"Hey George,
I think this is a good site for explaining the anatomy: http://www.med.umich.edu/rad/muscskel/mskus/images/193/193_ct.html
As you know the nerve dives posteriorly from the carpal tunnel as you scan more proximally up…"
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Paxton Holt Daniel
- 55, Male
- Fort Worth, TX
- United States
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Paxton Holt Daniel's Groups
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Interventional-Intraoper…
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Musculoskeletal Ultrasou…
146 members
Paxton Holt Daniel's Page
Latest Activity
Paxton Holt Daniel replied to Balfor, George W.'s discussion ultrasound guidance in carpal tunnel syndrome surgery in the group Musculoskeletal Ultrasound Community
Paxton Holt Daniel replied to robert g schwartz's discussion Continuing Medical Education Questions in the group Musculoskeletal Ultrasound Community
"Compound imaging should be routinely used in MSK applications. It provides a smoother yet better contrasted image, reduces anisotropy, and decreases artifacts. Using compound imaging will decrease the frame rate but this is usually not a problem…"
Paxton Holt Daniel commented on AIUM's group Interventional-Intraoperative Ultrasound Community
"Thanks Dr. Malik. Sorry I didn't see your response earlier. I plan to follow your lead.
"
Paxton Holt Daniel replied to robert g schwartz's discussion ARDMS "Registered in MSK US" email in the group Musculoskeletal Ultrasound Community
"So for a physician who wants to have some quantifiable proof of MSK training/proficiency, the ARDMS certification may turn out to be of value.
"
Paxton Holt Daniel replied to robert g schwartz's discussion ARDMS "Registered in MSK US" email in the group Musculoskeletal Ultrasound Community
"Good question. Typically the ARDMS provides sub-specialty ultrasound credentialing for technologists and not doctors. I have not seen the specifics of their accreditation and I believe they are yet to be released. If they offer their credentialing…"
Paxton Holt Daniel replied to robert g schwartz's discussion ARDMS "Registered in MSK US" email in the group Musculoskeletal Ultrasound Community
"ARDMS is the standard ultrasound technologist credentialing entity. They are legitimate and I believe it may be useful to have technologists and physicians certified by them in MSK as a demonstration of baseline proficiency.
Holt Daniel M.D."
Paxton Holt Daniel replied to Brian J. Keroack's discussion Dynamic Range, Maps and persistence in the group Musculoskeletal Ultrasound Community
"I can give you a personal view on this though, as a radiologist, someone with a technical perspective might be useful.
As you said, dynamic range is the scale of gray. Changing it effects image contrast. The lower the dynamic range the…"
Paxton Holt Daniel commented on AIUM's group Interventional-Intraoperative Ultrasound Community
"Hello all. I appreciate the opportunity to engage with you on this topic.
I have a patient with a large ovarian cyst and associated symptoms. Has anyone had experience with percutaneous drainage of simple ovarian cysts? I am also interested…"
Paxton Holt Daniel joined AIUM's group
Interventional-Intraoperative Ultrasound Community
This community includes ultrasound professionals who utilize ultrasound technology for both diagnosis and treatment in invasive procedures, including percutaneous interventions, as well as surgical procedures performed in the operating room.
Paxton Holt Daniel replied to Paxton Holt Daniel's discussion Suprascapular Nerve Block in the group Musculoskeletal Ultrasound Community
"Thanks for the insights."
Syed Amir Gilani replied to Paxton Holt Daniel's discussion Suprascapular Nerve Block in the group Musculoskeletal Ultrasound Community
"Dear Daniel
I have done lignocaine needle aspiration (needling of calcified/fibrozed areas in supraspinatous in more than 10 patients under ultrasound guidance and no one ended up with bursitis.SASD Bursitis can occur when we start taking our the…"
Aleksander Feoktistov replied to Paxton Holt Daniel's discussion Suprascapular Nerve Block in the group Musculoskeletal Ultrasound Community
"I hope, pulse technique is the same as a barbotage procedure.
I usually mix steroids ( 40 mg of Depo) with Marcaine for subacromial/subdeltoid bursa injection after the procedure. Also ask the patient to use ice 30 min BID for 3…"
Paxton Holt Daniel replied to Jay Rosenfeld's discussion Best MSKUS courses? in the group Musculoskeletal Ultrasound Community
"The Mayo Clinic course is terrific. I have never been to a better meeting."
Paxton Holt Daniel added a discussion to the group Musculoskeletal Ultrasound Community
Suprascapular Nerve Block
I have a patient with calcific supraspinatus tendonosis whom I will be treating with needle aspiration (pulse technique with lidocaine) as has been discussed in the literature. These patients usually get steroids in the subdeltoid bursa at the end of the procedure to prevent post-procedural bursitis. First, has anyone had patients who had significant pain after this procedure? Have they found the subdeltoid bursa injections effective? Lastly, might a quick suprascapular nerve block with…See More
Paxton Holt Daniel replied to robert g schwartz's discussion MSK US & Regenerative Medince in the group Musculoskeletal Ultrasound Community
"One often study is the JAMA article:
JAMA, 2010; 303 (2): 144-149
Citing PRP as no better than placebo in treatment of Achilles tendonitis. Again, I think this area of treatment is very interesting and holds much promise. I feel, however, that we…"
Paxton Holt Daniel replied to robert g schwartz's discussion MSK US & Regenerative Medince in the group Musculoskeletal Ultrasound Community
"I agree that these regenerative therapies are exciting and may be beneficial in selected patients. However,
we are fairly early in the investigation of these techniques. At this point, from my review of the literature (and discussion of these…"
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- Physician
- What is your medical specialty or primary interest in ultrasound?
- Radiology
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- hertz
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- Yes
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