Chronic Pain Chronicles with Dr Karmy

In this episode, Dr Karmy explores the world of radiofrequency ablation—a novel, OHIP-covered treatment for chronic back pain. He goes over the differences between radiofrequency ablation, pulsed radiofrequency, and cooled radiofrequency ablation, uncovering how each technique works and when they should be considered viable treatment options.   Join Dr Karmy as he breaks down these advanced proced...

In this episode, Dr Karmy is joined by Dr. James Henry, a pioneering expert in the field, where they dive deep into the neurobiology of pain.  Trained at McGill University and with a distinguished career spanning Western University and McMaster's Michael De Groote Pain Center, Dr. Henry brings a wealth of knowledge on the role of neuropeptides in chronic pain.  Join in on their conversation,...

In this episode, Dr Karmy will take an in-depth look at the newest treatment for osteoarthritis—the nSTRIDE Autologous Protein Solution (APS) kit. Like Platelet Rich Plasma (PRP), this treatment is made from the patient's own blood.  How does it compare to PRP?  Is it worth trying? Dr. Karmy will not only explain the science behind nSTRIDE from existing clinical literature but also share insi...

An in-depth discussion of the most popular regenerative medicine approaches to chronic pain management in Ontario. Approaches discussed include Prolotherapy, Prolozone, nSTRIDE, PRP, and autologous stem cell injections. The pros and cons of each approach is discussed to help you decide whether or not you want to dip your toes into one of these approaches. Tune in to learn about which regenerative...

Nerve blocks are the most common procedure performed for chronic pain management in Ontario. Over 55,000 patients receive this treatment every year. Yet despite the widespread use of this procedure, there is some controversy about this approach.  Nerve blocks happen to be one of the first procedures Dr. Grigory Karmy learned to perform. In this episode,  Dr. Karmy will share what he has learned af...

Dr. Grigory Karmy offers a comprehensive analysis of the therapeutic potential of ketamine and lidocaine infusions in managing various medical conditions, from chronic pain to treatment-resistant depression. He elucidates how these infusions work, their mechanisms of action, and the scientific evidence supporting their use. Tune in to learn about ketamine and lidocaine infusions in chronic pain ma...

This episode explores the current approach to opioids in Ontario from the perspective of a clinician with over 20 years of experience in chronic pain management. The segment takes a close look at how the approach to opioids has evolved over the past two decades.  Despite their longstanding presence in pain management, opioids remain shrouded in confusion and misconceptions. Through expert analysis...