Dr. Steven Barna, an interventional pain physician, is bringing his expertise to the Florida Orthopaedic Institute, and will treat patients in the areas of conservative and non-surgical minimally invasive spine care.
Steven Barna, M.D. Joins Florida Orthopaedic Institute

Prior to joining Florida Orthopaedic Institute, Dr. Barna worked for more than 10 years as an academic educator at Harvard Medical School. While there, Dr. Barna was an assistant clinical professor of medicine at Brigham and Women’s Hospital and an assistant clinical professor of anesthesiology and medical director of the Center for Pain Medicine at Massachusetts General Hospital.
Dr. Barna is board certified by the American Board of Anesthesiology, is a medical graduate of Case Western Reserve University School of Medicine and is currently an assistant professor of orthopedics and sports medicine at the University of South Florida College of Medicine.
Previously, Dr. Barna served as secretary of the Massachusetts Society of Interventional Pain Physicians, was an editorial board consultant for the American Journal of Geriatric Pharmacotherapy, and was content leader of pain management for HealthTank, a publishing company in Virginia.

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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