{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"SI Joint Dysfunction and Phantom Limb Pain for the Physiatry Boards","description":"\ud83c\udf99\ufe0f PainExam Podcast Show Notes  Phantom Limb Pain &amp;amp; Sacroiliac Joint Dysfunction \u2014 High-Yield Pain Board Review  \ud83d\udd25 Episode Overview In this episode of the PainExam Podcast, David Rosenblum delivers a high-yield review of two must-know topics for the ABA Pain Medicine Board Certification exam:   Phantom Limb Pain \u2014 mechanisms, risk factors, and advanced treatment strategies  Sacroiliac (SI) Joint Dysfunction \u2014 diagnosis, provocative testing, and interventional management  Whether you're preparing for the ABA, ABPM, ABIPP, or FIPP boards, or looking to sharpen your clinical practice, this episode focuses on testable concepts, real-world applications, and interventional pearls. \ud83d\udc49 Explore full board prep and CME: PainExam.com  \ud83e\udde0 Topic 1: Phantom Limb Pain \u2014 Key Points Phantom limb pain is a neuropathic pain syndrome following amputation, driven by both peripheral and central mechanisms.  High-Yield Pearls   Caused by cortical reorganization + central sensitization  Strongly associated with pre-amputation pain  Distinct from:   Phantom sensation (non-painful)  Stump pain (localized)     Clinical Features   Burning, cramping, or electric pain  Perceived in the missing limb May be triggered by stress or environmental factors   Treatment Strategies   First-line: gabapentinoids, TCAs  Advanced: ketamine, neuromodulation  Key non-pharmacologic therapy: mirror therapy  \ud83d\udea8 Board Pearl Preemptive analgesia reduces the risk of phantom limb pain  \ud83e\uddb4 Topic 2: Sacroiliac Joint Dysfunction \u2014 Key Points SI joint dysfunction is a major cause of axial low back pain, accounting for up to 25% of cases.  High-Yield Pearls   Pain is typically:   Unilateral  Buttock-dominant  Radiates to posterior thigh (rarely below knee)     Physical Exam   Positive provocative tests:   FABER  Gaenslen  Thigh thrust  Compression    \ud83d\udc49 3 or more positive tests = high diagnostic accuracy  Diagnosis   Confirmed with image-guided intra-articular injection  Imaging alone is NOT diagnostic   Treatment   Physical therapy SI joint injections  Lateral branch RFA SI joint fusion (refractory cases)  \ud83d\udea8 Board Pearl Diagnostic SI joint injection is the gold standard  \ud83c\udfaf Board Prep Takeaways   Always distinguish central vs peripheral mechanisms in neuropathic pain Know diagnostic confirmation strategies (blocks vs imaging)  Focus on first-line vs interventional escalation pathways  Understand procedure indications for boards   \ud83c\udf93 Upcoming Events &amp;amp; Live Training \ud83c\udfc6 ASPN 2026 Annual Meeting Join Dr. Rosenblum for:   Ultrasound-guided peripheral nerve blocks  Spine interventions  Regenerative medicine techniques (PRP, biologics)  Hands-on procedural training   \ud83d\udc89 Ultrasound-Guided Regenerative Medicine Course Learn:  PRP injection techniques  Ultrasound-guided joint and nerve procedures  Real-world workflows for integrating regenerative medicine into your practice  \ud83d\udc49 Hosted through NRAP Academy  \ud83c\udfa4 PainWeek 2026 Lectures Dr. Rosenblum will be presenting on:   Precision image-guided pain procedures  Ultrasound integration in clinical practice  Regenerative medicine in interventional pain  Future directions: AI and neuromodulation   \ud83d\udd17 Resources  \ud83c\udf10 Pain Board Review: PainExam.com \ud83c\udf93 Courses &amp;amp; CME: NRAPPain.org \ud83d\udcfa YouTube: NRAP Academy \ud83e\udde0 Question Bank + Virtual Fellowship: Available now   \ud83d\udce2 Call to Action If you\u2019re preparing for the pain boards or want to elevate your clinical skillset: \u2705 Subscribe to the PainExam Podcast \u2705 Join our Virtual Pain Fellowship \u2705 Attend a live ultrasound or regenerative medicine course   &amp;nbsp; &amp;nbsp; ","author_name":"The PMRExam Podcast","author_url":"http:\/\/pmrexampodcast.libsyn.com\/podcast","html":"<iframe title=\"Libsyn Player\" style=\"border: none\" src=\"\/\/html5-player.libsyn.com\/embed\/episode\/id\/40616745\/height\/90\/theme\/custom\/thumbnail\/yes\/direction\/forward\/render-playlist\/no\/custom-color\/88AA3C\/\" height=\"90\" width=\"600\" scrolling=\"no\"  allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen><\/iframe>","thumbnail_url":"https:\/\/assets.libsyn.com\/secure\/content\/200103155"}