WEBVTT 00:00:00.006 --> 00:00:02.589 (upbeat music) 00:00:10.680 --> 00:00:12.790 - So when patients come in to see us, 00:00:12.790 --> 00:00:15.350 they're at that point where they need surgical intervention. 00:00:15.350 --> 00:00:17.290 So we're talking to them and say, "Okay, yeah, 00:00:17.290 --> 00:00:19.620 you're a candidate for a knee replacement." 00:00:19.620 --> 00:00:20.870 And then I also talk to them about 00:00:20.870 --> 00:00:21.970 this procedure that we do. 00:00:21.970 --> 00:00:23.560 It's called Iovera. 00:00:23.560 --> 00:00:26.050 And they ask about what Iovera is and I tell them 00:00:26.050 --> 00:00:28.830 it's a treatment that we do prior to surgery, 00:00:28.830 --> 00:00:30.970 usually about a week or so prior to surgery 00:00:30.970 --> 00:00:33.890 to help out with their postoperative pain. 00:00:33.890 --> 00:00:36.579 The technical term is called cryoneurolysis. 00:00:36.579 --> 00:00:38.470 Cryofreeze neurolysis. 00:00:38.470 --> 00:00:42.450 We kill the superficial sensory nerves by freezing them. 00:00:42.450 --> 00:00:45.840 The procedure only takes about 20 to 30 minutes to do. 00:00:45.840 --> 00:00:47.620 There's really no discomfort or pain 00:00:47.620 --> 00:00:48.920 with the actual treatment. 00:00:48.920 --> 00:00:50.640 And I see patients getting at least 00:00:50.640 --> 00:00:52.820 three months of relief with the treatment. 00:00:52.820 --> 00:00:55.330 So that postoperative pain, patients are 00:00:55.330 --> 00:00:56.870 taking less narcotics. 00:00:56.870 --> 00:00:57.830 They're having better therapy, 00:00:57.830 --> 00:01:00.750 better range of motion, better rehab. 00:01:00.750 --> 00:01:03.920 We spend a lot of time undoing things 00:01:03.920 --> 00:01:06.080 early on in terms of fear from the patient. 00:01:06.080 --> 00:01:09.700 And obviously with fear, pain is a big driver of that. 00:01:09.700 --> 00:01:11.700 Total knee replacements are very painful. 00:01:11.700 --> 00:01:14.220 So anytime you can reduce that pain level, 00:01:14.220 --> 00:01:16.750 both preoperatively and postoperatively, 00:01:16.750 --> 00:01:19.050 and it makes our jobs a lot easier. 00:01:19.050 --> 00:01:22.620 - You know, when you're in a lot of pain, you want to cry. 00:01:22.620 --> 00:01:25.002 And I was not the type of person that could 00:01:25.002 --> 00:01:28.300 take medicine, pain pills and stuff like that. 00:01:28.300 --> 00:01:29.630 I just didn't do it. 00:01:29.630 --> 00:01:32.780 I started asking around about this treatment 00:01:32.780 --> 00:01:34.640 and how it relieves you of your pain 00:01:35.570 --> 00:01:37.320 up until you had your surgery. 00:01:37.320 --> 00:01:42.320 And really the recovery is so fast that I was all for it. 00:01:42.400 --> 00:01:43.680 - We have all of our patients come in 00:01:43.680 --> 00:01:45.290 three weeks after surgery. 00:01:45.290 --> 00:01:47.190 And I ask them, "Hey, how's your pain?" 00:01:47.190 --> 00:01:49.530 And they're like, "I'm not having any pain. 00:01:49.530 --> 00:01:52.100 I'm no longer taking my pain medications." 00:01:52.100 --> 00:01:56.780 I've heard of cryotherapy and I knew it would help, 00:01:56.780 --> 00:01:58.020 but I didn't realize it would be 00:01:58.020 --> 00:02:00.410 that instant relief with it. 00:02:00.410 --> 00:02:02.560 - What I've seen with Iovera is 00:02:02.560 --> 00:02:06.390 patients get immediate relief. 00:02:06.390 --> 00:02:08.600 In the 45 minutes that they're in our clinic, 00:02:08.600 --> 00:02:09.890 from the time we register them 00:02:09.890 --> 00:02:11.960 to the time we discharge them, 00:02:11.960 --> 00:02:14.060 we have taken care of a chronic 00:02:14.060 --> 00:02:16.910 pain problem and they are amazed. 00:02:16.910 --> 00:02:21.910 They come in a little leery but they go out extremely happy. 00:02:22.140 --> 00:02:25.640 - Never to the level that we've gotten with the Iovera 00:02:25.640 --> 00:02:27.900 have we seen that much pain relief that quick. 00:02:27.900 --> 00:02:29.687 - Every day, Dr. Brown and I are like 00:02:29.687 --> 00:02:32.450 "Man, there is another one look at that success story." 00:02:32.450 --> 00:02:34.280 And that just kept going on and on, 00:02:34.280 --> 00:02:36.820 on a regular basis with the majority of our patients. 00:02:36.820 --> 00:02:41.820 - I'm really, really happy about this new process. 00:02:41.870 --> 00:02:44.357 It's been a blessing to me. 00:02:44.357 --> 00:02:46.980 - [Christopher Stevens] All right, you're ready to stand up? 00:02:46.980 --> 00:02:48.244 - You think I can? 00:02:48.244 --> 00:02:50.994 - [Christopher] Let's see if you can stand on up there. 00:02:51.900 --> 00:02:53.280 - I'll be darned. 00:02:53.280 --> 00:02:54.270 - [Christopher] Way different 00:02:54.270 --> 00:02:55.623 - Way different. 00:02:55.623 --> 00:02:58.041 - [Christopher] Before, you were really struggling and 00:02:58.041 --> 00:03:00.820 you fell back down and you got back up. 00:03:00.820 --> 00:03:01.670 There we are. 00:03:01.670 --> 00:03:03.490 All done. 00:03:03.490 --> 00:03:05.650 - I think we're going to find that physicians 00:03:05.650 --> 00:03:07.480 and patients alike are going to be trying 00:03:07.480 --> 00:03:09.720 to find alternatives to pain medication. 00:03:09.720 --> 00:03:11.550 And I think Iovera is certainly 00:03:11.550 --> 00:03:13.260 a great alternative for them. 00:03:13.260 --> 00:03:15.870 - I would encourage any nurse working in 00:03:15.870 --> 00:03:19.550 the orthopedic field to look and research Iovera. 00:03:19.550 --> 00:03:20.900 It really does work. 00:03:20.900 --> 00:03:22.730 It's very effective. 00:03:22.730 --> 00:03:23.790 - You know, what I'd recommend 00:03:23.790 --> 00:03:25.260 to a fellow physician assistant 00:03:25.260 --> 00:03:27.450 or nurse practitioner is definitely do it. 00:03:27.450 --> 00:03:30.200 I mean, this is a night and day treatment for patients. 00:03:39.060 --> 00:03:40.520 - [Narrator] Indication. 00:03:40.520 --> 00:03:43.600 The Iovera system is used to destroy tissue 00:03:43.600 --> 00:03:47.670 during surgical procedures by applying freezing cold. 00:03:47.670 --> 00:03:50.290 It can also be used to produce lesions 00:03:50.290 --> 00:03:53.200 in peripheral nervous tissue by the application 00:03:53.200 --> 00:03:57.500 of cold to the selected site for the blocking of pain. 00:03:57.500 --> 00:03:59.550 It is also indicated for the relief 00:03:59.550 --> 00:04:03.050 of pain and symptoms associated with osteoarthritis 00:04:03.050 --> 00:04:05.800 of the knee for up to 90 days. 00:04:05.800 --> 00:04:08.120 The Iovera system is not indicated 00:04:08.120 --> 00:04:11.360 for treatment of central nervous system tissue. 00:04:11.360 --> 00:04:15.320 The Iovera system's one by 90 smart tip configuration, 00:04:15.320 --> 00:04:18.530 indicating one needle, which is 90 millimeters long, 00:04:18.530 --> 00:04:21.440 can also facilitate target nerve location 00:04:21.440 --> 00:04:23.970 by conducting electrical nerve stimulation 00:04:23.970 --> 00:04:25.973 from a separate nerve stimulator. 00:04:27.050 --> 00:04:28.993 Important safety information. 00:04:30.000 --> 00:04:32.230 The Iovera system should not be used 00:04:32.230 --> 00:04:34.980 in people with the following conditions: 00:04:34.980 --> 00:04:36.640 Blood that thickens when patient 00:04:36.640 --> 00:04:40.290 is exposed to cold, or cryoglobulinemia. 00:04:40.290 --> 00:04:43.170 Blood appearing in the urine when patient is exposed 00:04:43.170 --> 00:04:47.300 to the cold or paroxysmal cold hemoglobinuria. 00:04:47.300 --> 00:04:49.300 Skin rash that appears when patient 00:04:49.300 --> 00:04:53.240 is exposed to the cold or cold urticaria. 00:04:53.240 --> 00:04:56.220 Narrowing of the blood vessels in the hands and feet 00:04:56.220 --> 00:05:00.440 when patient is exposed to the cold or Raynaud's disease. 00:05:00.440 --> 00:05:03.100 And open and/or infected wounds 00:05:03.100 --> 00:05:05.133 at or near the treatment site. 00:05:06.090 --> 00:05:08.850 Patients being treated with the Iovera system, 00:05:08.850 --> 00:05:12.660 a needle-based therapy, may experience certain reactions 00:05:12.660 --> 00:05:16.860 including, but not limited to bruising, swelling, 00:05:16.860 --> 00:05:21.860 inflammation and/or redness, local pain and/or tenderness, 00:05:22.120 --> 00:05:25.970 and altered feeling at the site of application. 00:05:25.970 --> 00:05:28.550 Proper use of the device as described in the 00:05:28.550 --> 00:05:31.260 user guide can help reduce or prevent 00:05:31.260 --> 00:05:33.320 the following reactions: 00:05:33.320 --> 00:05:35.545 In the areas where you were treated, 00:05:35.545 --> 00:05:38.310 damage to the skin from being exposed 00:05:38.310 --> 00:05:41.292 to cold or heat, darkening or lightening 00:05:41.292 --> 00:05:45.220 of the skin, and dimples in the skin. 00:05:45.220 --> 00:05:47.580 Outside the areas where you were treated, 00:05:47.580 --> 00:05:50.603 muscles may not work or move normally. 00:05:51.490 --> 00:05:55.167 For more information, visit www.iovera.com.