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Episode 45 Neck Pain 

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Intro Music: KI Instrumental (Rock Celtic) by Lyrium-2025

Outro Music: Through the Ashes by Alex Grohl

Courtesy of Pixabay under Creative Commons non-commercial use.

Produced by: Todd Fredricks DO MSS 

Edited by: Todd Fredricks DO MSS

Answers for Episode 44 Low Back Pain 

Question 1

A 45-year-old patient presents with chronic midline low back pain that worsens with sitting and forward flexion. MRI shows Modic type 1 changes at L4-L5. Conservative therapy has failed. Which pharmacologic intervention is supported by some evidence for this patient’s condition?

B. Long-term oral antibiotics (amoxicillin ± clavulanic acid)

Question 2

Which of the following statements about provocative discography is TRUE?

C. It involves injecting contrast into the nucleus pulposus under controlled pressure to reproduce concordant pain.

Question 3

Which minimally invasive intervention has moderate evidence supporting its use for refractory discogenic low back pain?

C. Biacuplasty (cooled radiofrequency)

Paper for Next Week: 

L. Punzi, L. Scagnellato, P. Galozzi, C. Baggio, A. Damasco, F. Oliviero, R. Ramonda, Gout: one year in review 2025, Clin Exp Rheumatol 2025; 43: 799-808.

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