Clinical case: Lumbar: L5 root block and L4-5 facet joint injection: MRI: C arm: complicated case

In this clinical case, I will provide serial x-ray and MRI images. you will learn how to understand MRI findings for the procedure selection. He has spondylolisthesis at L4-5 and radicular pain. The second step to compensate for the nerve root injection. In this patient, I selected the upper-level ipsilateral facet joint because there is subarticular stenosis in the L4-5 level.
repeated watching will give you more opportunity to understand and you doing practice by yourself.
It is the goal of the image training session.
#imagetraining #lumbar #backpain #interventionaltreatment #Ziemvision #Carm #chronicpain #spondylolithesis #transforaminal #facetjoint
#투시 #요통 #통증중재시술 #신경차단술 #이미지트레이닝 #요추후관절통증 #척추전방전위증 #만성통증

[@drsuran]

Excellent teaching! Thank you !

[@practicalpainmanagementwit8115]

thank you

[@tauhidurrahmansumon8589]

Great

[@practicalpainmanagementwit8115]

thank you

[@Bae439]

선생님 새해 복 많이 받으세요. 좋은 영상 잘 보았습니다. 궁금한 것이 있는데 tranasforaminal epidural block에서 contralateral oblique view를 시행하는 이유를 알고 싶습니다.

[@practicalpainmanagementwit8115]

lateral view를 얻지 않고 needle 의 깊이를 알 수 있죠

[@federico7355]

Hello! You don´t see the depth in lateral view? Thanks

[@practicalpainmanagementwit8115]

No, I do not. it increase the radiation hazard and do not give information.

[@leealan6311]

Excuse me, Dr Lee. I am a beginner of the C arm guided intervention.
If we don't use the lateral view, how do we make sure the needle tip is in the intervertebral foramen?
By touching the vertebral body? (maybe approach to the ant epidural space)😃

[@TheCiuciudau]

Thanks for the video. Can you please mention what type of "steroid mixture" do you use? And how many ml of mixture do you inject in a facet joint? Intraforaminal injection and sacroiliac joint?

[@practicalpainmanagementwit8115]

You will have answers to your questions if you watch more videos. I mentioned it so many times in these videos.

[@muhammadbaqir3825]

How much degre cranial tilt and ipsilateral oblique tilt you uses in this video..

[@practicalpainmanagementwit8115]

I did not check the exact angle. approximately 35 degrees cranially, oblique 15 degrees.

[@J-ZIM]

kill the music 🙄 why do these doctors insist on loud music?

[@practicalpainmanagementwit8115]

It was a video from 2 years ago. Watch more recent videos, as I have already removed that one.