BackTable / VI / Podcast / Episode #215
Radiologist as Spine and Pain Specialist
with Dr. John Michels
Jacob Fleming interviews interventional pain specialist and former Super Bowl champion John S. Michels about his journey into the subspecialty, pathways for getting involved in interventional pain management, and his philosophy on comprehensive patient care.
BackTable, LLC (Producer). (2022, June 10). Ep. 215 – Radiologist as Spine and Pain Specialist [Audio podcast]. Retrieved from https://www.backtable.com
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Dr. John Michels
Dr. John Michels is a former NFL football player and practicing interventional pain specialist in Dallas, Texas.
Dr. Jacob Fleming
Dr. Jacob Fleming is a diagnostic radiology resident and future MSK interventional radiologist in Dallas, Texas.
In this episode, host Dr. Jacob Fleming interviews interventional pain specialist and former Super Bowl champion Dr. John Michels about his journey into the subspecialty, pathways for getting involved in interventional pain management, and his philosophy on comprehensive patient care.
Dr. Michels describes his first career as an NFL player with the Green Bay Packers and how it taught him to be comfortable with external pressures and delayed gratification. He recounts the knee injury that led to an early retirement from the field, as well as interactions with radiologists, surgeons, and rehabilitation specialists that got him thinking about entering the field of medicine. He ended up pursuing a diagnostic residency at Baylor University, and then an additional interventional pain fellowship at the University of California at Irvine.
Throughout his training, he recognizes that there is great synergistic benefit when specialists team up to provide multidisciplinary care and teach each other different skills. For example, he refined his physical exam skills by working with a PM&R physician, and he also taught other physicians how to read imaging.
Dr. Michels believes that the most gratifying part of his career is the opportunity to diagnose, treat, and follow up with patients. In his Dallas-based independent OBL, he splits his time between clinic and procedural days. He enjoys seeing the impact that his interventions have on patients, and he is committed to providing alternatives to opioid use. Dr. Michels encourages more radiologists to explore the field of interventional pain, which is now recognized as a radiology subspecialty by the American Board of Radiology. Overall, when imaging is combined with physical examination and history-taking, the patient will enjoy the benefits of better diagnosis and care.
Dr. John Michel’s Website:
Interventional Spine & Pain:
ABR Pain Medicine Subspecialty:
UC Irvine Pain Fellowship:
[John]: Yeah if you look at patients with atherosclerosis often, there's no rhyme or reason why they have disease, where they have it, but that's a relatively constant, that's the location where you get disease. And for SFA CTOs, that's the point most of the time of reconstitution, indicating that's where the culprit lesion is. I think one is crossing the adductor magnus and the abductor canal, and, that's an external forces, so there's probably some factors like that, like external constraint on the vessel. But more importantly than like I said, that's the most physiologic or biomechanically dynamic location in SFA.And therefore it's subject to these twists and turns and compression that you just don't see elsewhere in the SFA. As you get disease that's where you're going to get plaque rupture. That's where you get your unstable atherosclerosis. That's where you can get occlusions.
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.