Paul Dreyfuss, MD's portrait
Paul Dreyfuss, MD
Clinical Professor
University of Washington
Seattle, WA

About Paul Dreyfuss, MD

Dr. Paul Dreyfuss is Clinical Professor, Department of Rehabilitation Medicine at the University of Washington, teaching physical medicine and rehabilitation residents. Additionally, he is a physiatrist in private practice at Washington Interventional Spine Associates in Bellevue, WA.

Dr. Dreyfuss completed his medical doctorate with honors from Ohio State University. His residency in Physical Medicine and Rehabilitation was at the University of Texas in San Antonio. The Academy of Physical Medicine and Rehabilitation awarded Dr. Dreyfuss the Rosenthal Award for a young physiastrist's advancements in research and treatment of low back pain. He was also recognized by the Association of Academic Physiatrists with the Excellence in Research Writing Award. Dr. Dreyfuss is a member of Alpha Omega Alpha.

Dr. Dreyfuss contributes to medical research and writing. He has made more than 95 local, national, and international presentations on spinal pain and interventions. Further, Dr. Dreyfuss has held faculty positions in more than 30 continuing medical education courses.

Publications

Peer-reviewed Publications

Chapters
1. Dreyfuss P: Thoracic Outlet Syndrome. In Ramamurthy S and Rogers J (eds): Decision Making in Pain Management. B.C. Decker Inc., 1993.

2. Dreyfuss P: Cervical Facet Pain. In Ramamurthy S and Rogers J (eds): Decision Making in Pain Management. B.C. Decker Inc., 1993.

3. Dreyfuss P: Whiplash. In Ramamurthy S and Rogers J (eds): Decision Making in Pain Management. B.C. Decker Inc., 1993.

4. Dreyfuss P: Atlanto-Occipital and Lateral Atlanto-Axial Joint Injections In Lennard T (ed.): Physiatric Procedures in Clinical Practice-Physical Medicine and Rehabilitation-State of the Art Reviews, Hanley and Belfus, 1995, pp 227-237.

5. Dreyfuss P, Lagattuta F, Kaplansky B, Heller B: Zygapophysial Joint Injection Techniques in the Spinal Axis: In Lennard T (ed.): Physiatric Procedures in Clinical Practice-Physical Medicine and Rehabilitation-State of the Art Reviews, Hanley and Belfus, 1995, pp 206-226.

6. Dreyer S, Dreyfuss P, Cole A: Zygapophysial (Facet) Joint Injections: Intra-articular and Medial Branch Block Techniques. In Injection Techniques: Principles and Practice. Physical Medicine and Rehabilitation Clinics of North America. (Ed.): Stewart Weinstein, November, 1995, pp 715-741.

7. Dreyfuss P, Cole A, Pauza K: Sacroiliac Joint Injection Techniques. In Injection Techniques: Principles and Practice. Physical Medicine and Rehabilitation Clinics of North America. (Ed.): Stewart Weinstein, November, 1995, pp 785-813.

8. Dreyer S, Dreyfuss P, Cole A, Windsor R: Injection Procedures. In The Low Back Pain Handbook: A Practical Guide for the Primary Care Physician. Hanley & Belfus, (Eds.) Andrew Cole and Stan Herring, 1996, pp 227-243.

9. Cole A, Dreyer S, Dreyfuss P: Zygapophysial Joint Pain: A Functional Approach. In Soft Tissue Injuries; Diagnosis and Treatment. Hanley & Belfus, Robert Windsor and Dennis Lox (Eds.) 1998, pp 47-64.

10. Cole A, Dreyfuss P, Stratton S: The Sacroiliac Joint: Principles of Treatment. In Soft Tissue Injuries; Diagnosis and Treatment. Hanley & Belfus, Robert Windsor and Dennis Lox (Eds.) 1998, pp 65-83.

11. Michaelsen M, Dreyfuss P: MUJA: Manipulation Under Joint Anesthesia/Analgesia- A Proposed Interdisciplinary Treatment Approach for Recalcitrant Spinal Axis Pain of Synovial Joint Origin. Advances in Chiropractic:Yearbook Series Vol 4, Dana Lawrence, (Ed.) Mosby-Year Book, Inc. 1997, pp 41-68.

12. Dreyfuss P, Dreyer S: Lumbar Facet Injections. In The Nonsurgical Management of Acute Low Back Pain: Cutting Through the AHCPR Guidelines. Demos Vermande Publications, Erwin Gonzales, (Ed.) 1997, pp 123-136.

13. Rogers C, Joshi A, Dreyfuss P. Cervical Intrinsic Disc Pain and Radiculopathy. In Whiplash-State of the Art Reviews, 2nd Edition, Malanga J (Ed.) Hanley and Belfus, Inc, 1998, pp 323-356.

14. Dreyer S, Dreyfuss P, Cole A. Posterior Elements (Facet and Sacroiliac Joints) and Low Back Pain. Lox Dennis (Ed.: State of the Art Reviews in Physical Medicine and Rehabilitation: Low Back Pain, 2nd Edition, Hanley and Belfus, 13:3,1999, pp 443-471.

15. Dreyfuss P, Kaplan M, Dreyer S. Zygapophysial Joint Injection Techniques in the Spinal Axis. In Lennard T. (ed.) Pain Procedures in Clinical Practice, 2nd Edition, Hanley and Belfus, 2000 pp 276-308.

16. Dreyfuss P, Rogers C. Radiofrequency Neurotomy for Zygapophysial and Sacroiliac Joint Pain. In Lennard T. (ed.) Pain Procedures in Clinical Practice, 2nd Edition, Hanley and Belfus, 2000 pp 395-420.

17. Pauza K, Dreyfuss P. Atlanto-occipital and Atlanto-axial joint Injection Techniques. In Lennard T. (ed.) Pain Procedures in Clinical Practice, 2nd Edition, Hanley and Belfus, 2000 pp 309-320.

18. Rogers C, Dreyfuss P. Spinal Injections for Diagnosis and Treatment. Orthopaedic Knowledge Update Spine 2. American Academy of Orthopaedic Surgeons. Edited by Fardon D et al., pp 193-2004 .

19. Dreyer S, Dreyfuss P. Injection Therapy. In: Low Back Pain: A Symptom-Based Approach to Diagnosis and Treatment. Rucker K, Cole A, Weinstein S (Eds). Butterworth and Heinemann, Boston, 2001 pp 247-268.

20. Dreyer S, Dreyfuss P, Cole A, Windsor R. Injection Procedures. In Low Back Pain Handbook. Second Edition, Eds; Cole A, Herring S. Hanley and Belfus, 2003 pp 277-295.

21. Dreyfuss P, Bogduk N. Radiofrequency Neurotomy for Lumbar Zygapophysial Joint Pain. In Encyclopedic Reference of Pain. Edited by Robert Schmidt and William Willis, Springer-Verlag, New York, 2007.

Original Research/Case Reports
1. Balmaseda M, Koozekanani S, Fatehi M, Gordon C, Dreyfuss P, Tanboliong E: Ground Reaction Forces, Center of Pressure, and Duration of Stance with and Without an Ankle-Foot Orthosis. Arch Phys Med Rehabil 69:1009-1012, 1988.

2. Dreyfuss P, Vogel D, Walsh NE: The Use of Transdermal Scopolamine to Control Drooling: A Case Report. Am J Phys Med Rehabil 70:220-222, 1991.

3. Dumitru D, Newton B, Dreyfuss P: Segmental V Dermatomal Somatosensory Evoked Potentials: Normal Intertrial Variation and Side-to-Side Comparison. Am J Phys Med Rehabil. 72:75-83, 1993.

4. Dreyfuss P, Dumitru D, Prewitt-Buchananan L: Intercostal Somatosensory Evoked Potentials: A New Technique. Am J Phys Med Rehabil. 72:144-150, 1993.

5. Dreyfuss P, Tibiletti C, Dreyer S, Sobel J: Thoracic Zygapophysial Pain: A Review and Description of an Intra-Articular BlockTechnique. Pain Digest 4:46-54, 1994.

6. Dreyfuss P, Tibilettii C, Dreyer S: Thoracic Zygapophysial Pain Patterns: A Study in Normal Volunteers. Spine 9:807-811, 1994.

7. Dreyfuss P, Dreyer S, Griffin J, Hoffman J, Walsh N: Positive Sacroiliac Screening Tests in Asymptomatic Adults: A Prospective, Blinded Study. Spine 19:1138-1143, 1994.

8. Dreyfuss P, Michaelsen M, Fletcher D: Atlanto-Occipital and Lateral Atlanto- Axial Joint Pain Patterns: A Provocative Study in Normals. Spine 19:1125- 1131, 1994.

9. Dreyfuss P, Rogers J, Dreyer S, Fletcher D: Atlanto-occipital Joint Pain: A Report of Three Cases and Description of an Intraarticular Block Technique. Regional Anaesthesia. 19:344-351, 1994.

10. Reimer D, Halbrook B, Dreyfuss P, Tibiletti C: An Effective Pre-Placement Worker Fitness Evaluation in a Material Handling Industry. Spine 19:2026-2032, 1994.

11. Dreyfuss P, Michaelsen M, Horn M: MUJA: Manipulation Under Joint Anesthesia/Analgesia: A Treatment Approach for Recalcitrant Low Back Pain of Synovial Joint Origin. Journal of Manipulative and Physiologic Therapeutics, 18(8):537-546, 1995.

12. Dumitru D, Dreyfuss P: Dermatomal/Segmental Somatosensory Evoked Potential Evaluation of L5/S1 Unilateral/Unilevel Radiculopathy. Muscle and Nerve:19:442-449, 1996.

13. Dreyfuss P, Michaelsen M, Pauza K, McLarty J, Bogduk N, : The Value of History and Physical Examination in Diagnosing Sacroiliac Joint Pain Spine 21, 2594-2602, 1996.

14. Dreyfuss P, Schwarzer A, Lau P, Bogduk N: Specificity of Lumbar Medial Branch and L5 Dorsal Ramus Nerve Blocks: A CT Study. Spine 22:895-902, 1997.

15. Kaplan M, Dreyfuss P, Halbrook B, Bogduk N: The Ability of Lumbar Medial Branch Blocks to Anesthetize the Zygapophysial Joint: A Physiologic Challenge. Spine 23:1847-1852, 1998.

16. Dreyfuss P, Halbrook B, Joshi A, McLarty J, Pauza K, Bogduk N: Efficacy and Validity of Lumbar Medial Branch Radiofrequency Neurotomy for Chronic Zygapophyseal Joint Pain. Spine 25:1270-1277, 2000.

17. Sullivan W, Willick S, Chira-Adisai W, Zuhosky J, Tyburski M, Dreyfuss P, Prather H, Press J: Incidence of Intravascular Uptake in Lumbar Spinal Injection Procedures. Spine 25:481-486, 2000.

18. Dreyfuss P, Park K, Bogduk N, Synder B. A Challenge of the Physiologic Effectiveness of L5 Dorsal Ramus and S1-3 Lateral Branch Blocks to Protect the Sacroiliac Joint from Experimental Pain. (In Preparation for Spine Journal).

19. Dreyfuss P, Stout A ,Bogduk N, Pollei S, Johnson B, April C, McLarty J. Multifidi Muscle Mass Changes after Unilateral Medial Branch Radiofrequency Neurotomy: A MRI Study. (In Preparation for Spine Journal).

20. Yin W, Willard F, Carreiro J., Dreyfuss P. Sensory Stimulation Guided Sacroiliac Joint Radiofrequency Neurotomy: Technique Based on Neuroanatomy of the Dorsal Sacral Plexus Spine 2003;28:2419-2425 .

21. Pauza K, Howell S, Dreyfuss P, Peloza J, Dawson K, Bogduk N. A Randomized Placebo-Controlled Trial of intradiscal electrothermal therapy for the treatment of discogenic low back pain. The Spine Journal 2004;4:27-35.

22. Baker R, Dreyfuss P, Mercer S, Bogduk N .Cervical Transforaminal Injection of Corticosteroids into a Radicular Artery: A Possible Mechanism for Spinal Cord Injury. Pain 2003;103:211-215.

23. Dreyfuss P, Marquart C, Tencer A. Cervical Intradiscal Radiofrequency Lesioning: A Plausibility Study. (In Preparation for Pain Physician).

24. Dreyfuss P, Baker R, Bogduk N. Comparative effectiveness of cervical transforaminal injections with particulate and non-particulate preparations for cervical radicular pain. Pain Medicine 2006;7:237-242.

25. Lescher J, Dreyfuss P, Hager N, Kaplan M, Furman M. Hip referral zones. (In Press in Pain Medicine, E-pub available).

26. Dreyfuss P, Cohen S, Bogduk N. Intravenous Sedation and its Effects on Pain following Interlaminar Epidural Steroid Injections. (In Preparation for Pain Medicine).

27. Dreyfuss P, Henning T, Malladi N, Bogduk N, Goldstein B. A Challenge of the Physiologic Effectiveness of L5 Dorsal Ramus and Multi-location S1-3 Lateral Branch Blocks to Protect the Sacroiliac Joint from Experimental Pain. (In Progress).

Review Papers/Standards Papers
1. Dreyfuss P, Calodney A: Cervical Facet Pain. Pain Digest. 3:197-201, 1993.

2. Dreyfuss P, Stratton S: The Low Energy Laser, Electro-Acuscope and Neuroprobe. The Physician and Sports Medicine. 21:47-57,1993; 22:6,15,1994.

3. Dreyfuss P, Dreyer S: Contemporary Concepts in Spine Care: Lumbar Zygapophysial (Facet) Joint Injections. Spine 20:2040-2047, 1995.

4. Dreyer S, Dreyfuss P: Low Back Pain and the Zygapophysial (Facet) Joints. Archives of Physical Medicine and Rehabilitation 77:290-300, 1996.

5. Cole A, Dreyfuss P, Stratton S: The Sacroiliac Joint: A Functional Approach. Critical Reviews in Physical Medicine and Rehabilitation 8 (1&2):125-152, 1996.

6. Dreyer S, Dreyfuss P. Contemporary Concepts in Spine Care: Lumbar Zygapophysial Joint Injections: an Update 2001. The Spine Journal Official NASS publication.

7. Dreyfuss P, Dreyer S, Mayo K, Bogduk N. Sacroiliac Joint Pain. Journal of the American Academy of Orthopaedic Surgeons. 12:255-265, 2004.

8. Schofferman J, Reynolds J, Herzog R, Covington E, Dreyfuss P, O'Neill C: Failed back surgery: etiology and diagnostic evaluation. The Spine Journal 2003:3;400-403.

9. Bogduk N, Baker R, Dreyfuss P, Yin W, Hammer M, April C, Landers M. Complications of spinal diagnostic and treatment procedures. In Press, Pain Medicine.

Contributing Author/Book
1. International Spine Intervention Society: Practice Guidelines-Spinal Diagnostic and Treatment Procedures. ISIS. 2004.

Letters to the Editor
1. Bogduk N, Baker R, Dreyfuss P, Mercer S. Transforaminal epidural steroid injections. Pain 2004;109:527-528.

2. Lieberman R, Dreyfuss P, Baker R; Fluoroscopically Guided Interlaminar Cervical Epidural Injections, Arch Phys Med Rehabil 2003;84:1568.

3. Dreyfuss P, Baker R. Radiofrequency facet joint denervation in the treatment of low back pain; a placebo controlled clinical trial to assess efficacy. Spine 2002;27:566-567.

4. Dreyfuss P, Pauza K, Bogduk N. Efficacy and Validity of Radiofrequency Neurotomy for Chronic Lumbar Zygapophysial Joint Pain. Spine 2001;26:E163-164.

5. Dreyfuss P, Michaelsen M, Pauza K, McLarty J, Bogduk N, : The Value of History and Physical Examination in Diagnosing Sacroiliac Joint Pain Spine 1997 22:1673-1674.

6. Dumitru D, Dreyfuss P: Dermatomal/Segmental Somatosensory Evoked Potential Evaluation of L5/S1 Unilateral/Unilevel Radiculopathy. Muscle and Nerve 19:1505-1507, 1996

Non-Peer-reviewed Papers
1. Dreyfuss P: Epidural Steroid Injections: A Procedure Ideally Performed with Fluoroscopic Control and Contrast Medium. International Spinal Injection Society Bi-Annual Newsletter Volume 1, Number 5, 1993.

2. Dreyfuss P: Injection of the Spinal Zygapophyseal Joints: A Procedure Ideally Performed with Fluoroscopic Control and Contrast Medium. International Spinal Injection Society Bi-Annual Newsletter Volume 1, Number 6, 1993.

3. Dreyfuss P, Rogers J, Fletcher D: Atlanto-Occipital Joint Pain. International Spinal Injection Society Bi-Annual Newsletter, 1994.

4. Dreyfuss P: The Sacroiliac Joint: A Review. International Spinal Injection Society Bi-Annual Newsletter Volume 2, Number 2, 1995.

5. Dreyer S, Dreyfuss P: Rebuttal to the AHCPR Guidelines on Lumbar Zygapophysial (Facet) Joint Injections. International Spinal Injection Society Bi-Annual Newsletter 1996.

6. Dreyfuss P: ISIS (International Spinal Injection Society) Atlanto-Occipital, Lateral Atlanto-Axial and Thoracic Zygapophyseal Joint Injection Standards for the ISIS Position Standards Document on Spinal Injection Procedures, 1997.

7. Dreyfuss P. Thoracic Pain: Differential and Injection Methods. International Spinal Injection Society Bi-Annual Newsletter 1998.

8. Dreyfuss P. Bevel Power. International Spinal Injection Society Bi-Annual Newsletter 1998.

9. Dreyfuss P. Interventional Techniques for Lumbar Intrinsic Disc Pain. International Spinal Injection Society Bi-Annual Newsletter 1998.

10. Dreyfuss P. Curve/CounterCurve: Treatment Options for Refractory Sacroiliac Joint Pain. July/August 2002, pp14-17, SpineLine NASS Publication.

11. Baker R, Dreyfuss P. Curve/CounterCurve: 2004, Cervical Radicular Pain: Transforminal vs. Interlaminar Steroid Injections, July/August, pp 16-21, SpineLine NASS Publication.

Spine-related Abstracts
1. Kaplan M, Dreyfuss P, Bogduk N: Lumbar Medial Branch Blocks: A Challenge of Their Effectiveness. Arch Phys Med Rehab 78:1024, 1997.

2. Pauza K, Howell S, Dreyfuss P, Peloza J, Dawson K, Bogduk N. A Radomized, placebo-controlled trial of intradiscal electrothermal therapy (IDET) for the treatment of discogenic low back pain. The Spine Journal 2003:3:94

Articles Written by Paul Dreyfuss, MD

Cervical, Thoracic and Lumbar Interlaminar Epidural Injection Information

An epidural injection places anti-infllammatory medicine into the epidural space to reduce nerve inflammation and pain.

Cervical Epidural Injection

Learn what to expect from cervical epidural injections here. An epidural injection places anti-inflammatory medicine into the epidural space to decrease inflammation of the nerve roots, hopefully reducing the pain in the neck, shoulders, and arms.

Radiofrequency Neurotomy Information for Sacroiliac Joint Pain

A neurotomy is a non-surgical pain management procedure that may help ease sacroiliac joint pain.

Thoracic Epidural Injection

An epidural injection places anti-inflammatory medicine into the epidural space to decrease inflammation of the nerve roots, hopefully reducing the pain in the mid back or around the rib cage.

Lumbar Epidural Injection

A lumbar epidural injection places anti-inflammatory medicine, such as cortisone, near the nerve roots that are inflamed and causing pain. It should relieve pain in the back or legs. Read this full explanation of what happens during the procedure.

Cervical, Thoracic, Lumbar Discography Information

Discography confirms or denies the disc(s) as a pain source. Learn how the procedure is performed and its importance in planning spine surgery.

Sympathetic Nerve Block Information

A sympathetic nerve block involves injecting numbing medicine around the nerves in the low back or neck to temporaily switch pain off.

Cervical, Thoracic, Lumbosacral Low Dose Intrathecal Contrast Enhanced CAT Scan

Similar to a myelogram, contrast dye is injected into the low back to enhance images of the spinal canal and nerve roots.

Costotransverse and Costovertebral Joint Injection Information

The costotransverse and costovertebral joints are small joints where the ribs join the mid back. This injection may help relieve pain in the back, ribs, chest, or abdomen.

Diagnostic and Therapeutic Selective (Transforaminal) Epidural Spinal Injection

A selective epidural injection places anti-inflammatory medicine around a spinal nerve to help reduce inflammation. By stopping or limiting nerve inflammation, the epidural injection may promote healing.

Cervical, Thoracic, Lumbosacral Nerve Block

A selective nerve root block provides important information to physicians but is not a primary treatment. It serves to prove which nerve is causing pain by placing temporary numbing medicine over the nerve root of concern.

Radiofrequency Neurotomy Information for Facet Joint Pain

A medial branch neurotomy is a non-surgical procedure that helps to relieve neck, mid-back, and low back pain.

Lumbar Facet Joint Injection Information

A facet joint injection serves several purposes including immediate pain relief that helps to confirm or deny the spinal joint as the pain source.

Cervical, Thoracic, Lumbosacral Spinal Nerve Injection (Diagnostic Transforaminal Injection)

A selective nerve root block provides important information about which nerve is causing pain.

Caudal Epidural Injection Information

An epidural injection places anti-inflammatory medicine into the epidural space. Read how this treatment may help to decrease nerve root inflammation and hopefully reduce back or leg pain.

Financial Disclosures

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Author's Statement

I, or an immediate family member, have a financial interest(s) or affiliation(s) with the following commercial companies whose products and / or services may be mentioned in the materials I have authored, edited or reviewed for presentation on Vertical Health, LLC’s websites.

Disclosed Relationships

Consultant
Kimberly-Clark, Oakworks Medical
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