Research Activities
Cohen SP, Provenzano DA, Narouze S. (2021). Facet guidelines, serial medial branch blocks and issues surrounding recommending procedures with no mechanistic foundation. Regional Anesthesia & Pain Medicine. https://doi.org/10.1136/rapm-2020-101634.
This abstract won the Army Chapter of the American College of Physician's abstract competition and will be presented virtually in May 2021.
Chronic Exertional Compartment Syndrome (CECS) is a debilitating disorder that causes lower extremity pain most commonly in active populations. It is thought to arise from increased pressure in muscle compartments (commonly lower extremity anterior and lateral) leading to pain, paresthesia and an inability to tolerate exercise. The cause of CECS is unknown but is likely a combination of muscular, neurologic and vascular contributions. Current standard treatment is surgical fasciotomy, but it is only successful in 66% of patients. Many have complications and/or need repeat procedures. Efficacy is even worse in military members at 55%. Other alternative strategies have emerged such as botulinumtoxin A injections (BoNT-A) and gait retraining, but data is limited.
The objective of this study is to simultaneously assess the effectiveness of non-surgical treatments, BoNT-A injections and Supervised Gait Retraining (SGR), in terms of lower pain control and ability to return to full duty among adult active-duty service members suffering from lower extremity CECS, specifically of the anterior and/or lateral compartments.
Brad Isaacson, PhD, MBA, MSF, PMP, MIRROR Chief of Research and Operations, was featured in The Geneva Foundation’s press release, “14 Geneva Military Medical Researchers Who Inspired Us in 2020,” for his work on the Tri-Service Post-Operative Rehabilitation Consensus Meeting in January 2020.
Read the full article on The Geneva Foundation’s website here.
The Geneva Foundation recognized the MIRROR program for their facilitation of the publication of 11 Tri-Service musculoskeletal injury protocols in May 2020. In January 2021, the article was featured in The Geneva Foundation’s top ten most-read news stories of 2020.
Read the full article on The Geneva Foundation’s website here.
