Roger H. Coletti

Interventional Health, USA


Roger Howard Coletti, MD, FACC, FASNC, FSCAI was born in 1945 in New York City, New York. He attended Georgetown University College of Arts and Sciences Majoring in Government with minors in Philosophy and Psychology. He did his premedical studies at Hofstra University where he received a Master of Arts in Natural Sciences. He did one year of bench research on drug metabolism when enrolled in a Ph.D. program in Pharmacology at New York University Medical School. He then transferred to the State University of New York at Downstate where he completed the four-year curriculum for his MD. Dr. Coletti's medical internship and residency were performed at Nassau County Medical Center in East Meadow, NY. He did two years of cardiology fellowship at Columbia Presbyterian Medical Center and then transferred to Westchester County Medical Center where he completed one year of Interventional Cardiology fellowship. During his fellowship, Dr. Roger Coletti was involved in research in CPR, coronary blood flow, and the use of Intra-Aortic Balloon Pump (IABP) support for failing hearts. Along with Dr. David Bregman, they discovered a new form of CPR named Abdominal Counterpulsation CPR. He practiced as an interventional cardiologist at several New Jersey hospitals until moving to Delaware where he continued to practice interventional cardiology for three years before retiring from active medical practice. He did clinical research and publication in the field of alternative treatment of chronic pain secondary to chronic muscle spasm and published a book
in 2022 on his research entitled " Chronic Muscle Spasm and Pain – Discoveries in the Etiology, Identification and Treatment of Chronic Muscle Spasm and Resultant Chronic Pain” Also published in 2022 were two papers entitled “The Ischemic Model of Chronic Muscle Spasm” and “Chronic Muscle Spasm Induced Chronic Pain Treated with the CMECD Procedure”. He has been asked and plans to give presentations at several international meetings on this subject in 2023.

Research Interest

It has been noted by multiple researchers that there is Spontaneous Electrical Activity (SEA) at painful trigger points. This author has studied chronic muscle spasm and found that SEA is always present and appears to be the cause for the chronic nature of muscle spasm. Chronic muscle spasm can last for years and cases where the spasm lasted for decades were not only found but successfully treated with the CMECD® procedure. This procedure consists of EMG guidance searching for the SEA and using a combination of phenoxybenzamine, Lidocaine and dexamethasone to extinguish the SEA. Large areas of muscle often need to be treated. Thanks to lidocaine acting as an antiarrhythmic, the SEA is extinguished within seconds and the phenoxybenzamine then takes over after about one hour. With the resolution of the SEA, the muscle can immediately relax. The phenoxybenzamine forms a covalent bond on the alpha motoneuron receptor and the result is a duration of action of 2-3 months. This is enough time for the muscle to recover the prolonged effect of ischemia resulting from the prolonged spasm. Muscles treated in this fashion need only a single injection. Recurrences are rare and only occur if there is a repeat overuse or traumatic injury. The CMECD® procedure is available for use by any medical caregiver that is licensed to give injections. The ability to permanently relieve chronic pain without the use of opioid drugs should prompt interest in this procedure.