Hi Dr Lee. First of all, thanks for the video. All of them are really educational. But the music on the background is too loud, makes it difficult to understand what is being said.
@@practicalpainmanagementwit8115 와... 상세한 설명감사드립니다. 많은 도움이 되었습니다. 리메타손 주문하려고 SK케미컬에 문의해봤더니 생산 중단이라고 나오네요 ㅠㅠ 미쓰비시다나베파마코리아 로 넘어갔다해서 이쪽으로 다시 전화해봤는데 국내로 매출이 아에 안들어온다합니다ㅜㅜ 어떻게 구하셨는지요?
Thankyou for your knowledge sharing, it's very nice, their is a request for not adding background music so we can understand what you are speaking... It so loud that it's hard to understand your voice
No, I have never experienced septic knee arthritis that was caused by my procedure. Aseptic preparation and technique is the most crucial factor. I had septic shoulder arthritis 17 years ago. it was a very painful experience. After that, I moved out from the old town and changed all the protocols and systems.
local anesthetics was supposed to provide only a few hours. but articular branch block provides pain relief which was not effective by only intra-articular injection.
최고입니다 ^^*
thanks
Thank you informative
thank you
Hi Dr Lee. First of all, thanks for the video. All of them are really educational. But the music on the background is too loud, makes it difficult to understand what is being said.
thank you for your comment
The 2nd question is what is the purpose of injecting dexa in hoffa's fat pad?thx dr lee
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Hi Dr.Lee...do we need to inject recurrent peroneal nerve block as it supplies the infero-lateral part of knee join?
I did not find a case who need recurrent peroneal nerve block
Hi dr.lee, can we change dexamethasone palmitate to dexamethason sodium phospate bcoz we dont hv it in indonesia
sure you can.
In the video, What do you inject in the knee joint? Is it triamcinolone mixed with hyaluronic acid?
No, I always use dexamethasone palmitate, which looks like triamcinolone. 1A of Limethason has 3.5 mg of dexamethasone,
how much dexamethasone used per injection side?
Great fan of you Dr Lee...from India...can we communicate or attend your course online
Have a degree of pain medicine after md anesthesia
안녕하세요. 좋은 영상감사드립니다. hoffa's fat pad와 genicular branch block에도 관절강주사와 동일하게 dexamethasone palmitate를 사용하시나요? (즉, 동일한 용액을 쓰시는지요?)
네
@@practicalpainmanagementwit8115 아.. hoffa에 steroid 주사는 fat pad atrophy걱정에 하지못했는데 triam이 아닌 dexa는 fat atrophy 걱정은 안해도될까요?
@@aronraon7792 너무 적은 양이기 때문에 fat atrophy는 문제 없어요. 대부분 이미 다 tear가 되어 이부분이 문제지요
@@practicalpainmanagementwit8115 와... 상세한 설명감사드립니다. 많은 도움이 되었습니다. 리메타손 주문하려고 SK케미컬에 문의해봤더니 생산 중단이라고 나오네요 ㅠㅠ 미쓰비시다나베파마코리아 로 넘어갔다해서 이쪽으로 다시 전화해봤는데 국내로 매출이 아에 안들어온다합니다ㅜㅜ 어떻게 구하셨는지요?
@@aronraon7792 생산은 계속 하고 있고 수출은 지속되나 국내 보험가가 너무 낮아 판매를 안하고 있어 제게 직접 회사에 접촉해 쓰고 있어요. 가을에 킴스제약에서 대행해 판매 한다고 하네요
Dr.Lee thank you for your clinical sharing. Is PRF useful to intractable chronic OA knee pain?
I will post the MSK PRF in another section
Thankyou for your knowledge sharing, it's very nice, their is a request for not adding background music so we can understand what you are speaking... It so loud that it's hard to understand your voice
thank you for your comment, Now I am reducing the music. it was the first version. Sorry for understanding
좋은 영상 감사드립니다. knee effusion 이 지속될 경우 aspiration 을 계속 해주시는지요? 그리고 injection 이나 intervention 이후 NSAIDs 나 어떤 medication 처방을 선호하시는지도 궁금합니다.
injection 이 반복되고 통증이 지속된 경우 대부분 subchondral bone marrow edema가 심하게 있어요. 먼저 evaluation을 권하는 것이 좋을 것 같아요. 초음파와 x-ray로 보이지 않은 부분은 MRI 가 도움이 많이 됩니다
@@practicalpainmanagementwit8115 MRI상 subchondral bone marrow edema가 있고 effusion이 반복되는 경우에 어떻게 치료하면 좋을까요? 인공관절수술 말고는 방법이 없을까요?
Have u ever experienced spetic change of knee joint after inj? Its deep concern of mine when i try knee inj.
No, I have never experienced septic knee arthritis that was caused by my procedure. Aseptic preparation and technique is the most crucial factor. I had septic shoulder arthritis 17 years ago. it was a very painful experience. After that, I moved out from the old town and changed all the protocols and systems.
How Long It Provides analgesia ?
local anesthetics was supposed to provide only a few hours. but articular branch block provides pain relief which was not effective by only intra-articular injection.