Downloads & Reference Materials
CV, credentials, expert witness publications, patient education, and selected insights from Dr. Guarino's medical-legal and clinical practice.
Documents and reference materials for attorneys, insurance carriers, and legal professionals engaging Dr. Guarino for expert witness or IME services.
Complete CV including education, board certifications, professional appointments, publications, presentations, and expert witness experience. Updated regularly.
Dr. Guarino regularly publishes commentary on pain management, expert witness practice, and medical-legal issues on LinkedIn - expanding on chapters from his latest book and drawing from his clinical and courtroom experience.
Epidural steroid injections and other spinal procedures are performed millions of times each year-and are generally safe. Yet when complications occur, they can be catastrophic and legally complex.
As an expert witness in spinal injection cases for both plaintiff and defense, I am frequently asked the same core questions:
Spinal cord injury associated with interventional pain procedures is rare - but when it occurs, the consequences are profound for patients, physicians, and the legal system alike.
In the medical-legal arena, these events are often framed in binary terms: either catastrophic negligence or unforeseeable complication. The reality is more nuanced. Understanding where procedural risk, anatomy, documentation, and causation intersect is essential for accurate analysis.
Read on LinkedInComplex Regional Pain Syndrome is one of the most devastating chronic pain conditions that I encounter in clinical practice.
What may begin as an injury, surgery, fracture, or seemingly routine medical event can, in a small subset of patients, evolve into severe, disproportionate pain accompanied by swelling, color and temperature changes, hypersensitivity, motor dysfunction, and progressive loss of function. The consequences can be profound. Patients may lose the ability...
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