Davidoff earned his undergraduate degree from Emory University in Atlanta and his medical school degree from Temple University School of Medicine. He then completed an internal medicine internship at Hahnemann University Hospital and subsequently returned to Temple University for his residency training in Physical Medicine and Rehabilitation.
After his residency, Dr. Davidoff completed a fellowship in interventional pain management/sports medicine at Orthopedic and Spine Specialists in York, PA.
Dr. Davidoff is board certified in Physical Medicine and Rehabilitation, Pain Medicine, and Sports Medicine. He is currently serving as President of the American Board of Pain Medicine.
Dr. Davidoff has undergone extensive training in various fluoroscopically guided (X-ray guided) procedures used to treat neck and back pain. He additionally specializes in regenerative orthobiologic medicine, including PRP therapies, to help treat an array of painful conditions.
In this episode, we cover:
3:40 What does a physiatrist do?
A physiatrist is a doctor in the field of physical medicine focused on rehabilitation. It’s a specialty of medicine that focuses on a patient's function and improving their quality of life.
Dr.Davidoff is focused on Sports injuries and improving someone's pain and function. This is a process that is very specific to a patient since they often range in age and injury. It differs from other specialties because it's so focused on improving function and quality of life
5:10 What is the training required for becoming a physiatrist?
6:30 What other specialties might be getting this sort of fellowship in sports medicine or pain management?
Some anesthesiologists, orthopedic surgeons, and family medicine physicians may also go through pain management or sports medicine fellowships. A fellowship is a subspecialization after your basic training.
8:00 Dr.Davidoff’s focus on treating the whole person
Treating the whole person by going beyond the scans and MRI and instead focusing on the patient’s recovery goals, which will vary based on age and activity levels.
8:50 Providing patients with the attention they deserve and a host of options that will best serve them.
10:15 What are the benefits of telemedicine in physiatry and how will it change in the future?
While nothing replaces an in-person meeting, telemedicine is a great option for reading scans where the patient doesn’t necessarily have to be physically present. Telemedicine could present a lot more options and flexibility for the field of physical therapy and physiatrists.
14:00 What types of patients is Dr.DAvidoff as a psychiatrist typically seeing in his office?
14:45 What is the difference between patients with acute and chronic spinal injuries or pain?
Acute pain lasts between 6 weeks to 3 months while chronic can be many years of pain with a lot of different attempts at intervention and treatment.
16:20 How Dr.Google has taken over and has both given patients education and misinformation.
17:00 Patient education and communication across providers.
“The reality is and this is tricky is that sometimes - I see this a lot in 30 40 50-year-olds myself included that we just may not be able to do everything we used to do and that’s tough to come into grip with sometimes but the answer is not to lie on the couch for the rest of your life.”
20:10 What different treatment options Dr.Davidoff provides in his office at Main Line Spine? Explanation of what non-surgical interventions are available for people with back pain including epidural shots, cortisone shots, spinal cord stimulators.
23:30 How does Dr.Davidoff go about deciding the best treatment option for a patient? Balancing patient needs and challenges with appropriate treatment options.
27:00 There is no one size fits all with treatment, it’s really individualized.
28:00 What is Dr.Davidoff excited about in the field of physiatry and pain management?
28:15 What is regenerative medicine? What are the benefits of stem platelet-rich plasma (PRP) injections? How does regenerative medicine help with stability and structure?
36:07 Who is a good candidate for PRP
41:00 What is the typical presentation of patients with back pain?
42:10 Different categories of back pain. Axial pain ( neck or back pain) vs Nerve related pain that radiates to other extremities.
45:30 Spondy Spondylolysis in athletes, especially young ones, and Carson Wentz example.
51:30 A structured and gradual Return to Play program for athletes.
53:20 The Opioid crisis and pain management and the future of opiate therapy.
Main Line Spine
Mainlinespine.com
610.337.3111
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