Pain Unfiltered

In this episode, Dr. Gabriel Pagani and Dr. David Reece share their journeys into pain medicine and their commitment to caring for veterans, highlighting the unique pain syndromes and psychological complexities often seen in this population. They emphasize the role of minimally invasive spine solutions like Minuteman and Liberty in improving mobility and quality of life, while also underscoring the importance of understanding military culture for effective care. Looking ahead, they advocate for greater innovation and awareness in veteran-focused pain management, urging civilian providers to build cultural competency and individualized treatment approaches. Host, Patrick Buchanan, MD: Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy. https://www.californiapaindoctors.com/patrick-buchanan-m-d/ [https://www.californiapaindoctors.com/patrick-buchanan-m-d/] https://www.instagram.com/patdbmd/?hl=en [https://www.instagram.com/patdbmd/?hl=en] Host, Timothy Deer, MD: Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications. https://centerforpainrelief.com/about/tim-deer-md/ [https://centerforpainrelief.com/about/tim-deer-md/] https://twitter.com/doctdeer?lang=en [https://twitter.com/doctdeer?lang=en] https://www.instagram.com/timdeer30a/?hl=en [https://www.instagram.com/timdeer30a/?hl=en] Guest, Dr. David Reece, DO: Dr. Reece is an Interventional Spine & Pain Physiatrist. His primary specialty Board Certification is in Physical Medicine & Rehabilitation (PM&R) with additional subspecialty Board Certifications in Interventional Spine & Pain Medicine, as well as Neuromuscular Electrodiagnostics. Dr. Reece specializes in treating complex pain and neuromuscular disorders, acute and chronic musculoskeletal sports injuries, traumatic brain and spinal cord injury, headaches, and polytrauma amputee rehabilitation. https://rosm.org/david-reece-do/ [https://rosm.org/david-reece-do/] Guest, Dr. Gabriel Pagani, MD: Dr. Pagani is a Mayo Clinic trained, double board-certified pain management specialist and neurologist, with procedural competency in axial and peripheral fluoroscopic and ultrasound-guided procedures, neuromodulation device implantation, minimally invasive spine surgical procedures and EMG. https://www.linkedin.com/in/gabriel-pagani-estevez-3a04858a/ [https://www.linkedin.com/in/gabriel-pagani-estevez-3a04858a/] About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation. ASPN's website and social links: https://aspnpain.com [https://aspnpain.com/]https://www.youtube.com/channel/UCixMNhEtOiRm1aQmDWtzxmg [https://www.youtube.com/channel/UCixMNhEtOiRm1aQmDWtzxmg] https://www.instagram.com/aspn_painneuro/ [https://www.instagram.com/aspn_painneuro/] https://www.facebook.com/PainNeuro [https://www.facebook.com/PainNeuro] https://www.linkedin.com/in/aspn/ [https://www.linkedin.com/in/aspn/] https://twitter.com/aspn_painneuro [https://twitter.com/aspn_painneuro] Our sponsors: Saluda Medical: Saluda is the first to directly measure the spinal cord’s physiologic response to stimulation. A 10+ year journey since the first ECAP measurement to transform the science and practice of SCS using Evoked Compound Action Potentials (ECAPs) to pioneer smart neuromodulation therapy. The Evoke® System listens and responds to each patient’s neural signature.  https://www.saludamedical.com/ [https://www.saludamedical.com/] Spinal Simplicity: Spinal Simplicity is a medical device company dedicated to creating simple, innovative procedure solutions for our physician partners to help improve their patient’s pain and quality of life. A life where pain no longer defines the day. That’s the future we fight for. Chronic pain steals independence, freedom, and joy. At Spinal Simplicity, we believe patients deserve more—lasting relief, restored mobility, and renewed hope.   https://spinalsimplicity.com/ [https://spinalsimplicity.com/]   Mainstay Medical:   Mainstay Medical is a global medical device company offering a new therapeutic solution for people suffering from mechanical chronic low back pain (CLBP). ReActiv8 is a restorative therapy designed to address impaired neuromuscular control and multifidus dysfunction linked to CLBP. We aim to transform lives everyday by improving function and alleviating pain.   https://mainstaymedical.com/ [https://mainstaymedical.com/]

In this episode we preview the 2025 ASPN annual meeting with special guests, Dr. Melissa Murphy and Dr. Kasra Amirdelfan. Host, Patrick Buchanan, MD: Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy. https://www.californiapaindoctors.com/patrick-buchanan-m-d/ [https://www.californiapaindoctors.com/patrick-buchanan-m-d/] https://www.instagram.com/patdbmd/?hl=en [https://www.instagram.com/patdbmd/?hl=en] Host, Timothy Deer, MD: Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications. https://centerforpainrelief.com/about/tim-deer-md/ [https://centerforpainrelief.com/about/tim-deer-md/] https://twitter.com/doctdeer?lang=en [https://twitter.com/doctdeer?lang=en] https://www.instagram.com/timdeer30a/?hl=en [https://www.instagram.com/timdeer30a/?hl=en] Guest, Dr. Melissa Murphy, MD: Dr. Murphy is a fellowship-trained, double-board-certified interventional spine and pain specialist. She is dedicated to working with each patient individually to develop a personalized treatment plan to improve function and quality of life. https://www.ntxortho.com/doctors/melissa-z-murphy-md-mph [https://www.ntxortho.com/doctors/melissa-z-murphy-md-mph] Guest, Dr. Kasra Amirdelfan, MD: Dr. Amirdelfan is one of the founding partners at IPM Medical Group, Inc. He earned his medical degree from Texas A&M University, College of Medicine in 1994. He completed his residency in Family Medicine at John Peter Smith Hospital in Fort Worth, Texas, an affiliated facility with U.T. Southwestern School of Medicine. https://boomeranghc.com/providers/kasra-amirdelfan-md/ [https://boomeranghc.com/providers/kasra-amirdelfan-md/] About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation. ASPN's website and social links: https://aspnpain.com [https://aspnpain.com/]https://www.youtube.com/channel/UCixMNhEtOiRm1aQmDWtzxmg [https://www.youtube.com/channel/UCixMNhEtOiRm1aQmDWtzxmg] https://www.instagram.com/aspn_painneuro/ [https://www.instagram.com/aspn_painneuro/] https://www.facebook.com/PainNeuro [https://www.facebook.com/PainNeuro] https://www.linkedin.com/in/aspn/ [https://www.linkedin.com/in/aspn/] https://twitter.com/aspn_painneuro [https://twitter.com/aspn_painneuro] Our sponsors: Saluda Medical: Saluda is the first to directly measure the spinal cord’s physiologic response to stimulation. A 10+ year journey since the first ECAP measurement to transform the science and practice of SCS using Evoked Compound Action Potentials (ECAPs) to pioneer smart neuromodulation therapy. The Evoke® System listens and responds to each patient’s neural signature.  https://www.saludamedical.com/ [https://www.saludamedical.com/] Spinal Simplicity: Spinal Simplicity is a medical device company dedicated to creating simple, innovative procedure solutions for our physician partners to help improve their patient’s pain and quality of life. A life where pain no longer defines the day. That’s the future we fight for. Chronic pain steals independence, freedom, and joy. At Spinal Simplicity, we believe patients deserve more—lasting relief, restored mobility, and renewed hope.   https://spinalsimplicity.com/ [https://spinalsimplicity.com/]

In this episode we discussed the connection between physicians and the medtech industry in this ever evolving economy. Our guest, Brad Maruca, talked about his journey in the medical industry to strategy consulting with Deloitte. We discussed several topics including key trends in the interventional spine market, the most exciting technologies/interventions in the spine space, the importance of patient-centric designs, and much more.  Host, Patrick Buchanan, MD: Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy. https://www.californiapaindoctors.com/patrick-buchanan-m-d/ [https://www.californiapaindoctors.com/patrick-buchanan-m-d/] https://www.instagram.com/patdbmd/?hl=en [https://www.instagram.com/patdbmd/?hl=en] Host, Timothy Deer, MD: Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications. https://centerforpainrelief.com/about/tim-deer-md/ [https://centerforpainrelief.com/about/tim-deer-md/] https://twitter.com/doctdeer?lang=en [https://twitter.com/doctdeer?lang=en] https://www.instagram.com/timdeer30a/?hl=en [https://www.instagram.com/timdeer30a/?hl=en] Guest, Brad Maruca: Brad is the managing director at Deloitte and former divisional Vice President at Abbott Neuromodulation. He specializes in MedTech, translating analytics into actionable plans for revenue growth. His approach integrates digitalization, behavioral science, and precision growth strategies to boost enterprise value. He is dedicated to improving global patient well-being by advising industry leaders on how to transform their business models to maximize market access. https://www.linkedin.com/in/brad-maruca/ [https://www.linkedin.com/in/brad-maruca/] About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation. ASPN's website and social links: https://aspnpain.com [https://aspnpain.com/]https://www.youtube.com/channel/UCixMNhEtOiRm1aQmDWtzxmg [https://www.youtube.com/channel/UCixMNhEtOiRm1aQmDWtzxmg] https://www.instagram.com/aspn_painneuro/ [https://www.instagram.com/aspn_painneuro/] https://www.facebook.com/PainNeuro [https://www.facebook.com/PainNeuro] https://www.linkedin.com/in/aspn/ [https://www.linkedin.com/in/aspn/] https://twitter.com/aspn_painneuro [https://twitter.com/aspn_painneuro] Our sponsors: Saluda Medical: Saluda is the first to directly measure the spinal cord’s physiologic response to stimulation. A 10+ year journey since the first ECAP measurement to transform the science and practice of SCS using Evoked Compound Action Potentials (ECAPs) to pioneer smart neuromodulation therapy. The Evoke® System listens and responds to each patient’s neural signature.  https://www.saludamedical.com/ [https://www.saludamedical.com/] Spinal Simplicity: Spinal Simplicity is a medical device company dedicated to creating simple, innovative procedure solutions for our physician partners to help improve their patient’s pain and quality of life. A life where pain no longer defines the day. That’s the future we fight for. Chronic pain steals independence, freedom, and joy. At Spinal Simplicity, we believe patients deserve more—lasting relief, restored mobility, and renewed hope.   https://spinalsimplicity.com/ [https://spinalsimplicity.com/]

In this episode we discussed why interventionalists should be aware of joint hypermobility and connective tissue disorders. Our guest, Dr. Linda Bluestein, talked about her experience as a patient and physician with these pain issues. We discussed how interventionalists can treat this patient population and use the resources to be better equipped for these challenges.  Host, Patrick Buchanan, MD: Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy. https://www.californiapaindoctors.com/patrick-buchanan-m-d/ [https://www.californiapaindoctors.com/patrick-buchanan-m-d/] https://www.instagram.com/patdbmd/?hl=en [https://www.instagram.com/patdbmd/?hl=en] Host, Timothy Deer, MD: Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications. https://centerforpainrelief.com/about/tim-deer-md/ [https://centerforpainrelief.com/about/tim-deer-md/] https://twitter.com/doctdeer?lang=en [https://twitter.com/doctdeer?lang=en] https://www.instagram.com/timdeer30a/?hl=en [https://www.instagram.com/timdeer30a/?hl=en] Guest, Linda Bluestein, MD: Dr. Linda Bluestein is a leading expert in hypermobility disorders and the founder of Hypermobility MD. She also leads Bendy Bodies, a global coaching practice supporting individuals with hypermobility. Dr. Bluestein hosts the podcast Bendy Bodies with the Hypermobility MD and contributed to the book Disjointed – Navigating the Diagnosis and Management of Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders. She is board-certified in anesthesiology and an assistant professor at the Medical College of Wisconsin.   https://www.facebook.com/BendyBodiesPodcast [https://www.facebook.com/BendyBodiesPodcast] https://www.facebook.com/hypermobilityMD [https://www.facebook.com/hypermobilityMD] https://www.hypermobilitymd.com/ [https://www.hypermobilitymd.com/] https://www.instagram.com/bendy_bodies/ [https://www.instagram.com/bendy_bodies/] https://www.instagram.com/hypermobilitymd/ [https://www.instagram.com/hypermobilitymd/] https://www.linkedin.com/in/hypermobilitymd/ [https://www.linkedin.com/in/hypermobilitymd/] https://hypermobilitymd.substack.com/ [https://hypermobilitymd.substack.com/] https://www.bendybodiespodcast.com/p/symptomatic-joint-hypermobility-guide/ [https://www.bendybodiespodcast.com/p/symptomatic-joint-hypermobility-guide/] https://www.tiktok.com/@hypermobilitymd [https://www.tiktok.com/@hypermobilitymd] https://twitter.com/BluesteinLinda [https://twitter.com/BluesteinLinda] https://www.youtube.com/@bendybodiespodcast [https://www.youtube.com/@bendybodiespodcast] https://www.bendybodiespodcast.com/ [https://www.bendybodiespodcast.com/] https://www.hypermobilitymd.com/educoaching [https://www.hypermobilitymd.com/educoaching]   About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation. ASPN's website and social links: https://aspnpain.com [https://aspnpain.com/]https://www.youtube.com/channel/UCixMNhEtOiRm1aQmDWtzxmg [https://www.youtube.com/channel/UCixMNhEtOiRm1aQmDWtzxmg] https://www.instagram.com/aspn_painneuro/ [https://www.instagram.com/aspn_painneuro/] https://www.facebook.com/PainNeuro [https://www.facebook.com/PainNeuro] https://www.linkedin.com/in/aspn/ [https://www.linkedin.com/in/aspn/] https://twitter.com/aspn_painneuro [https://twitter.com/aspn_painneuro] Our sponsors: Saluda Medical: Saluda is the first to directly measure the spinal cord’s physiologic response to stimulation. A 10+ year journey since the first ECAP measurement to transform the science and practice of SCS using Evoked Compound Action Potentials (ECAPs) to pioneer smart neuromodulation therapy. The Evoke® System listens and responds to each patient’s neural signature.  https://www.saludamedical.com/ [https://www.saludamedical.com/]

In this episode we discussed the latest updates on the coding and reimbursement for SIJ Fusion. Our guest, Dr. Douglas Beall, talked about his experience with the different approaches of SIJ fusion therapies. We also discussed where the SIJ fusion space may be headed in the future.  Host, Patrick Buchanan, MD: Dr. Buchanan is double board certified in Physical Medicine and Rehabilitation and Pain Medicine. His goal is to help his patients get their life back by managing their pain and focus on things they love and enjoy. https://www.californiapaindoctors.com/patrick-buchanan-m-d/ [https://www.californiapaindoctors.com/patrick-buchanan-m-d/] https://www.instagram.com/patdbmd/?hl=en [https://www.instagram.com/patdbmd/?hl=en] Host, Timothy Deer, MD: Dr. Deer is the president and CEO of the Spine and Nerve Centers of the Virginias. Dr. Deer has led a revolution in interventional spine and nerve care by teaching thousands of physicians an algorithmic approach to care including methods that are less invasive at a lower risk for complications. https://centerforpainrelief.com/about/tim-deer-md/ [https://centerforpainrelief.com/about/tim-deer-md/] https://twitter.com/doctdeer?lang=en [https://twitter.com/doctdeer?lang=en] https://www.instagram.com/timdeer30a/?hl=en [https://www.instagram.com/timdeer30a/?hl=en] Guest, Douglas Beall, MD: Dr. Beall attended medical school at Georgetown University School of Medicine in Washington, DC, and completed his residency at The Johns Hopkins Hospital in Baltimore, Maryland. Following residency, he was Chief of Interventional Services at Sheppard Air Force Base in Wichita Falls, Texas. He then completed a fellowship in Musculoskeletal Radiology at Mayo Clinic in Rochester, Minnesota, where he was trained in interventional spine techniques before returning to the US Air Force as Division Chief of Musculoskeletal Radiology. Following his service as a Major in the US Air Force Dr. Beall was chief of Musculoskeletal Radiology and Fellowship Director at the University of Oklahoma prior to entering private practice as the Chief of Services. http://drdouglasbeall.com/ [http://drdouglasbeall.com/] About ASPN: ASPN was created to bring the top minds in the fields of pain and neuroscience together. ASPN has a mission to improve education, highlight scientific curiosity, establish best practice, and elevate each other in a quest to improve the field of pain and neuroscience. All initiatives of ASPN are dedicated to improving patient outcomes, education, research, and innovation. ASPN's website and social links: https://aspnpain.com [https://aspnpain.com/]https://www.youtube.com/channel/UCixMNhEtOiRm1aQmDWtzxmg [https://www.youtube.com/channel/UCixMNhEtOiRm1aQmDWtzxmg] https://www.instagram.com/aspn_painneuro/ [https://www.instagram.com/aspn_painneuro/] https://www.facebook.com/PainNeuro [https://www.facebook.com/PainNeuro] https://www.linkedin.com/in/aspn/ [https://www.linkedin.com/in/aspn/] https://twitter.com/aspn_painneuro [https://twitter.com/aspn_painneuro] Our sponsors: Saluda Medical: Saluda is the first to directly measure the spinal cord’s physiologic response to stimulation. A 10+ year journey since the first ECAP measurement to transform the science and practice of SCS using Evoked Compound Action Potentials (ECAPs) to pioneer smart neuromodulation therapy. The Evoke® System listens and responds to each patient’s neural signature.  https://www.saludamedical.com/ [https://www.saludamedical.com/]