Rohit Aiyer

Rohit Aiyer

MD

About

49
Publications
17,388
Reads
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549
Citations
Citations since 2016
42 Research Items
547 Citations
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2016201720182019202020212022020406080100120140
2016201720182019202020212022020406080100120140
2016201720182019202020212022020406080100120140
Introduction
Rohit Aiyer is involved in research with regards to minimally invasive spine surgery (MISS)/Percutaneous surgical procedures, interventional and pharmacotherapy modalities for the management of various chronic pain conditions.
Additional affiliations
July 2019 - present
Henry Ford Health System
Position
  • Interventional Pain Management and Pain Psychiatry Facultty

Publications

Publications (49)
Article
Full-text available
Purpose of review: This systematic review comprehensively compared balloon kyphoplasty and vertebroplasty with respect to height restoration and pain relief. Recent findings: PRISMA guidelines were utilized to compare balloon kyphoplasty and vertebroplasty, focusing on the primary outcome of height restoration and the secondary outcomes of pain...
Chapter
Epidural steroid injections (ESIs) are among the most commonly performed interventional pain management procedures to treat radiculopathy. Appropriate image guidance is required to avoid vulnerable vascular or neural structures during performance of ESIs. This is critical for appropriate needle placement, for monitoring injectate flow patterns and...
Chapter
Transcutaneous Electrical Nerve Stimulation (TENS) is a treatment technique defined as an electrical current delivered to the surface of the skin that activates nerves. It reduces pain through a combination of peripheral and central mechanisms on the nervous system, and is divided into low and high frequency. It is indicated for several conditions,...
Article
Aim: Endoscopic discectomies provide several advantages over other techniques such as traditional open lumbar discectomy (OLD) including possibly decreased complications, shorter hospital stay and an earlier return to work. Methods: An electronic database search including MEDLINE/PubMed, EMBASE, Scopus, Cochrane Database of Systematic Reviews and C...
Article
The aim of this case report is to shed light on slipping rib syndrome (SRS), a painful and overlooked condition. A 62-year old man reported intermittent, self-resolving sharp rib pain that began after a video-assisted thoracic surgery and chest tube placement 4 years prior to presentation. The patient’s pain was associated with a rigid protrusion i...
Article
Introduction: Knee osteoarthritis is a degenerative joint disease that is secondary to degradation of articular cartilage, reformation of subchondral bone through degradation and proliferation as well as presence of synovitis. Materials & methods: This systematic review was conducted and reported as per Preferred Reporting Items for Systematic Revi...
Article
Full-text available
Objective: To conduct a systematic literature review of peripheral nerve stimulation (PNS) for pain. Design: Grade the evidence for PNS. Methods: An international interdisciplinary work group conducted a literature search for PNS. Abstracts were reviewed to select studies for grading. Inclusion/exclusion criteria included prospective randomize...
Article
Full-text available
Objective: To conduct a systematic literature review of dorsal root ganglion (DRG) stimulation for pain. Design: Grade the evidence for DRG stimulation. Methods: An international, interdisciplinary work group conducted a literature search for DRG stimulation. Abstracts were reviewed to select studies for grading. General inclusion criteria wer...
Article
Full-text available
Purpose of Review To discuss updates and recommendations for the treatment of postherpetic neuralgia (PHN), a painful neuropathic condition caused by reactivation of the latent varicella-zoster virus (VZV). The focus of this review will include prevention, evaluation, diagnosis, and management. Recent Findings Using a multidisciplinary approach to...
Article
Objectives: Low-intensity ultrasound (LIU)/low-intensity pulsed ultrasound (LIPUS) may influence nerve tissue regeneration and axonal changes in the context of carpal tunnel syndrome (CTS) and in the animal model. The purpose of this pragmatic review is to understand the current knowledge for the effects of low-intensity therapeutic ultrasound in...
Article
Objective: To conduct a systematic literature review of spinal cord stimulation (SCS) for pain. Design: Grade the evidence for SCS. Methods: An international, interdisciplinary work group conducted literature searches, reviewed abstracts, and selected studies for grading. Inclusion/exclusion criteria included randomized controlled trials (RCTs...
Article
Full-text available
Persistent postsurgical pain (PPP) is defined as the discomfort that lasts >3 months postoperatively. The primary aim of this retrospective study was to estimate the risk of developing moderate-to-severe PPP after primary total knee arthroplasty (TKA). The secondary goal was to explore potential predictors of this outcome.Data were collected via ho...
Article
Background. Treatments for joint pain and dysfunction focus on restoration of joint motion, improvement in pain and a return to the previous level of the patient's daily activity. Therapeutic ultrasound is a noninvasive modality widely utilized in the management of musculoskeletal disorders. The objective of this systematic review was to evaluate t...
Article
Background: Treatments for joint pain and dysfunction focus on restoration of joint motion, improvement in pain and a return to the previous level of the patient's daily activity. Therapeutic ultrasound is a noninvasive modality widely utilized in the management of musculoskeletal disorders. The objective of this systematic review was to evaluate...
Article
Pain Management: ahead of print Chronic pain continues to be a major health issue throughout the world and a huge economic burden for nations around the world. While the use of opioids does have risks, they are still widely used by clinicians as a treatment option for various chronic pain conditions. This review explores and compares the efficacy...
Article
Background: Low back pain (LBP) and neck pain are major causes of pain and disability that are experienced across all ages. The primary goals of treatment are to improve patient function and facilitate a return to the patient’s desired level of daily activity. Therapeutic ultrasound is a noninvasive modality widely utilized in the management of mus...
Article
Full-text available
Rationale: To present an unusual extrapyramidal motor response occurring after a sympathetic block in CRPS and its successful treatment with diphenhydramine. Patient concerns: Severe pain related to Complex Regional Pain Syndrome type 1 interfering with activities of daily living. Diagnoses: Complex Regional Pain Syndrome type 1. Intervention...
Article
Full-text available
Rationale: To present the successful treatment of complex regional pain syndrome type -1 utilizing sympathetic blocks. Patient concerns: Severe pain interfering with activities of daily living and temporary disability secondary to complex regional pain syndrome. Diagnoses: Complex regional pain syndrome type-1 with involvement of lower extremi...
Article
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Clinical studies demonstrate that buprenorphine is a pharmacologic agent that can be used for the treatment of various types of painful conditions. This study investigated the efficacy of 5 different types of buprenorphine formulations in the chronic pain population. The literature was reviewed on PubMed/MEDLINE, EMBASE, Cochrane Database, clinical...
Article
Full-text available
71/F presented with left sided headaches and neck pain with nuchal rigidity progressively worsening over 3 weeks with no other neurologic symptoms. Odontoid osteomyelitis with epidural abscess was discovered on further workup with neuroimaging. Concurrent jugular vein and transverse sinus venous thrombosis was also found and suspected to be seconda...
Article
Full-text available
Aim: To illustrate the anatomical and pathophysiological risks of epidural hematoma formation, other than direct needle trauma, after lumbar transforaminal epidural steroid injection in the setting of severe central canal stenosis. Case report: This case report presents the development of an epidural hematoma after lumbar transforaminal epidural...
Article
Full-text available
Postoperative acute visual loss due to organic pathology has been described after spinal surgery in the prone position. This report describes a case of transient postoperative blindness in a patient after general anesthesia and surgery in the prone position. Postoperative workup did not reveal any organic pathology. Unbeknown to the treating physic...
Article
Full-text available
Objective: To investigate the efficacy of N-methyl-D-aspartate receptor (NMDA) receptor antagonists for neuropathic pain and review literature to determine if specific pharmacologic agents provide adequate neuropathic pain relief. Methods: Literature was reviewed on PubMed using a variety of key words for 8 NMDA receptor antagonists. These key w...
Article
Full-text available
Objectives: The primary objective of this case series was to report the use of cervical epidural steroid injection in the management of neck pain and stiffness secondary to spondyloarthropathy in cases refractory to conservative therapy. Methods: This was a case report series on three patients with diagnosis of spondyloarthropathy who presented...
Article
Full-text available
Objectives: To illustrate the obstacles and problems with electrical fields (EFs) in treatment and management of skin wounds. Unlike the literature that gives evidence for EF promoting wound healing, there is relatively little research to illustrate the interference of wound healing with EFs. Materials and methods: This is a case report of a pat...
Article
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We report a case of a 57-year-old male patient with intrathecal morphine pump failure who presented with psychosis as part of a clinical presentation of opioid withdrawal. The patient was being treated for chronic back pain with an intrathecal morphine pump for several years. The patient spontaneously started to experience psychotic symptoms which...
Article
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Objectives: The primary objective of this case report was to demonstrate the unilateral distribution of the low volume injectate given in the epidural space when paramedian interlaminar approach is utilized under computed tomography guidance. Methods: This was a case report on a single patient with history of unilateral epidural contrast distrib...
Article
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Disease burden in urban sub-Saharan Africa is changing rapidly. Mortality and morbidity from chronic physical disease (e.g. heart, disease, stroke and cancer) is rising rapidly and believed to be as great as from infections (e.g. malaria, HIV and tuberculosis). Other increasing disease burdens in sub Saharan Africa include mental illness, substance...
Article
Full-text available
Objective. To investigate the efficacy of venlafaxine for neuropathic pain and review literature to determine if the medication provides adequate neuropathic pain relief. Methods. Literature was reviewed on MEDLINE using various key words. These key words include: “venlafaxine and pain,” “venlafaxine ER and pain,” “venlafaxine XR and pain,” “ven...
Article
Full-text available
We present a case of 29/m with a history of sickle cell disease who presented to the emergency department with sudden onset of chest, trunk, extremity, and back pain, consistent in quality and severity with the patient’s usual pain crises. Soon after admission to the medical unit for acute chest syndrome (ACS), the patient developed sudden onset of...
Article
Full-text available
Phantom limb pain (PLP) is a challenging chronic pain syndrome to treat with pharmacologic agents being first line of management. However, when these agents fail to provide pain relief, other interventions must be considered in a clinical setting. Spinal cord stimulation (SCS) has been shown to provide analgesia in PLP, and should be considered by...
Article
Objectives: It is known that psychotropic medications have an impact on the readings found in Electroencephalogram (EEG). In the field of psychiatry, there are several psychotropics utilized by clinicians. This review seeks to investigate all the available data for psychotropic drugs and their impact on EEG changes. Methods: A systematic review...
Article
Dorsal thoracic arachnoid webs are due to a deformity in the formation of arachnoid membrane in the spinal arachnoid space. These webs usually occur in the upper thoracic spine and are viewed on imaging as a pathogonomic ‘scalpel’ sign because of the resemblance on sagittal MRI to a surgical scalpel. We describe a case of a patient with a neuropath...
Article
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A 61-year-old woman presented to the emergency department, with a 4-day history of isolated oropharyngeal dysphagia associated with anorexia and weight loss over the previous 4 weeks. She had no other focal neurological symptoms and no deficits on examination. She had been in a 4-year remission of breast cancer postmastectomy and chemoradiation. Ne...
Article
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We report a case of a patient who had been on long time valproic acid for treatment of bipolar affective disorder. While being an inpatient, serology ammonia level testing revealed a very high ammonia level despite being asymptomatic. Dual therapy of carnitine and lactulose was provided to the patient for treatment of the hyperammonemia. It should...
Article
Method: We performed a Pubmed search using the search terms deep brain stimulation, treatment resistant depression, DBS and TRD which resulted in three-hundred and seventythree records. Eighty-four articles were screened and duplicates were removed. Inclusion criteria were: 1.) Diagnosis of Major Depressive Disorder, 2.) Well documented TRD involvi...
Article
Respiratory symptoms such as cough, wheeze and stridor frequently occur in children and may persist for a long time. Determining the underlying cause of these chronic symptoms can be difficult as they may be due to a series of unrelated respiratory infections occurring in close succession or there may be one discrete underlying infection or conditi...
Article
Full-text available
This is a case report of a 33-year-old woman who presented 5 days post-partum with abdominal distension, abdominal discomfort, increased bladder pressure and fatigue. These symptoms prompted a pelvic ultrasound and CT scan of the chest, abdomen and pelvis which showed a large 20 cm left-sided adnexal mass. Following this imaging, blood tests reveal...
Article
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As a final year medical student at the University of Birmingham in England, I am very familiar with the training structure of physicians in the National Health Service (NHS). Recently, I had the opportunity to do 4 months of clinical electives at the University of Massachusetts in Worcester, Massachusetts and Mount Sinai Medical Center in New York...
Article
Full-text available
Hypnosis was a popular anaesthetic in the 19th century before the emergence of safe and effective chemical anaesthesia. To determine whether hypnosis has a role in the modern surgical setting, relevant trials are reviewed. Despite considerable variation in techniques amongst t he various studies, surgical patients treated with hypnosis experienced...

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