top of page

BackTable / MSK / Podcast / Episode #44

ESNR Spine Full Hands-On Course

with Dr. Joshua Hirsch

In this BackTable MSK episode, Dr. Jacob Fleming speaks with Dr. Joshua Hirsch about the current state of spinal interventional radiology. Dr. Hirsch is an interventional neuroradiologist at Massachusetts General Hospital.

Dr. Hirsch discusses the past and future of spinal interventional radiology. He describes his experience in automated percutaneous lumbar discectomy as well as chemonucleolysis with DiscoGel. He also mentions the previous use of chymopapain and the future use of biologics and weight bearing imaging in the spine. Overall, Dr. Hirsch emphasizes the importance of utilizing precise imaging, understanding different safety profiles of each treatment, and breaking down boundaries between specialties.

Sponsored by:

Stryker Interventional Spine

Be part of the conversation. Put your sponsored messaging on this episode. Learn how.

ESNR Spine Full Hands-On Course with Dr. Joshua Hirsch on the BackTable MSK Podcast)
Ep 44 ESNR Spine Full Hands-On Course with Dr. Joshua Hirsch
00:00 / 01:04

BackTable, LLC (Producer). (2024, March 5). Ep. 44 – ESNR Spine Full Hands-On Course [Audio podcast]. Retrieved from https://www.backtable.com

BackTable CMEfy button

Stay Up To Date

Follow:

Subscribe:

Sign Up:

Podcast Contributors

Dr. Joshua Hirsch discusses ESNR Spine Full Hands-On Course on the BackTable 44 Podcast

Dr. Joshua Hirsch

Dr. Joshua Hirsch is an interventional neuroradiologist with Massachusetts General Hospital in Boston.

Dr. Jacob Fleming discusses ESNR Spine Full Hands-On Course on the BackTable 44 Podcast

Dr. Jacob Fleming

Dr. Jacob Fleming is a diagnostic radiology resident and future MSK interventional radiologist in Dallas, Texas.

Show Notes

00:00 - Introduction
03:05 - Discussion on Intradiscal Therapies
05:11 - The Evolution of Percutaneous Discal Treatments
10:39 - The Role of Chemonucleolysis and Lessons from Chymopapain
14:55 - Deciding on a Percutaneous Approach
18:00 - The Emergence of the Spine Interventionalist
21:29 - Utility of Weight Bearing Imaging
24:15 - ESNR Spine Interventional Neuroradiology Hands-On Course

Resources

Efficacy of an ethyl alcohol gel in symptomatic disc herniation (DiscoGel):
https://pubmed.ncbi.nlm.nih.gov/30527290/

Responsible, Safe, and Effective Use of Biologics in the Management of Low Back Pain: American Society of Interventional Pain Physicians (ASIPP) Guidelines:
https://www.painphysicianjournal.com/current/pdf?article=NjEwMQ%3D%3D&journal=118

European Society of Neuroradiology (ESNR) Spine Interventional Neuroradiology Hands On Course (April 18-20, 2024:
https://www.esnr.org/event-details/6903

Bone cement: Serious adverse events, some with fatal outcome, associated with the use of bone cements for vertebroplasty, kyphoplasty and sacroplasty include myocardial infarction, cardiac arrest, cerebrovascular accident, pulmonary embolism and cardiac embolism. Although it is rare, some adverse events have been known to occur beyond one year post-operatively. Additional risks exist with the use of bone cement. Please see the IFU for a complete list of potential risks.

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

backtable-earn-free-cme.jpg
backtable-plus-vi-cta.jpg
Become a BackTable Sponsor

Up Next

SCS for Neuropathy: Clinical Insights & Patient Impact with Dr. Blake Parsons on the BackTable MSK Podcast)
Kyphoplasty Evolution: Steering Toward Targeted Therapy with Dr. David Prologo on the BackTable MSK Podcast)
Successful Bone Lesion Biopsies with Dr. Chris Beck on the BackTable MSK Podcast)
The Future of Interventional Spine Training with Dr. Majid Khan on the BackTable MSK Podcast)
Cutting Edge Techniques in MSK Oncology: Cryoablation & Beyond with Dr. Alan Alper Sag on the BackTable MSK Podcast)
New Frontiers in Spinal Tumor Ablation & Augmentation with Dr. Dana Dunleavy on the BackTable MSK Podcast)

Articles

Topics

Back Pain Condition Overview
Compression Fracture Condition Overview
Disc Herniation Condition Overview
Intradiscal Therapies Procedure Prep
Low Back Pain Condition Overview
Vertebral Compression Fracture Condition Overview

Get in touch!

We want to hear from you. Let us know if you’re interested in partnering with BackTable as a Podcast guest, a sponsor, or as a member of the BackTable Team.

Select which show(s) you would like to subscribe to:

Thanks! Message sent.

bottom of page